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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest medication for constipation

I have been having some type of attacks that we stiff haven't got to the bottom of, I have been diagnosed with ulcer because the zantac helped me lol, then a couple of days later I was taken to the er with the same type of pain which I was diagnosed with biliary colic even though the ultrasound and xray didn't show anything, Then I was diagnosed the third at the er with having a panic attack and that I know wasn't it because I have had panic attacks since I've been around 14 yrs. old. Then I was diagnosed by my family dr. for constipation. lol. These attacks sometimes can be brutal. The pain starts in my back between my shoulder blades, and sometimes it only hurts on the left side and sometimes radiates to right to left but the pain is horrific and painful. These attacks usually cause me to sweat, I feel like I'm having a heart attack because of the pain in my chest, it causes me to burp a lot trying to help stop the pain, I shake because I think its where I'm hurting so bad, and sometimes get the chills, they usually only last about an hour the longest one I had lasted 3 hours. I recently just had another mild attack which wasn't real bad, but every since then I have like stomach acid that feels like it continually flows, I am on Prilosec 20 mg of the morning and zantac 150 mg. at night and have been since this started about 3 months ago. If the dr. presses on the right side of my stomach it hurts, it's like a burning type of tenderness pain that hurts really bad. They have done a hida scan and in the first hour they gave me radio active stuff for my gall bladder to appear but within that hour it did not show, so I had to wait another 30 minutes and finally it showed. Then the second part of the hida scan they gave me ensure to drink to watch how it functions, My family dr. said it was normal. I'm at my whitts end. I don't know what's wrong with me. My belly stays bloated out most of the time, I'm ashamed of when the pain hits because I don't want my kids to see me like this. I'm worried it's my colon since my dad had colon cancer and I have had blood in my stool real heavy for 3 days, went to my family doctor and they took a sample and tested it and said that was normal and since it was bright red it's really nothing to worry about. I just want to find out whats wrong with me. These drs. I think are starting think I'm some type of hypercondriac lol.. any advise would be helpful. Also sometimes that can set these attacks off is like eating something spicy, The other day I drank orange juice and ate a barbeque tv dinner and then had that attack, sometimes if me and my husband get into an argument sometimes that sets it off, or if I have a bowel movement it sometimes sets it off and the last round of antibiotics caused me to hurt. So I don't know what to do.
Tue, 12 Feb 2019
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General Surgeon 's  Response
Hi,

This may be r related to IBS and chronic constipation (spasms). That is particularly true when you consume foods like nuts or popcorn that would trigger spasms of the bowel.

I suggest running colonoscopy to exclude organic problems first. With regards to finding blood floating in the toilet after you pass the motion, that would be related to possible:
- fissures due to chronic constipation
- hemorrhoids.

In both cases, you need to take measures to reduce constipation that would trigger such problems:
- do more physical activity
- increase water consumption
- take more foods high in fiber content
- fiber supplements can help
- can use laxatives once in a while to improve the symptoms.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Ivan R. Rommstein, General Surgeon
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