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What causes pain in lower part of stomach and gas?

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Posted on Mon, 14 Jul 2014
Question: I have pain on my left side and the lower part on the left side and I funny movement in these areas it reals real weird hurts more when I walk and at night when I lay down I have had a colonoscopy it was normal and sometimes I have burning in those area and in the lower part of my stomach and gas and my stool smells real bad
doctor
Answered by Dr. Chobufo Ditah (3 hours later)
Brief Answer:
THis sounds like irritable bowel syndrome!

Detailed Answer:
Hi and thank you so much for this query.

I am so sorry to hear about these symptoms that you have reported. From the information you have provided, the origin of these symptoms is certainly from the digestive tract. It is rather unfortunate that after extensive testing, no exact cause to these symptoms was identified, though it remains annoying because you are not feeling well. However, this reassures us that despite these symptoms, nothing grossly abnormal is responsible for this or is going on. This leaves me with the diagnosis of irritable bowel syndrome.

Irritable bowel syndrome (IBS) is a common disorder that affects the large intestine. Irritable bowel syndrome commonly causes cramping, abdominal pain, bloating gas, diarrhea and constipation. Despite these uncomfortable signs and symptoms, IBS doesn't cause permanent damage to your colon. Most people with IBS find that symptoms improve as they learn to control their condition.

Because no exact cause of these symptoms is identified, treatment mainly consists in managing the symptoms. For instance, you would be prescribed antispasmodic drugs for pain, anti diarrheal medications, etc. Talk to your doctor and make sure that you have the necessary prescription to control your symptoms.

I hope this helps. I wish you well and thank you so much for using our services. Feel free to ask for more information and clarifications should need be.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Chobufo Ditah (11 minutes later)
what about the lower part of the bowel and also i forgot to tell you that when i have bowel movement there a lot of food in the stool like it i has'nt digest i just dont know what to do that the same thing my dr saids ibs so what can i do
doctor
Answered by Dr. Chobufo Ditah (41 minutes later)
Brief Answer:
See below!

Detailed Answer:
Hi and thanks for this follow up question.

It is a rather complex than a straight forward disease state that requires a great deal of patient education so as to facilitate the management of this condition. I will like you at this time to read a patient friendly education material on this from a trusted . I assure you this would help provide much information on how to cope with this condition from day to day.

http://www.mayoclinic.org/diseases-conditions/irritable-bowel-syndrome/basics/symptoms/con-0000?p=1

I will like you to return to me with questions for clarification or requesting for more information on this.

Let me hear from you after this process!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Chobufo Ditah (11 hours later)
ok once again how come as soon as i wake up in the morning i start having systems pain gas ifeel like my colon is so swollen could it be diverticulitis or a ulcer in my stomach sense my left side stomach has pain and burning i really think something is wrong
doctor
Answered by Dr. Chobufo Ditah (11 hours later)
Brief Answer:
See below!

Detailed Answer:
Hi and thanks for this follow up. It is certainly difficult to tell a client who really feels sick that there is no abnormality. It seems so so unreal but, that is the reality. You have had extensive testing including a colonsocopy that should be able to show diverticulosis or diverticulitis. That was simply not the case.

Please, there is no identifiable abnormality right now. All we can do is to address the symptoms individually hoping to control your ill health.

I hope this helps. I wish you well. Let me know if there is something more you want me to clarify with you at this point.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Chobufo Ditah (2 hours later)
WHAT IS A PRE CANCEROUS POLYPS? AND ALSO AS SOON AS I EAT SOMETHING MY STOMACH BURNS THEN I FEEL IT GO INTO MY COLON I GET THIS REAL FUNNY FEELING SENSATION IS THERE SUCH THING WHERE A PERSON JUST CANT DIGEST FOOD AND ALSO I GET GAS RIGHT AWAY I HOPE YOU DONT THINK IM CRAZY BUT I FEEL THE SENSATION GO ALL THE TO THE LOWER LEFT SIDE OF THE COLON
doctor
Answered by Dr. Chobufo Ditah (9 hours later)
Brief Answer:
See below!

Detailed Answer:
Pre-cancerous polyps and growths in the intestinal lumen that have been shown on histopathological examination to posses properties of evolving into full grown cancers. They themselves are not cancers but the cells present atypical features that are commonly seen in the natural course of cancer development.

I believe you when you report these sensations. Our best investigations have not been able to pick a cause and that is why we term it irritable bowel syndrome. The bowels are not in any way pathological that we can say this is the cause of your symptoms but your symptoms are of course real.

The best medical approach is to treat the various symptoms. Follow up i future may show something new that may warrant treatment modification. For now, we are not just there.

I hope this helps. I wish you well.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Chobufo Ditah (2 days later)
but i read that with ibs your suppose to feel better after a bowel movement but I a feel worse because then my upper part of my stomach starts burning everything starts hurting how do you know if you have diverticulius or an ulcer cause sometime i have pain in my lower right side i just cantt stand the burning in my stomach prickling pain on the leftside colon
doctor
Answered by Dr. Chobufo Ditah (20 hours later)
Brief Answer:
See below!

