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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain In The Lower Abdomen On The Left Side?

My 15 y.o. daughter has had idopathic lower left quadrant abdominal pain for a couple of years. It seemed to get better but has come back. She has been nauseous for about 6 mos. and vomits occasionally (once every 2 wks?), also has some reflux. On top of that she has a right ovarian cyst. As of right now, she is experiencing a lot of pain (8 out of 10), she can t taste anything she eats (new symptom as of this morning). No fever. She was born with infantile hemangiopericytoma, which was excised at 8 days old and had myofibromatoses (about 10-bird seed sized) removed at 8 mos. old. Our family is hyper mobile and there is M.S. and Lupus in our family. Her latest blood tests came back normal (included ANA). She has an upper GI scheduled this coming Friday and endoscopy and colonoscopy scheduled next month. Is there anything we can do in the meantime as she cannot function well? She is currently taking Fluoxetine, Ranitidine, Cyproheptadine, Ondansetron and birth control.
Fri, 4 May 2018
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General Surgeon 's  Response
Hello,

Idiopathic left lower quadrant pain with the history of surgery after birth for hemangiopericytoma and myofibromatosis needs all the relevant tests like CT scan of the abdomen, barium enema with motility studies, colonoscopy and endoscopy, tests of blood and particularly stool for three days.

Ondansetron may be changed over to another medication if it is not working for nausea and occasional vomiting as domperidone can give results.IBS that is irritable bowel syndrome can be considered if all the relevant investigations are normal. Birth control pills can cause lots of metabolic changes and add-on to the present problems. Psychological evaluation by a Psychiatrist if all the clinical evaluation and investigations are normal.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. T Chandrakant

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What Causes Pain In The Lower Abdomen On The Left Side?

Hello, Idiopathic left lower quadrant pain with the history of surgery after birth for hemangiopericytoma and myofibromatosis needs all the relevant tests like CT scan of the abdomen, barium enema with motility studies, colonoscopy and endoscopy, tests of blood and particularly stool for three days. Ondansetron may be changed over to another medication if it is not working for nausea and occasional vomiting as domperidone can give results.IBS that is irritable bowel syndrome can be considered if all the relevant investigations are normal. Birth control pills can cause lots of metabolic changes and add-on to the present problems. Psychological evaluation by a Psychiatrist if all the clinical evaluation and investigations are normal. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. T Chandrakant