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Suggest treatment for symptoms of IBS

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Posted on Wed, 20 Jul 2016
Question: I was ordered a CT scan that was denied had a US of spleen kidneys liver... said nothing showed. I have a sore lump in LUQ that the pain goes across the top of abdomen and sometimes down the colon. I also at the same time have two lumps on my back that are painful, soft seems to be outside of ribcage, and also when all this started I got two lumps on my right knee that are a stingy pain and they don't move with the skin. It feels like the pains are getting worse. I have a scope and colonoscopy scheduled but its 6 weeks out. I think its something else causing these lumps and right knee pain.... no nausea, vomiting, but having fever like hot flashes a lot.
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Answered by Dr. Mukund Savaskar (1 hour later)
Brief Answer:
LUQ lump with pain in abdomen /


Detailed Answer:
Hi,Dear!! Thanks for the query to HCM.
Read and reviewed facts of your query, in context to your health worries.

My Opinion-
Dear after reviewing the given information with normal USG study,You mostly seems to suffer Multiple problems with fever like hot flashes.
-The LUQ pains with pains down the colon,strengthens the suspicion of IBS(Irritable Bowel Syndrome) with Colitis with bloated gases moving across top of abdomen.Mild fever could be from IBS caused with ? menopausal syndrome, which needs to be ruled out with Gynaec Specialists Opinion.
-You seem to suffer with accompanied independent -health issues of-2 lumps on back -which could be Lipomas?being common by location and needs to be confirmed from Surgeon's check up.
-Stingy pains with right knee 2 lumps,not moving with pains, could be from-Bursitis(Housemaid's Knee Bursitis)/ Or it could be from-DVT with Varicose Veins with thrombo-phlebitis-as you have mild accompanied fever, which needs to be ruled out with surgeon's check and USG with Colour Doppler,if needed.
Other causes of stingy pains could be from PID with compressed nerves in L2 level.

The scheduled Scope and Colonoscopy,seems to be planned to rule out the suspected reasons for IBS-with Spastic Colon, in your case.

Thus multi-Speciality (GI Surgeon/ Gyanec/ Orthopaedic Surgeon/) review is needed to resolve the multiple health issues you have.

In view of the above possibilities, you need to give more details,so as to assess further suggestions for your complex and complicated health query.


Do' Suggested-
IN view of the presenting complaints of LUQ pains with Lump in abdomen-
Bland,non-spicy, low protein/high carb- Diet with liquids in plenty,for 2 weeks,
Tab NSAIDs for knee pains, till its cause is fixed.
Further suggestions on treatment would be given after getting more information from You, on the multiple health issues you have,as explained above.
Various possibilities need to be studied and ruled out,before planning definitive treatment in your complex case.

Next appointment-
any time soon and / or Only after 2 weeks time to review the investigation reports with more details from you.

Hope this reply would help you to plan further care to resolve your health issues.

If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229

Dear, Do close this query with YOUR pleasing and excellent feedback comments to rate this reply, to boost the morale of incoming Emergency patients like YOU, at HCM services.


Keep Me updated,if you want to update more details and ask more update queries ,

You are most Welcome herewith !!

Good Day!!

Wishing Good Healthy Life in time to come!!

Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Mukund Savaskar

General Surgeon

Practicing since :1978

Answered : 3606 Questions

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Suggest treatment for symptoms of IBS

Brief Answer: LUQ lump with pain in abdomen / Detailed Answer: Hi,Dear!! Thanks for the query to HCM. Read and reviewed facts of your query, in context to your health worries. My Opinion- Dear after reviewing the given information with normal USG study,You mostly seems to suffer Multiple problems with fever like hot flashes. -The LUQ pains with pains down the colon,strengthens the suspicion of IBS(Irritable Bowel Syndrome) with Colitis with bloated gases moving across top of abdomen.Mild fever could be from IBS caused with ? menopausal syndrome, which needs to be ruled out with Gynaec Specialists Opinion. -You seem to suffer with accompanied independent -health issues of-2 lumps on back -which could be Lipomas?being common by location and needs to be confirmed from Surgeon's check up. -Stingy pains with right knee 2 lumps,not moving with pains, could be from-Bursitis(Housemaid's Knee Bursitis)/ Or it could be from-DVT with Varicose Veins with thrombo-phlebitis-as you have mild accompanied fever, which needs to be ruled out with surgeon's check and USG with Colour Doppler,if needed. Other causes of stingy pains could be from PID with compressed nerves in L2 level. The scheduled Scope and Colonoscopy,seems to be planned to rule out the suspected reasons for IBS-with Spastic Colon, in your case. Thus multi-Speciality (GI Surgeon/ Gyanec/ Orthopaedic Surgeon/) review is needed to resolve the multiple health issues you have. In view of the above possibilities, you need to give more details,so as to assess further suggestions for your complex and complicated health query. Do' Suggested- IN view of the presenting complaints of LUQ pains with Lump in abdomen- Bland,non-spicy, low protein/high carb- Diet with liquids in plenty,for 2 weeks, Tab NSAIDs for knee pains, till its cause is fixed. Further suggestions on treatment would be given after getting more information from You, on the multiple health issues you have,as explained above. Various possibilities need to be studied and ruled out,before planning definitive treatment in your complex case. Next appointment- any time soon and / or Only after 2 weeks time to review the investigation reports with more details from you. Hope this reply would help you to plan further care to resolve your health issues. If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229 Dear, Do close this query with YOUR pleasing and excellent feedback comments to rate this reply, to boost the morale of incoming Emergency patients like YOU, at HCM services. Keep Me updated,if you want to update more details and ask more update queries , You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! Dr.Savaskar M.N. XXXXXXX Surgical Specialist M.S.Genl-CVTS