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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Severe Abdominal Cramping In Abdomen. Why?

I have severe abdominal cramping on the lower left side of my abdomen . I am also drenched in a cold sweat, shaky, naseous and irritable because of the pain. I have had my gall bladder removed. I have lost 18 pounds in 30 days with out trying. I have an appetite and eat. About 1 1/2 hours later I get sick like this. My doctor does not know either.What can I do? I am a 49 year old female and am 5 foot 7 inches and weigh 215 lbs. Thank you for any advice or help.
Fri, 21 Sep 2012
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Gastroenterologist,  's  Response
Hello, psfcakelady,
Severe left sided lower abdominal pain associated with nausea, chills
suggests that you might be experiencing an attack of Diverticulitis.
These are small pouches or pockets from the wall of the lining of your
colon or the large bowel. You are at the age that we see this more commonly.
Since you mentioned that you had gallbladder surgery before, I can be very
certain, if you have a CT-scan of your abdomen, they will find diverticulitis.
There are different levels or grades of this condition, any where from mild
to severe with complications such as abscess, bleeding or even rupture.
I also don't like the fact that you have lost weight without trying.
I suggest that you see your doctor as soon as possible to have blood tests
and the scan done. Only after that you can get the appropriate treatment.
Wish you well.
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General Surgeon,  Dr. Grzegorz Stanko's  Response
Hello!

Thank you for the query.

Lower left side abdominal pain may be caused by diverticulitis, left urinary tract infection, left ovarian inflammation and large intestine tumors as well. According to your symptoms, you should have abdominal ultrasound and foll blood work with liver enzymes and pancreas enzymes, urine test. If an ultrasound will find diverticles and WBC with CRP will be elevated, you should have antibiotics therapy and colonoscopy after about a month (not earlier, as colonoscopy when inflamed diverticles may result with large intestine perforation). If your inflammation markers will be fine, you should have colonoscopy right away to rule colon cancer out.

Hope this will help.
Regards
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Have Severe Abdominal Cramping In Abdomen. Why?

Hello, psfcakelady, Severe left sided lower abdominal pain associated with nausea, chills suggests that you might be experiencing an attack of Diverticulitis. These are small pouches or pockets from the wall of the lining of your colon or the large bowel. You are at the age that we see this more commonly. Since you mentioned that you had gallbladder surgery before, I can be very certain, if you have a CT-scan of your abdomen, they will find diverticulitis. There are different levels or grades of this condition, any where from mild to severe with complications such as abscess, bleeding or even rupture. I also don t like the fact that you have lost weight without trying. I suggest that you see your doctor as soon as possible to have blood tests and the scan done. Only after that you can get the appropriate treatment. Wish you well.