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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Lower Abdominal Pressure/bloating?

41 yr old, 5'7", 175lb male with lower abdominal pressure/bloating with loss of appetite, that has persisted since 2009. During this time have numerous tests including colonoscopy (normal), small bowel series (normal), and repeated blood work (slightly elevated WBC on a few occasions). Additionally, tested positive for h pylori, which was subsequently treated successfully with antibiotics.

Recently, the bloating and pressure, which I'm guessing is the build up air/gas has become worse. I have been told that this could be IBS.....which to me seems very ambiguous. Although I have BM's once a day, It feels like my bowels then clamp shut at times thus causing the pressure to build. The degree of discomfort has interfered with daily life relentlessly.

Any thoughts or suggestions would be be of great help
Thu, 20 Nov 2014
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General Surgeon 's  Response
Hi.
Thanks for your query.
You are suffering from lower abdominal pressure and bloating for 5 years and investigations are within normal limits.
This could be IBS. IBS comes in many forms.
For us to say this as a IBS i.e. Irritable Bowel Syndrome, all the investigations should be normal.

I would advise the following investigations and treatment in a such a case:

Investigations:
*Routine blood investigations like Complete blood picture, blood sugar, urea, creatinine, liver function tests, thyroid function tests.
*Urine -routine and microscopy
*Stool: routine, microscopy, occult blood, culture and sensitivity.
*Ultrasonography of abdomen,
*Colonoscopy
All these investigations should be within normal limits for one to say you have IBS.

Treatment:
''STRESS'' = stress is the most important cause of IBS. Please remember and you must have observed that when you do not have stress your problem with IBS is reduced
Change of lifestyle.
I think 'may be' you are not coping with something.
Vacation outside of your area, mobiles phones to be off.
You must have noticed already that these changes help a lot.
Try to avoid anything which you are / have to do against your will and wish. Get into the hobbies which make you forget the world around you. Life comes only once, boss.
Medicines ::
You need to have a prescription of a Doctor, please discuss this with a Gastroenterologist to get a prescription. I would like to know which medicines have you taken in the past and in which dosage
Vit A and Vit D in therapeutic doses,
Multiviatamins ,
probiotics,
anxiolytics help a lot.
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What Causes Lower Abdominal Pressure/bloating?

Hi. Thanks for your query. You are suffering from lower abdominal pressure and bloating for 5 years and investigations are within normal limits. This could be IBS. IBS comes in many forms. For us to say this as a IBS i.e. Irritable Bowel Syndrome, all the investigations should be normal. I would advise the following investigations and treatment in a such a case: Investigations: *Routine blood investigations like Complete blood picture, blood sugar, urea, creatinine, liver function tests, thyroid function tests. *Urine -routine and microscopy *Stool: routine, microscopy, occult blood, culture and sensitivity. *Ultrasonography of abdomen, *Colonoscopy All these investigations should be within normal limits for one to say you have IBS. Treatment: STRESS = stress is the most important cause of IBS. Please remember and you must have observed that when you do not have stress your problem with IBS is reduced Change of lifestyle. I think may be you are not coping with something. Vacation outside of your area, mobiles phones to be off. You must have noticed already that these changes help a lot. Try to avoid anything which you are / have to do against your will and wish. Get into the hobbies which make you forget the world around you. Life comes only once, boss. Medicines :: You need to have a prescription of a Doctor, please discuss this with a Gastroenterologist to get a prescription. I would like to know which medicines have you taken in the past and in which dosage Vit A and Vit D in therapeutic doses, Multiviatamins , probiotics, anxiolytics help a lot.