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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Having Lupus, Crohn S Disease, B12 Deficiency. Unable To Eat Solid Foods. Swelling In Abdomen. Alternating Constipation, Diarrhoea. Cause?

I have lupus and crohns. I also have a b12 deficiency. I have not been able to eat any solid foods since august 2013 , without severe complications and pain. Evenwith just a couple bites of solid foods (I.e. mashed potatoes, bread, crackers), I still get the same pain just not as severe. I get sick to my stomach (I take zofran for nausea). My abdomen swells up and looks like i am 4 months pregnant!!!! The swelling can last anywhere from several hours to several days and sometimes weeks at a time. I have an almost constant pain on my right side near theappendix (but its never my appendex). My entire abdomen and lower chest get loud air bubbles with excrutiating discomfort and pain. The air bubbles are more on the left than the right. I even have trouble with smoothies and shakes that contain any kind of substance to them; and even water on some days. I suffer from diarrhea a lot; but also constipation a lot. In addition to the crohns and lupus, my sitz test showed that somewhere in my intestines (before the terminal illium) stop pushing food through. I m on a polyeth glycol shake for that and remicade for my crohns. Hydroxychloroquine for the lupus. I also have incapacitating migraine headaches (sumavel and sprix for those), I m osteopenic (reclast for that), and recently found out I have minor hearing loss in both ears. My drs don t know what s wrong. Blood tests have shown nothing except that I have inflammation in my body and my c3 and c4 levels have been low. The lupis has also been causing severe joint and miacle pain in my legs.oh, amd my hands frequently fall asleep on me...day time and in the middle of the night. My drs justreferred me to mayo, bc they are lost for answers or solutions. My normal weight Iis 105-110....I am down to around 94lbs (96-98 whem my stomach swells). They have done numerous blood tests, mri s, upper endoscopy, bone scans....none of their findings would cause what I am going through and my bloodwork shows inflammation everywhere but doesn t give them any idea on where or what from and C3 and c4 are low. I m not looking for answers but more so interested in what you think this might be? Like I said, I just started my journey with Mayo and am hopeful that they will find some answers soon...as I am deteriorating quickly and am in daily excruciating pain. They currently have me on a pain patch and pain meds to help me deal with the pain.
Mon, 16 Dec 2013
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General & Family Physician 's  Response
hi this belong to ibs symdrom where there is alteration of constipation and diarrhoea kindly avoid taking cabbage cauliflower these substance increases ibs
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Having Lupus, Crohn S Disease, B12 Deficiency. Unable To Eat Solid Foods. Swelling In Abdomen. Alternating Constipation, Diarrhoea. Cause?

hi this belong to ibs symdrom where there is alteration of constipation and diarrhoea kindly avoid taking cabbage cauliflower these substance increases ibs