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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Chronic abdominal pain with spasms

I have chronic abdominal pain for more than 20 yrs. In 1999 I have got ideopathic terminal ilium perforation & managed by laporotomy 15 days after peritonitis, but pain continued until now. 5-mths. back incisinal hernia was repaired , developed after old opn. Nature pain- usually spasmotic in ipigastrium or just above the umblicus in left side. pain site is usually slight tender & firm. Pain subsided with girgling sound. USG = normal. upper & lower GIT endoscopy is normal, CT scan of whole abd. shows SPLENIC FLEXOR SYNDROME. Pain increase by fatty & spicy meal. Usually pain occurs after fullness of abd. There is sometimes pain free period for 1-2 mth, I have already taken 2- courses of ATT. long courses of PPI & t/t of IBS. Now I need your expert openions.
Sat, 5 May 2012
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General Surgeon 's  Response
hello farhanhasen.4,
pain in left side of abdomen, increase by fatty &spicy food advice- upper GI endoscopy, & biopsy, untill take tablet- pentaprazole 40 mg on empty stomach for 21 days,pain after fullness of abdomen- liver function test, HIDA scan,some time there is malabsorption syndrome -due to short bowel syndrome or ileum resection- in that case need supplementation with-vitamin B12,bile salt malabsorption occur due to ileal resection, if ATT not respond fully advice -sputum culture &sensitivity, some time Tuberculosis associated with HIV or AIDS, in that case advice- HIV test, hope my advice is useful to you, thank you.
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