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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Cause A Stabbing Pain In The Descending Colon?

About 2 weeks ago I started having random stabbing pains in the descending colon. Just before the onset, I had severe back pain, left lumbar, the skin over the area very sore to touch, how I would imagine shingles. The sensitivity has now disappeared. The stabbing pain is less frequent and intense but has shifted higher up the bowel. I think my digestion has been compromised for some time and although I would rate my diet as pretty good- very little sugar or wheat, very little fruit or dairy - I enjoy a cappuccino once a day and 1 or 2 cups of tea with milk and a couple of glasses of champagne every now and then. I am 59 years old, slim, reasonably fit but concerned as to the cause of this pain. Could this simply be IBS?
Tue, 4 Oct 2016
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General Surgeon 's  Response
Hi.
Thanks for your query.
Noted your history random stabbing pains, increased sensitivity like one gets in shingles and pain in the back, lumbar region and now the pain has shifted up. The diet is good and also noted the other habits you have said about, wants to know whether this can be IBS.
This looks to be more of colitis than IBS as all the investigations needs to be normal before one says this to be IBS.
I would advise you the following:
Colonoscopy should be the first one to see whether there is colitis, cancer or any such things.
MRI of the back, spine and posterior organs may help a lot.
Tests of stool, blood, and urine will add on.
Clinical evaluation by a General Surgeon and his correlation will help you to get the appropriate diagnosis and a plan of proper management.

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What Could Cause A Stabbing Pain In The Descending Colon?

Hi. Thanks for your query. Noted your history random stabbing pains, increased sensitivity like one gets in shingles and pain in the back, lumbar region and now the pain has shifted up. The diet is good and also noted the other habits you have said about, wants to know whether this can be IBS. This looks to be more of colitis than IBS as all the investigations needs to be normal before one says this to be IBS. I would advise you the following: Colonoscopy should be the first one to see whether there is colitis, cancer or any such things. MRI of the back, spine and posterior organs may help a lot. Tests of stool, blood, and urine will add on. Clinical evaluation by a General Surgeon and his correlation will help you to get the appropriate diagnosis and a plan of proper management.