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Suggest Treatment For Abdominal Pain And Tenderness On Stomach

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Posted on Thu, 20 Aug 2015
Question: Have had multiple colonscopies in my lifetime (IBD diagnosis). Woke up from the latest one with lower/mid abdominal pain (never have had pain before). Was told it was gas pain. I'm dopey so I figure ok, it will pass. 24 hours later the pain is less but my belly is still tender to touch (no cat in my lap today). What happened this time? Any thing I can do for some relief? Used advil and heat pad last night. I'll call office or ER if it persists or gets worse again.
Right side
doctor
Answered by Dr. Grzegorz Stanko (14 hours later)
Brief Answer:
Abdominal x-ray should be done.

Detailed Answer:
Hello!

Thank you for the query.

Colonoscopy is a safe procedure and usually does not cause any serious problems. However there is a tiny risk (lass than 0,1%) intestine perforation during the colonoscopy. Perforation is the only thing you should be afraid of.
Your symptoms do not point to perforation, however sometimes pain can be the only reason of it (especially if you have diverticles or the perforation is in tiny spot).
The other (much more probable) reason of your pain is gas entrapment in the large intestine. As you know, during the colonoscopy whole large intestine and some part of small intestine is filled with gas. Some patients will excrete this gas right after the colonoscopy, others will have abdominal pain for few more days.

For temporal relief you should try Buscolisine, Metamizole (smooth muscle relaxing medicines).

Consulting your doctor or ER is a good idea. Abdominal x-ray should be done to rule out intestine perforation.

Hope this will help. Feel free to ask further questions.
Regards.
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Grzegorz Stanko

General Surgeon

Practicing since :2008

Answered : 5795 Questions

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Suggest Treatment For Abdominal Pain And Tenderness On Stomach

Brief Answer: Abdominal x-ray should be done. Detailed Answer: Hello! Thank you for the query. Colonoscopy is a safe procedure and usually does not cause any serious problems. However there is a tiny risk (lass than 0,1%) intestine perforation during the colonoscopy. Perforation is the only thing you should be afraid of. Your symptoms do not point to perforation, however sometimes pain can be the only reason of it (especially if you have diverticles or the perforation is in tiny spot). The other (much more probable) reason of your pain is gas entrapment in the large intestine. As you know, during the colonoscopy whole large intestine and some part of small intestine is filled with gas. Some patients will excrete this gas right after the colonoscopy, others will have abdominal pain for few more days. For temporal relief you should try Buscolisine, Metamizole (smooth muscle relaxing medicines). Consulting your doctor or ER is a good idea. Abdominal x-ray should be done to rule out intestine perforation. Hope this will help. Feel free to ask further questions. Regards.