Detailed Answer:
Diverticulitis is inflammation of colon diverticuloses, which are small protrusions through the colon wall. It generally presents with fever, pain and blood in stool. The fever is often high and needs antibiotics for this to be controlled. You have never reported this.

If I were your doctor, I will try to treat every symptom with the available drugs as no cause has been identified. Stomach pain is often related to gastritis and trying medications lime omeprazole, ranitidine could help relief the pains or make us understand that it is not from the stomach and look else where.

The same holds for this left lower side pain.Have you had the chance to see a gastroenterologist? what were his conclusions and can you provide me with a list of the various medications he got you on right now? If you think he is not considering any other possibilities and is unable to control your symptoms, I will suggest you seek a new consultation from scratch with another gastroenterologist just to make sure there is nothing he is missing or not picking up.

I hope this helps. Let me hear from you!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Chobufo Ditah (31 hours later)
he has me omeprazole 20mg and also i got my report back and it said that i had diverticulose could that explain why im having pain and also could it be ibs i do have to force to have abowel movement and gas but my left colon feels like its hot inside please dont think im crazy what are the system of inflamation of the pelvic?
doctor
Answered by Dr. Chobufo Ditah (3 hours later)
Brief Answer:
Certainly, I don't think You are not crazy!

Detailed Answer:
Hi and thank you so much for this follow up information.

At least, I am happy to hear that your scripts returned with a diagnosis that can help shape further treatment decisions. Diverticulosis is present in a greater majority of the elderly. The main provoking and aggravating factor is chronic constipation. This is why eating enough vegetables, fibers, fruits, drinking much water an do regular exercises to keep stool's consistency normal is very important.


With the finding of diverticulosis, IBS is completely out of the way. We would never mention IBS if a pathological condition is identified. However, diverticuloses are generally silent unless a complication sets in. With this severe pain that you have reported, your doctors would want to check if there are any possible complications that can explain these symptoms.

Also, have you ever had an upper GI scope? It may be of value to look at what is going on in the stomach and early portion of the duodenum. This is even more important as you seem to have no relief from omeprazole.

I hope this helps. wish you well. Let me know if there is something more you would like us to talk about at this time.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Chobufo Ditah (21 hours later)
I AM GOING TO SEE A NEW DOCTOR TOMORROW IM HOPING HE WILL DO SOMETHING FOR ME BECAUSE I JUST CANT TAKE THE PAIN IT EVEN MAKES MY LEG FILL FUNNY, DO YOU THINK ITS SOMETHING SERIOUS WHERE I WILL BE PUT IN THE HOSPITAL
doctor
Answered by Dr. Chobufo Ditah (6 hours later)
Brief Answer:
See below

Detailed Answer:
Hi and thank you so much for this follow up information.

I can imagine how much pain you are in. Your XXXXXXX make me fee terrible and I am asking whether there is just nothing that could be done in the interim to relief you of these pains before as we work on identifying the exact cause for a better and more comprehensive management.

I cannot tell whether you would need hospitalization. the decision is often made after listening to you and evaluating you. Unfortunately, I cannot do both and would be unable to address this. However, I am sure the doctor would act in your best interest. Should your health condition warrant hospitalization, I am pretty convinced just this would be done.

I really hope that the new doctor comes up with real solutions. It is never an easy task battling with pain. I can only wish you the best out of this visit right now. Please, kindly keep me updated as you navigate this process.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Chobufo Ditah (43 hours later)
I WANTED TO LET YOU KNOW I WENT TO SEE A NEW DOCTOR AND READ MY REPORT ON MY COLONOSCOPY AND HE THINKS ITS IBS TOO. THE DOCTOR PRESCRIBE AMITRIPTYLINE I TOOK IT LAST NIGHT WHEN I WOKE I FELT 80 PER CENT THAN I HAVE IN 6 MONTHS STILL A LITTLE PAIN AND STILL FELL FOOD IN MY COLON BUT NOTHING LIKE IT WAS.THE DOCTOR IT COULD TAKE A MONTH TO REALLY FEEL NORMAL I HOPE. I DIDNT EAT MUNCH TODAY BRCAUSE IM SCARED THE PAIN WILL COME BACK. I DONT UNDERSTAND WHY THESE OTHER DOCTOR DIDNT DO THIS I WAS AT ER 5 OR 6 TIMES FOR THIS 3 OTHERS DOCTOR AND THEY TOLD ME IT WAS ALL IN MY HEAD
doctor
Answered by Dr. Chobufo Ditah (9 minutes later)
Brief Answer:
I am so happy for you!

Detailed Answer:
Hi and thank you so much for these updates.

What matters most is the fact that you are feeling better than it has been in the past 6months. I hope this improvement would get even better and permit you to live everyday feeling more comfortable.

