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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes lower abdominal pain, constipation, gas, tingling in the legs and poor appetite?

Answered by
Dr. Ramesh Kumar


Practicing since :1986

Answered : 1943 Questions

Posted on Tue, 5 Jun 2018 in Digestion and Bowels
Question: Should I seek immediate medical attention if I have (1)lower abdominal pain that interrupts my sleep,(2) constipation and sometimes puss in stool with no bowel movement, (3) urgency like I have to have a bowel movement but nothing comes, (4) painful shooting gas, (5) tingling in my legs, and (6) for the past few months loss of appetite and resulting 15 pound weight loss. The first 4 symptoms listed have occurred from time to time over the past three months for a few days or so. Now I am out of town and the symptoms seem worse. Is this something that I should go to the emergency room for or what would you suggest?
Answered by Dr. Ramesh Kumar 1 hour later
Brief Answer:
Yes definitely you need complete investigation.

Detailed Answer:
Thanks for asking on HealthcareMagic.

I have gone very carefully through your query.
Our gastrointestinal tract has a forward propulsive movement (peristalsis) that moves the food material forward as it is digested, absorbed and finally expelled as feces. If somehow this movement gets hampered, food along with the digestive juices would stagnate, hence proper digestion of food would be hampered.This would lead to constipation,undigested constipated food in the intestines is acted upon by the intestinal bacteria and would lead to the excess gas formation.Excessive gas formed would press intestine and nerves passing through it this would cause severe shooting pain in abdomen.Pressure on intestines may give false impulse for defecation but as feces is impacted and constipated you wont be able to defecate.
As digestion is hampered absorption of vitamins is hampered hence may cause tingling and loss of weight due to nutrient deficiency.
Test suggested-
Ultra sound abdomen
Stool test under microscope
Complete blood count
Total and differential leucocyte count.

You need to consult a Gastroentrologist.
Above answer was peer-reviewed by : Dr. Prasad

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