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What Causes Lower Stomach Pain During Evenings?

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Posted on Fri, 6 Feb 2015
Question: My daughter seems to have lower stomach pain in the evenings. Someone suggested gastroparesis, but she has gained weight. Could cysts enter into the colon area?
doctor
Answered by Dr. Deepak Kishore Kaltari (1 hour later)
Brief Answer:
It's unlikely to be due to Gastroparesis

Detailed Answer:
Hi
Welcome to Healthcaremagic
Greetings of the day
Dear Ms

Lower stomach pain is unlikely to be due to be due to Gastroparesis ( decreased motility of stomach ). Gastroparesis is usually associated with following symptoms

1. Early satiety

2. Feeling of fullness in upper abdomen

3. Nausea, Vomiting


It would be very helpful if you could provide me with the following additional information for me to be able to assist you

1. Where is the exact location of pain and age of your daughter

2. Is there associated nausea / vomiting

3. Is there constipation or passing of hard stool

4. Is appetite normal ?

5. Are there any urinary complaints like increased frequency of urination or burning sensation while passing urine


Awaiting your response


Take care

Best regards
Dr Deepak Kaltari
Consultant Surgeon
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Deepak Kishore Kaltari (45 minutes later)
1. 29, stomach/colon
2. nausea, little vomiting
3. yes, and sometimes diarrea
4. yes
5. yes

Also, her period seems to aggravate her illness. In addition, there are times her whole body shakes.
doctor
Answered by Dr. Deepak Kishore Kaltari (1 hour later)
Brief Answer:
Underlying constipation the cause of symptoms

Detailed Answer:
Dear Ms

The cause of symptoms is likely to be due to underlying constipation along with associated Gastritis . Following are the predisposing factors

1. Decreased intake of fiber in diet

2. Decreased intake of water

3. Lack of physical activity and exercise

I would suggest you the following for your daughter

1. Ensure good intake of water : 2 to 3 liter a day

2. High fiber diet : 2 servings of vegetable salad and 2 servings of fruits especially citrus fruit will ensure adequate intake of fiber in diet.

3. Antacid like Pantoprozole along with gastric motility increasing drug like Domperidone will be helpful.

4. Avoid carbonated / alcohol / caffeinated beverage

5. Laxatives like Lactulose will be helpful.

6. Physical activity and exercise : 30 minutes of brisk walking everyday will be helpful

7. I would also suggest to get a Thyroid profile done : Serum T3 , T4 and TSH levels. It is very important to rule out underlying Hypothyroidism

8. Urine routine and microscopic examination to rule out urinary tract infection

9. Deworming with antihelmenthic like Albendazole

If the symptoms still persist then do consult your Primary Care physician for further clinical examination and assessment.

Wishing you and your family a very happy and healthy life.


Take care

Best regards
Deepak

Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Deepak Kishore Kaltari

General Surgeon

Practicing since :2002

Answered : 3195 Questions

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What Causes Lower Stomach Pain During Evenings?

Brief Answer: It's unlikely to be due to Gastroparesis Detailed Answer: Hi Welcome to Healthcaremagic Greetings of the day Dear Ms Lower stomach pain is unlikely to be due to be due to Gastroparesis ( decreased motility of stomach ). Gastroparesis is usually associated with following symptoms 1. Early satiety 2. Feeling of fullness in upper abdomen 3. Nausea, Vomiting It would be very helpful if you could provide me with the following additional information for me to be able to assist you 1. Where is the exact location of pain and age of your daughter 2. Is there associated nausea / vomiting 3. Is there constipation or passing of hard stool 4. Is appetite normal ? 5. Are there any urinary complaints like increased frequency of urination or burning sensation while passing urine Awaiting your response Take care Best regards Dr Deepak Kaltari Consultant Surgeon