Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

124 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Had mild pre-hypertension, overweight and contact dermatitis on penis. Suffer from depression and anxiety. Is it serious?

Answered by
Dr. Ajit Naniksingh Kukreja

Gastroenterologist, Surgical

Practicing since :1984

Answered : 922 Questions

Posted on Thu, 14 Nov 2013 in IBS(Irritable Bowel Syndrome)
Question: Hi

Thank you in advance for reading and answering my question. I am writing because I am experiencing mild, dull, intermittent (it comes and goes) discomfort in my lower left abdomen. (The pain is usually like a 1 or 2 out of 10) I will send a pic of the region, but it's in the fold between the abdomen and leg when one sits, or the very bottom of the abdomen. It feels like it's in the frontside of my body, not in the middle/inside of my body.

Backstory: At the beginning of this year (January), I suffered from a severe gastro bug that involved severe diarrhea, constipation, gas and a high fever that lasted three days. I am uninsured so I just waited it out. That was many months ago. I think it was partly a lactose issue (I am mildly lactose intolerant and had consumed lots of cheese at a fondue party), and partly an infection, possibly related to a mold outbreak in my apartment at the time.

Much later, starting about two or three months ago, I began to notice this intermittent dull pain. Some days I would not have it all, and others I would notice it more. At one point, in late August, I experienced a sudden, extremely sharp pinpoint of pain in this region that lasted like a tenth of a second. It was very sharp and painful (8/9 out of 10) but was over with in an instant. It hasn't recurred and I was fine afterward.

SOMETIMES, but not always, it seems to be improved upon changing positions. Like this morning, I was laying on my side, stretched out, and I felt the pain. I changed position so I wasn't stretching that side out, and it got better. But sometimes shifting position doesn't make a difference.

At some point this year, I noticed a peculiar stretch mark in the same area that I have this dull pain. I do not know how long the mark has been there. I have included a photo of it. I am holding up my abdominal fat to show the mark. I have other older stretch marks but this one seems different. The pain is in this region, but not exactly where the mark is.

I recently have felt a bit bloated, as if I can't pass enough gas. My bowel movements have been either normal/regular stools or loose and mushy, not quite diarrhea. There has been no mucus or blood in the stool. Having a bowel movement does not make the pain go away.

Also, if it helps, I was diagnosed by a Ear/Nose/Throat doctor five years ago with Laropharyngeal Reflux Disease. I modified by habits and took omeprazole and I am mostly symptom free. I no longer take omeprazole regularly. I avoid spicy foods, etc and sleep with my bed at an angle to keep the acid from washing up. I also lost about 35 lbs by diet/exercise. My LPRD seems to be under control.

I suffer from depression and anxiety although I made the decision four years ago to stop taking medications for it and to try to make it on my own. This sensation is intensifying my anxiety as I worry that it's something serious and I do not have health insurance.

Is this Irritable Bowel Syndrome? Colon cancer? The beginning of a hernia? Something I can manage on my own? Or something urgent?

Thank you,
Answered by Dr. Ajit Naniksingh Kukreja 10 hours later
Brief Answer:
Could be IBS ?

Detailed Answer:

Thanks for providing a detailed hisotry

The initial dull pain could have been some for of inflammation which would have remained there after the acute infection

The sharp pain you had once could be because of any colic secondary to GI symptoms

I can not opine on the stretch marks till I have the images

Regarding you impression, it does not seem to be colon cancer, also I cannot opine on Hernia till I examine the inguinal region as the pain is in that region

But yes it can be IBS

I would suggest you manage your stress levels
Avoid Junk food
Add a probiotic for two weeks

If this does not work, go for a stool examination and if need be a culture report and take antibiotic accordingly

Hope this helps
Do write back in case of concern
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. Ajit Naniksingh Kukreja 1 hour later
Dear Dr. Ajit Naniksingh Kukreja,

Thank you for your time. I appreciate the chance to get your opinion. I put stars (*) around the issues I'm hoping you can address.

There's been quite a gap of time -- eight months -- between the intense and acute gatstrointestinal illness (beginning of January, lasting approx 1.5 weeks) and the approximate onset of these symptoms (roughly August -- it was infrequent at first).

In that time -- from the end of the acute illness until the onset of the abdominal pain -- eight months -- I did not experience any abdominal pains. *But am I correct in understanding that there could nonetheless be a relationship despite the time gap?* I just want to be sure I am communicating my history clearly and understanding you correctly.

