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Have pain in ribcage. Have IBS and lupus. Taking fiber supplement. Have problem in passing stool. What to do?

I have IBS and have many stomach issues as well as Lupus. Recently I have begun having side aches..mostly on my lift side but also a little on my right side at bottom of my rib cage. I take a fiber supplement but have noticed that my stools have become irregular anyway. Now they are hard and soft in the same movement and very gassy and painful. I also may skip a day which is highly unusual. I have also noticed some nausea with this
Asked On : Thu, 2 May 2013
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General Surgeon 's  Response

Thank you for the query.

It is hard to tell about your symptoms as you havent mentioned how was your IBS diagnosed, what kind of tests were done and how old are you.
You need to know that IBS is a group of unknown reasons of gastrointestinal symptoms. It can be diagnosed only if all know reasons are ruled out.
So it is necessary to have gastroscopy, colonoscopy, abdominal CT with oral contrast (enteroclysis), stool tests, liver tests, pancreas tests done, before IBS can be diagnosed.

Your symptoms can be caused by bad diet, chronic bowels infection, partial bowels obstruction, thyroid disease, medicines (ca-blockers, antidepressants). Gallstones or pancreas inflammation are also possible.

Please verify which tests have you had, and make missing tests.

Hope this will help.
Answered: Fri, 21 Jun 2013
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