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    What causes severe stomach pain with the history of IBS?

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Posted on Thu, 28 Apr 2016 in Abdominal Pain
Question: I have been suffering from a lot of stomach pain for at least 10 days. I have been to Boots and they suggested gaviscon, which I have been using now for 4 days. It is no better. I have irritable bowel syndrome which I control with diet, but that is not working at the moment, but the pain is higher up than that, just under the ribs. It is keeping me awake at night. What do you suggest.
doctor
Answered by Dr. T Chandrakant 1 hour later
Brief Answer:
Please give additional information

Detailed Answer:
Hi.
Thanks for your query.
Noted your history of known irritable bowel syndrome which you control with diet - stomach pain just under ribs for 10 days - not relieved by Gaviscon - pain keeping you awake at night.

I would suggest you the following:

Also take PPI like Omeprazole.
Anti-spasmodic like Dicyclomin
Ultrasonography of the abdomen to rule out gall bladder, liver and spleen related problems.
Upper GI endoscopy if gastritis or ulcer is suspected.
Clinical evaluation by a Doctor as you are suffering for the last 10 days and further investigations as per the examination, like tests of blood, urine and stool.

Please let me know additional information:
- Is there any changes in stool and/or urine?
- Any associated symptoms like bloating, nausea, vomiting, constipation or loose stools?
- What is the type of pain: like burning, twisting, throbbing?
- Any other associated symptoms?
- Any referred pain to the back?

The feedback will help me to assist you further.
Please feel free to ask for further relevant queries if you feel that there is a gap of communication.

Above answer was peer-reviewed by : Dr. Deepak
doctor
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Follow up: Dr. T Chandrakant 5 hours later
I did reply I hope you recieved it


Looks as if you did not receive the reply.

Here it is.

I do have bloating, nausea, loose stools and sometimes constipation, but that is not unusual for me.
Sometimes referred pain to my back.

Thanks for you advice.
doctor
Answered by Dr. T Chandrakant 27 minutes later
Brief Answer:
Investigations please.

Detailed Answer:
Thank for your feedback.
Referred pain to the back is an ominous symptoms and indicates something worth investigating ASAP.
Rest of the symptoms you have are not unusual for you.
Hence please go ahead as we discussed:
Also take PPI like Omeprazole.
Anti-spasmodic like Dicyclomin
Ultrasonography of the abdomen to rule out gall bladder, liver and spleen related problems.
Upper GI endoscopy if gastritis or ulcer is suspected.
Clinical evaluation by a Doctor as you are suffering for the last 10 days and further investigations as per the examination, like tests of blood, urine and stool.

Above answer was peer-reviewed by : Dr. Deepak
doctor
Answered by
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Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 18105 Questions

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