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    What causes severe abdominal pain?

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Posted on Mon, 17 Jul 2017 in Digestion and Bowels
Question: hello sir
I want to ask a question regarding abdominal pain

doctor
Answered by Dr. Ramesh Kumar 29 minutes later
Brief Answer:
Irritable bowel syndrome.It has no cure but is well controllable.

Detailed Answer:
Hi Dear,
Thanks for asking query on HealthcareMagic.
Have gone through your details and I appreciate your concerns.

Menocytyl is an antimuscarinic agent, prescribed for gastrointestinal tract spasm. As you respond directly to menocytyl it clearly means that loss of appetite is directly related to spasms in intestines.
You are suffering from a condition named irritable bowel disease. In IBS there is some problem in the functional ability of the gut that leads to the symptoms of irritable bowel syndrome. The structure of the intestines is normal, only functional abnormality occurs in this condition. So frankly speaking (IBS) represents a functional disorder of gastrointestinal tract without the presence of an anatomic defect.

Recent studies by French scientists have indicated that the most important mechanisms include visceral sensitivity, abnormal gut motility and autonomous nervous system dysfunction. The interactions between these three mechanisms make bowel's function susceptible to many exogenous and endogenous factors like gastrointestinal flora, feeding and psychosocial factors.

Further data indicate that according to the above mechanisms, the influence of genetic factors and polymorphisms of human DNA in the development of IBS is equally important.

So in lay mans language till date we are not sure whats the exact cause of this problem.So the million dollar question is how to repair a system when you don't know which part of it is faulty(Some says it can be brain other says it can be hormone anxiety age etc etc).

Some patients have attacks of diarrhea and bloating and some may have constipation. Other symptoms that may be present in irritable bowel syndrome include nausea, vomiting, headache, loss of appetite, muscular pains, heartburn, and weakness. Some patients have occasional symptoms whereas others may have symptoms for a long period of time.So as seen above every patient is different. Intensity of symptoms in every patient is different as so is the response to medicines and life style change. A patient may respond good to one medication while other patient is totally unresponsive to the same.

Our goal-
Every drug is not effective in every patient so we have to try different therapies till we find the drug which suits best our patient.


Dicyclomine is an anticholinergic drug. An anticholinergic agent is a substance that blocks the neurotransmitter acetylcholine in the central and the peripheral nervous system. Anticholinergics inhibit parasympathetic nerve impulses by selectively blocking the binding of the neurotransmitter acetylcholine to its receptor in nerve cells.

Mebeverine is an antispasmodic medicine and is very useful in IBS and is well tolerated by patient with minimal side effects. Mebeverine works on certain muscles in the wall of your intestines, causing them to relax.

Clidinium bromide is an anticholinergic (specifically a muscarinic antagonist) drug. It may help symptoms of frequent stools.

Chlordiazepoxide works by increasing the action of GABA, a chemical messenger which suppresses the abnormal and excessive activity of the nerve cells in the brain. Can be used in combination with above .


For nausea and gas take Tab Nexium 40mg twice daily can increase it to 80 mg twice daily.Take a probiotic like Vizylac daily with food as proper digestion of food will prevent excess gas formation.When food is not properly digested large amount of gases are produced inside due to incomplete fermentation of food. Hence if digestion improves overall symptoms will also improve.
Food pattern recommended is-
Eat simple and natural home cooked food.
If possible try detox diet (Raw vegans) for at least 3 month. Take normal food in lunch while in supper take uncooked raw (low fiber) natural form of food. This can play wonders.
Avoid taking excessive fibres. A total fiber intake of about 20-25 gram per day would be good for you.
No pizza, Burger, Red meat, and dairies for few weeks.
No alcohol or smoking.

Take natural food rich in probiotics like Yoghurt, Kimchi,etc.This doesn't mean that you have to take them as much as you can. Follow your body increase their uptake gradually.
Drink lots of juices and fresh water daily. Drink plenty of water.
Avoid over spicy and heavy food.

If possible go for a detox diet but again don't force your body rather let your body adopt gradually to things.

Medicine to be taken-
Start taking Tab cibis 8 mg thrice daily.
Capsule Vizylac once daily.
Isabghul husk two taf once daily
Tab Nexium40 mg twice daily.

Follow up after 21 days.
In case you need any other help feel free to ask. I would be happy to help you.
Hope I answered your query well.

Thanks and wish her luck.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2441 Questions

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