(The one-time, strong pin point of pain did occur a just couple hours after finishing a long cross country airplane flight in late August, just in case that is relevant. Then, when I returned a week later back home, I came down with a 48 hour diarrhea illness -- but so did the friends I visited -- we had attended a massive public event & assumed it was a bug we all picked up while at the event)

Also, I have tried coughing hard, and observed/felt for any lumps per Dr Deepak's suggestion -- in other words, I can't find anything out of the ordinary (bulging, pain on coughing) regarding the possibility of a hernia. Testicles seem normal.

I did however read about a "sports hernia" and wondered if that could be a possibility? *Can you tell me in your response your opinion on this possibility if you are familiar with the term -- "sports hernia"?*

My symptoms are generally relieved (although not 100% always) by lying flat. Sitting seems to be the most likely to cause discomfort.

I sent a photograph of the stretch mark when I originally submitted my original query a few days ago. So it should be there in my file somewhere.

I took 2 naproxen sodium tablets tonight upon your suggestion that it could be inflammatory. I have been taking probiotcs and will do so as you have suggested for the next two weeks.

*I can resend the stretch mark photo, but I would need instructions as this part of the process doesn't include an option to send a photo.*

Many thanks for your time !!! XXXXXXX

Answered by Dr. Ajit Naniksingh Kukreja 2 hours later
Brief Answer:
Please find replies to your * Queries Below :

Detailed Answer:

*But am I correct in understanding that there could nonetheless be a relationship despite the time gap?*

Probably no, but the infection can reoccur

*Can you tell me in your response your opinion on this possibility if you are familiar with the term -- "sports hernia"?*

Chances are very remote if there is no swelling in local region of groin

Am of the opinion that probiotics should help you in the long run along with some stress relieving measures like meditation etc

*I can resend the stretch mark photo, but I would need instructions as this part of the process doesn't include an option to send a photo.*

Do write back in case you have any doubts
Wishing you a healthy life ahead
You need to write to the customer care, they surely will guide you

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. Ajit Naniksingh Kukreja 10 hours later
Image uploaded
Answered by Dr. Ajit Naniksingh Kukreja 9 hours later
Brief Answer:
Nothing to worry about

Detailed Answer:

Have seen the uploaded image

Seems you have probably put on weight

These are stretch marks normally seen with obesity

Otherwise if it is not itching I feel just leave it as it is

If there are any symptoms, do go ahead and see a dermatologist

Hope this helps
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. Ajit Naniksingh Kukreja 45 hours later
Dear Doctor,

Thank you for your response. It does help.

I am feeling a little bit better.

Last follow up question:
I was very upset last week following a car wreck I was in. And as I said, I have a history of anxiety and depression. Is it possible that extreme stress could cause or worsen symptoms like this in my abdomen?

The pain was most intense during the week and a half after the car wreck, during which I was also very stressed. And now time has passed...the pain seems to be a little better. I also noticed that I am not quite as stressed out as I had been. I have been trying hard to meditate and relax just like you suggested. Thank you.

Do you think the stress has anything to do with it?

Regards, XXXXXXX
Answered by Dr. Ajit Naniksingh Kukreja 3 hours later
Brief Answer:
Very True.......

Detailed Answer:

I am glad the line of management worked

Yes immense stress can worsen the symptoms.....

If you recollect, my first reply I have advised you to manage stress levels....

If you are able to do this, half of your symptoms will vanish

Do not hesitate to write back in case on concern
Wishing you a very healthy stressfree life ahead
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,  

Recent questions on  Naproxen

doctor1 MD

I was vomiting all night, then diarrhea, fever(99.7) and then leg halves. I ve taken aleve, generic imodian. The fever has gone down, diarrhea gone but I still have the itchy leg halves. The halves are starting to appear on my arms now. I am out of town, should I go to a clinic? The only thing I can eat is water and crackers.

