What does lower abdominal discomfort indicate?
Recurring lower abdominal discomfort with Constipation/ Under Evaluation
Brief Ans-Recurring lower abdominal discomfort with Constipation/ Under Evaluation
Mostly from IBS(Irritable Bowel Syndrome) with Constipation, cause of which needs to be investigated
HI Dear !! Thanks for your wife's query to HCM.
Read and Reviewed the facts submitted in context to your wife's recurring Constipation over last week and on today.
My Impression and Comments-
In view of the given situation and chain of events,Your wife seem to suffer from IBS with Constipation over last 1 week at advanced age of 69.
She seems to be having Spastic Colon, the cause of which needs to be investigated by Consults with Gastro-enterologist and GI Endoscopist, who would check and would investigate the cause of this recurring tendency of Constipation experienced over last 10 days or so.
In view of the recurring Constipation, I would suggest you to Consult Surgeon and GI-Colonoscopist,to rule out any undetected Cancer of Rectum causing lower abdominal discomfort.
Replies to your specific queries-
Q-1-Your thoughts as to a diagnosis-
Ans-1-As discussed above your wife is suffering mostly from IBS(Irritable Bowel Syndrome) with Constipation.At 69 ,You are suggested to rule out Ca Rectum /or recto-sigmoid growth.
Q-2- and any recommendations would be appreciated.
Ans-2-In the given situation-Following Do's are suggested in your wife's case-
-Consult GI Endoscopist and get Colonoscopy done to rule out Ca rectum /or rectosigmoid growth.
-Bland diet, with vegan base
-Reduce high protein/spicy/fried food items
-Pleny of fluids
-Add Butter Milks x 2 times per day
-Spinach Soup- x 2 times a day.
-Yoghurt x 1 time a day.
-Fruit juice x 1 times a day.
-Probiotics-Cap Sporlac- 1 x 2 times a day.
-Tab Dulcolax x if bowel movement don't occur and lower abdominal discomforts increase.
No anti-spasmodics-which would increase constipation.
-CT abdomen with Contrast-for Colonic areas.
Any time In case of any further emergency in the hospital /
or after 2-3 weeks,by which time your wife would come out with suggested investigations and diet results and would be reviewed for further plan of treatment, if need be.
Hope this reply would help you to plan further care with help of the doctors attending on you.
Welcome for any further query in this regard.
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Dr.Savaskar M.N. XXXXXXX Surgical Specialist
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