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Suggest Treatment For Severe Pain And Constipation

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Posted on Mon, 9 Jan 2017
Question: I have lost about 20 lb in past weeks, I urinate more than 12 times a day, I am constipated with painful or few bowel movements, I feel light headed after bending over, I have phlagelance but no stool, I've used diuretics with seemingly no results, I have light flashes when I close my eyes. Food taste bland or peppery to me, this all in the last three weeks.
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Answered by Dr. Binu Parameswaran Pillai (18 minutes later)
Brief Answer:
Tests to do and few illnesses to be ruled out

Detailed Answer:
Good day,

Noted your question. I am sorry to hear avout your symptoms. Do you have any past medical history? From your symptoms desribed, it is obvious that we have to rule out few diseases. In addition to having a thorough physical examination, focused investigations are required.

At your age, if you have constipation and 20 lb weight loss, it is important to check your lower intestines and rectum . You may need a stool test and colonoscopy too.

In addition, issues with thyroid, high calcium in blood and diabetes are other problems to be ruled out.

If you urinate more, it is likely that your stools have hardened due to dehydration. Along with laxatives, it is important to drink adequate water, otherwise, laxatives simply can not work.

May i suggest you few tests.
1) CBC, ESR
2) Fasting blood glucose.
3) Thyroid profile.
4) Electrolytes.
5) Serum calcium, Liver function tests.

Please discuss with your primary care doctor about need to rule out
a) Hypercalcemia, b) Diabetes , c) Thyroid diseases, d) GI malignancies. e) Prostate issues.

Happy to answer further if you have more questions.

Regards
Binu
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Remy Koshy
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Answered by
Dr.
Dr. Binu Parameswaran Pillai

Endocrinologist

Practicing since :2003

Answered : 1439 Questions

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Suggest Treatment For Severe Pain And Constipation

Brief Answer: Tests to do and few illnesses to be ruled out Detailed Answer: Good day, Noted your question. I am sorry to hear avout your symptoms. Do you have any past medical history? From your symptoms desribed, it is obvious that we have to rule out few diseases. In addition to having a thorough physical examination, focused investigations are required. At your age, if you have constipation and 20 lb weight loss, it is important to check your lower intestines and rectum . You may need a stool test and colonoscopy too. In addition, issues with thyroid, high calcium in blood and diabetes are other problems to be ruled out. If you urinate more, it is likely that your stools have hardened due to dehydration. Along with laxatives, it is important to drink adequate water, otherwise, laxatives simply can not work. May i suggest you few tests. 1) CBC, ESR 2) Fasting blood glucose. 3) Thyroid profile. 4) Electrolytes. 5) Serum calcium, Liver function tests. Please discuss with your primary care doctor about need to rule out a) Hypercalcemia, b) Diabetes , c) Thyroid diseases, d) GI malignancies. e) Prostate issues. Happy to answer further if you have more questions. Regards Binu