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Suggest Treatment For Lower Left Abdominal Pain With Constipation

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Posted on Fri, 6 Nov 2015
Question: I have a pain in the lower left side of my body that radiates to the front. No nausea but am constipated. The pain started Wednesday but dissipated and I felt fine, came back on Thursday but has progressively gotten worse yesterday and today. I did take a pill for constipation but did not relieve me like I felt it should have.
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Answered by Dr. Dr. Muhammad Sareer Khalil (18 minutes later)
Brief Answer:
Clinical evaluation and workup needed

Detailed Answer:
Hello and Welcome

I appreciate your concern

The pill you are referring to is dulcolax. If there is lower abdominal pain on the left side and the pain has persisted then causes other than constipation should also be considered. The abdomen should be examined to look for rigidity, rebound tenderness that may indicate peritoneal inflammation. An x ray erect abdomen with both hemi diaphragms should be advised. Anti spasmodic medication like hyosciamine can be taken to relieve the pain alongside Tylenol. If the pain is also present above the umbilicus in the epigastric region then an EKG should also be done to rule out any cardiac cause. An ultrasound of the abdomen and pelvis can be advised if there is flank pain associated with colicky pain and burning urination or with RBCs on urinalysis. GERD/ Reflux disease evaluation can be done and treated accordingly with PPIs if the above workup is normal.


Wishing you best of health

Thanks

Please consult your doctor before deciding on any medication or further course of action.

For future follow up / correspondence you may ask me directly at the link given below

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107

Dr. M.S. Khalil
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. Muhammad Sareer Khalil

General & Family Physician

Practicing since :2012

Answered : 2906 Questions

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Suggest Treatment For Lower Left Abdominal Pain With Constipation

Brief Answer: Clinical evaluation and workup needed Detailed Answer: Hello and Welcome I appreciate your concern The pill you are referring to is dulcolax. If there is lower abdominal pain on the left side and the pain has persisted then causes other than constipation should also be considered. The abdomen should be examined to look for rigidity, rebound tenderness that may indicate peritoneal inflammation. An x ray erect abdomen with both hemi diaphragms should be advised. Anti spasmodic medication like hyosciamine can be taken to relieve the pain alongside Tylenol. If the pain is also present above the umbilicus in the epigastric region then an EKG should also be done to rule out any cardiac cause. An ultrasound of the abdomen and pelvis can be advised if there is flank pain associated with colicky pain and burning urination or with RBCs on urinalysis. GERD/ Reflux disease evaluation can be done and treated accordingly with PPIs if the above workup is normal. Wishing you best of health Thanks Please consult your doctor before deciding on any medication or further course of action. For future follow up / correspondence you may ask me directly at the link given below http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107 Dr. M.S. Khalil