doctor1 MD

If Naproxen has damaged my kidneys and Tylenol is bad for my liver what type of pain meds are available for me? I am said to have several chronic conditions which Docs seem to think or they claim once thought were in people s heads, which I don t understand, but I m only a teacher with a BS and a MS who suffers from spinal degeneration, narrowing of the spine, bulges at L1 and L2 and recently L4 and L5 up until Oct. 2013 when an attempt was made to correct these imaginary disc bulges. I suffer daily sinus headaches docs say they see something in there but there s nothing they can do about it. I have bursitis they tell me, which at times calls for a long needle to be jabbed into my hip and, there s nothing imaginary about that. They tell me I have Gerd so I imagine that s that burning sensation that come up in my chest and throat when I miss taking my omeprazole. I wonder if something like that could have led to my moms and her only sister s esophageal cancer? Or it could be the hiatal hernia or the unspecified intestinal disease they told me I have. You know I thought after that surgery while I was in rehab I was feeling better then I had in years and then I went home. The very next day I was back in the emergency room oh I forgot before I left the rehab a sore started to form at the surgical site and it began to bleed a little but no one was alarmed, especially not me I had had at least 8 abdominal surgeries before, one of them had to ripped back open due to infection (my C-section) the other burst back open when I was made to get up and too soon I thought, after my hysterectomy when I became dizzy and fell while walking down the hospital hallway. This was different this was something I had never heard of and probably would not have if I had died you see doc the people in the emergency room sent me home with a tube of cream, never contacted my surgeon it was her day off never advised a follow-up with her, oh I guess they knew I would not need one. But because I had home health care they took me to their hospital and a week later from the doctor s office I was rushed into surgery stat still didn t know what was wrong and two operations later after efforts to get my blood pressure stabilized I was then told I had contracted something called MRSA. I was on antibiotics for months and sick as hell for months one infection in the body after another in various places I won t name. Finally I was treated for a terrible bronchitis that would only go away with a protocol of prednisone and antibiotics used to treat pneumonia. So back to my original what type of pain meds are safe for me? Thank you in advance if you can answer my question and God bless.

doctor1 MD

Yes I have been taking Aleve for joint pain and it was very effective but recently I have been getting nose bleeds. I am thinking this has to do with the Aleve so I have stopped taking it. Does MegaRed joint care have anything in it that will also cause my nose to bleed?

doctor1 MD

I am a 36 yr old female who over the past 15 years have had about 6 uti's I also have a history of kidney stones. June 17th I awoke with symptoms of urgency and frequency. I took an at home uti test and the results were neg. I assumed I must have a stone passing as I have found this to be a cause of the urgency and frequency in the past. I continued testing every few days for the next few weeks and took azo standard as needed and expected the flank pain of a kidney stone which never presented although I did have aching middle back pain. After 3 ½ weeks my symptoms worsened until I went to the er on July 10. They examined me and sent me for 2 ct scans first without contrast 2nd with. The ct scans showed a non obstructing 3mm stable stone in my rt kidney that has remained unchanged since a ct scan in 2008, but no other problems. They ran a urinalysis as well as a cbc. My urine was postitive for nitites, but only trace wbc and a 1+protein (not sure what that means). My cbc showed an elevated wbc of 17 which lead them to believe I had a bad infection. The gave me IV antibiotics and keflex pills to take 4x a day for 7 days which I finished the following Sunday meanwhile my culture came back as gram positive for mixed flora ( I don't know what that means.) My symptoms improved but did not go away after 4 days after starting the antibiotics, so I went to a walk in urgent care facility, their dip stick test was neg. and when they cultured my urine sample there was no sign of infection. I then saw a Urologist who reviewed my ct scans and preformed an ultrasound as well. He saw no obstructions or reasons for my symptoms and told me I have inflammation left from the infection and gave me a 2 week sample of toviaz and to come back in one month in and he will run a test to make sure my bladder is empting completely. I took one Toviaz that night and the following morning the pain of urgency was much worse so I went back to the er. They ran another urinalysis and said it looked good and the cbc showed my white blood cell count was down to 14 which they were very happy about. They gave me iv fluids and torradol to help with inflammation as well as a script for naproxen. I have not taken the toviaz since and still feel symptoms. The duration of the symptoms seem to have improved slightly as I will have a few hours a day that I am almost symptom free. I also had my yearly exam with my ob/gyn last week, everything was normal and after I relayed my expirences with her she said I might have IC, which has really scared me. I'm not sure what to do now and although I have been trying not to take azo I did take one this morning (after 4 days without) for unbearable symptoms. I have not gone back on the toviaz as I am afraid it worsened my symptoms before and am terrified of going through even more pain. Could you please advise me as to what could be going on and how I should proceed? Could this really be left over inflammation? I am also very curious as to what the protein in my urine could mean and why the at home uti test results were neg? I am also not sure why the urologist gave me medicine for an over active bladder? Also is it safe to take Azo standard on an occasional basis?
Thank you,

doctor1 MD

I fell and injured my collarbone, it’s bruised and swollen but I can still move my arm. I’m not sure if it’s broken or a torn ligament possibly, any advice?

doctor1 MD

I was unplugging a big cord from a wall was a 2 outlet fixture with 6 outlet attachment on it.i was electrocuted pulling it out of the finger got electrocuted and it hurt but I am okay now,do you think it could have damaged...

doctor1 MD

I am having headache since 3 days. what to do ?