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Abdominal pain, exhaustion, dark stools, irregular bowel movements, constant urge for ice, anemia, high WBC

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Gastroenterologist, Surgical
Practicing since : 1984
Answered : 922 Questions
Lower left abdominal pain, hasradiated to bck,anemia,slightly elevated WBC,night sweats, exhaustion,dark stools,irregular bowel movements,contant urge for ice (5LB's per day),pain is worse as bladder fills, urge to deficate with no results
Posted Tue, 22 May 2012 in Digestion and Bowels
Answered by Dr. Ajit Naniksingh Kukreja 4 hours later

I am really sorry to learn you have so many problems at this age

What I gather from your history is :

1] The lower abdominal pain radiating to back is probably due to adhesions from previous surgery
I presume you would be facing distention and fullness after meals

I suggest you take small frequent meals and avoid fermented meals

2] Anemia and darks stools , go hand in hand ,there is probably gastritis or ulcer in the intestine which is bleeding and giving dark color to stool

It would be better if you go for a upper GI scopy if you have symptoms of gastritis or else a lower GI Scopy

3]Irregular bowel movements, Urge to defecate with no results and pain worseing as bladder fills are contributed to either adhesions and or collitis

A seven day treatment of Ofloxacilin and ornidazole along with a probiotic will help

Constant urge for ice is soothing if you have lot of stress leading to dryness of mouth, so I would reassure you - all will be well soon and request you to control stress

Hope this helps
Am available for followup queries
If no further doubts accept my reply and rate it
Wishing you a speedy recovery
Above answer was peer-reviewed by
Follow-up: Abdominal pain, exhaustion, dark stools, irregular bowel movements, constant urge for ice, anemia, high WBC 5 hours later
At first my Dr. said it might be diverticulitis but no evidence was shown on CT. Then he refferred me to a surgen because he thought it was adhesions. The surgeon said unless my bowel is constricted it is pointless to remove all of the adhesions as they will just grow back. In light of my other symptoms she said I needed a colonoscopy which is schedualed for Monday w/ edoscopy. I'm concerned that this is the beginnig or later stages of colon cancer. It is prevalant in my family and there is an increased risk because of the Ruen Y, from what I breifly read. The exaustion is so severe that I'm having a hard time functioning. I can't have intercoarse either because it makes the pain worse.
Answered by Dr. Ajit Naniksingh Kukreja 5 hours later

Thanks for posting your query

If there is no diverticulosis on Ct you may go for Colonoscopy

Adhesions do reoccur but if they are causing problem it is better to get operated with adhesion preventing barriers and intraabdominal installations

All data available on net is not authentic so do not increase stress unless your scopy shows anything positive

Get back to me with the colonoscopy report it will help me help you

General health will improve once the pathology is cured so keep your self morally high

Hope this helps
Get well Soon
Above answer was peer-reviewed by
Follow-up: Abdominal pain, exhaustion, dark stools, irregular bowel movements, constant urge for ice, anemia, high WBC 3 days later
You were right, I have chronic gastritis, well let's go back to Saturday, my pain was at an 8-9 ( I consider labor 10) The pain had spread throughout my abdomen and I could not eat solid foods. The ER doctoter gave me morphene while there then sent me home with a prescription for 5mg loratabs which didn't even touch the pain. I did my bowel prep on Sunday exactly as they told me and thought I was completely cleared out. I was in so much pain when I got there I begged the Dr. to admit me or send me straight to the ER afterwards because I couln't control the pain and was getting the dry heaves from it. He woke me up and said that my colonoscopy was fine besides hemoroids an a large amount of fecal matter still in my bowel. He wants me to get a upper GI and a small bowel series but they couldn't schedual it for a week. I don't know what to do. I take suboxone or an addiction I formed to methadone after back surgery and have been in recovery ever since with a very strong program and when this started I made the decision not to ask for pain meds until the pain reached a nine, I held out a month and a half. So dreading the thought of having to wait one more week in this kind of pain I asked him to please prescibe me something and he said no because I had a hystory. So I get home and call my primary and told him what was going on, he said no also. Now I thought I did the right thing by waiting until the pain was unbearable and from the 12 step literature I've read several times and also in the big book it says doctor's should treat pain accordingly in a close and careful manner as uncontrolled/untreated pain may cause a relapse. Even I know that you can treat an addict for pain if you have them come in to count there pills or only prescribe 3 days at a time with refills then ween back off. I got up the strenght I could to see my suboxone DR./Addiction specialist and told him what was going on and he was not suprised but disappointed as he said psychiatric patients, addicts and alchoholics get swept under the rug when it comes to complaints of pain. He told me to take a few suboxone at a time as they help with pain while he tries to reach my DR. to discuss treating the pain verses me treating it myself. That was this morning, I just got back from the ER a little while ago, I told them I don't feel like I can take this anymore and asked them not to give me any meds but to try and get me those two tests tonight. The general consensus seems to be adhesions but they said they have to rule out everything else before taking me to surgery. I know that everyday that passes until a diagnosis it's going to get worse or something irreversible will come of it. How do I expidite a diagnosis and express to them the urgency of the situation without them thinking Ihave a psychiatric issue.
Answered by Dr. Ajit Naniksingh Kukreja 3 hours later

Thanks for posting your followup query

I do sympathize with your situation

Pain with score of 8-9 do need ER treatment, and your primary caregiver is right usually addicts and Psychiatric Patients are taken for granted

Yet I would reassure you and suggest you go for the Small bowel study before going for surgical intervention

Adhesions do not cause emergency on a routine basis

In the mean time I would recommend liquid and semiliquid diet

Small in quantity at a time, and last intake atleast 4 hours before you go to bed

In the mean time you may take any analgesic in form of Diclofenac Sodium suppository every 8 hours, this definitely will reduce your pain

Do get back to me with final reports and before you plan any surgery

Hope this helps
Am available for any followup queries
If there are no further doubts, do accept my reply and rate it

Get Well Soon
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