Why the other doctors didn't consider this option is difficult to guess and only they know best. I will like that if you get the chance, send them a quick message to let the know that amitryptyllin helped and they may want to consider that for their patients in future with similar symptoms and disease condition.

I wish you the best of all possible outcomes and above all a pain free live. Always feel free to talk to me each time you need my advice/suggestions and recommendations.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Chobufo Ditah (14 hours later)
DEAR DR. DITAH I THOUGHT I WAS GETTING BETTER BUT THIS MORNING AND YESTERDAY MORNING THE LOWER PART OF MY BOWELS WERE BURNING THAN IT WENT ALL THE WAY MY WHOLE STOMACH AND BACK LIKE MY WHOLE BODY WAS ON FIRE.I ALSO HAVE SLEEP APNEA WHERE MY HEART BEAT GOES DOWN TO LOWS 39 41 AND OZ GOES DOWN INTO THE LOWER 80.DO YOU THINK MAYBE OTHER THINGS ARE GOING ON.I KNOW THERE IS SOMETHING WHEN SOMETHING WAKES YOU UP FROM DEAD SLEEP.
doctor
Answered by Dr. Chobufo Ditah (14 hours later)
Brief Answer:
See below!!

Detailed Answer:
I am so sorry to hear that things turned gray so fast when we were almost settling to celebrate some success. This is rather troubling and I don't think I can tell for sure what the exact problem is or the magical solution would be. But, I believe that somehow we would be able to get a way out. It is very difficult to live everyday battling with pains. Please, don't just give up at this time but keep the faith and believe in your doctors to do something about it.

Your sleep apnea is concerning and the drop in O2 and heart rates are severe. I think you need a home breathing aid like CPAP machines to ensure that you don't fall this low in your sleep. Talk to your doctor for this and if you have seen a pulmonologist in the past, follow up with him and if not, consider seeing one.

Do you have any issues with your weight?

I wish you well.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Chobufo Ditah (31 hours later)
yea im somewhat over weight i had a total hystereny 2 years ago and thats when all my problems started. now i have diarreha real bad and the pain is still there.i just dont know what to do.
doctor
Answered by Dr. Chobufo Ditah (11 hours later)
Brief Answer:
How are you feeling?

Detailed Answer:
Hope you got some relief already from the medications. If this isn't the case, I feel so sorry for this. Your symptoms seem so so severe and concerning for a possible ongoing disease process. IBS causes annoying symptoms but rarely pains in this magnitude that you have reported.

Someone needs to go that extra mile to help with your symptoms. Unfortunately, can only provide advice. Have you had any abdominal angiograms?

I wish you the best!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Chobufo Ditah (21 hours later)
TES I WAS UP ALNIGHT WITH SEVERE PAIN ON MY LEFT SIDE BUT DIDNT HAVE MUCH PAIN TODAY BUT STILL FELT THE WATER AND FOOD GO DOWN MY COLON 'I ASKED SOME PEOPLE ABOUT THAT AND THEY SAID IS NOT NORMAL TO HAVE THOSE KIND OF FEELING AND NOW I HAVE PAIN IN THE RIGHT LOWER OF MY BOWELS. I KNOW THAT IBS CANT CAUSE ALL OF THIS.CANT FIGURE OUT WHY I HAVE SO MUCH GAS.SOMETHING JUST DONT SEEM RIGHT
doctor
Answered by Dr. Chobufo Ditah (4 hours later)
Brief Answer:
Something does not seem right really.

Detailed Answer:
I believe something doesn't seem right here. However, I cannot examine you or do anything beyond advising.

I will suggest you let the last doctor you consulted know that you are really still in severe and even worse pains and let's see whether he has more ideas with clues obtained from physical exam and the tests you have done already.

I wish you well.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Chobufo Ditah

General & Family Physician

Practicing since :2009

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What causes pain in lower part of stomach and gas?

Brief Answer: THis sounds like irritable bowel syndrome! Detailed Answer: Hi and thank you so much for this query. I am so sorry to hear about these symptoms that you have reported. From the information you have provided, the origin of these symptoms is certainly from the digestive tract. It is rather unfortunate that after extensive testing, no exact cause to these symptoms was identified, though it remains annoying because you are not feeling well. However, this reassures us that despite these symptoms, nothing grossly abnormal is responsible for this or is going on. This leaves me with the diagnosis of irritable bowel syndrome. Irritable bowel syndrome (IBS) is a common disorder that affects the large intestine. Irritable bowel syndrome commonly causes cramping, abdominal pain, bloating gas, diarrhea and constipation. Despite these uncomfortable signs and symptoms, IBS doesn't cause permanent damage to your colon. Most people with IBS find that symptoms improve as they learn to control their condition. Because no exact cause of these symptoms is identified, treatment mainly consists in managing the symptoms. For instance, you would be prescribed antispasmodic drugs for pain, anti diarrheal medications, etc. Talk to your doctor and make sure that you have the necessary prescription to control your symptoms. I hope this helps. I wish you well and thank you so much for using our services. Feel free to ask for more information and clarifications should need be.