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What does lower abdominal discomfort indicate?

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Posted on Mon, 4 Jul 2016
Question: My wife has experienced moderate-to-slight lower abdominal discomfort following an instance of constipation that extends to the rectum area (pressure-type feeling rather than any sharp pain, including a sense of bloating and presence of gas) for the past week. The pressure symptom in the lower abdomen decreases with urination. She has had normal bowel movements since the initial constipation instance that occurred one week ago. She has not had a fever. She has not taken any medication or gone to confer with her primary care doctor.The symptoms seemed to gradually decrease slightly until last night after when we had dinner consisting of sushi for her. The symptoms are more noticeable this morning. Your thoughts as to a diagnosis and any recommendations would be appreciated. Thank you. My email address is YYYY@YYYY

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Answered by Dr. Mukund Savaskar (1 hour later)
Brief Answer:
Recurring lower abdominal discomfort with Constipation/ Under Evaluation

Detailed Answer:
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.

Alerts-Cautioned-
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.

Next appointment-
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.

If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229

Dear, if satisfied, Don't forget to close this query with YOUR pleasing and excellent feedback comments to rate this reply, to boost the morale of incoming Emergency patients like YOU, at HCM services.


Keep Me updated,if you want to update more details and ask more update queries ,

You are most Welcome herewith !!

Good Day!!

Wishing Good Healthy Life in time to come!!

Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS
Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Answered by
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Dr. Mukund Savaskar

General Surgeon

Practicing since :1978

Answered : 3606 Questions

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What does lower abdominal discomfort indicate?

Brief Answer: Recurring lower abdominal discomfort with Constipation/ Under Evaluation Detailed Answer: 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. Alerts-Cautioned- 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. Next appointment- 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. If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229 Dear, if satisfied, Don't forget to close this query with YOUR pleasing and excellent feedback comments to rate this reply, to boost the morale of incoming Emergency patients like YOU, at HCM services. Keep Me updated,if you want to update more details and ask more update queries , You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! Dr.Savaskar M.N. XXXXXXX Surgical Specialist M.S.Genl-CVTS