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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Pain Syndrome And IBS

Hi Dr. Rynne I m extremely frustrated with a lack of progress with a pain syndrome I have and I m in pain right now. Every few months, I am exhausted for a few days leading up the pain starting and more often than not the pain I experience has onset when I am sleeping. I wake up with severe neck and jaw pain, pain under my ribs on the right side. I know that I have IBS or another bowel disorder that is irritated when I eat beef or cured meat. I recently cut out all meat and dairy in an effort to reduce symptoms. Right now, I have severe pain in my neck, behind my lower rib cage on the right, jaw pain and I m just exhausted. I ve been to the emergency room many times over the years with these symptoms and gallbladder is always ruled out. HIDA scans are normal, blood and urine work is within normal ranges. I was diagnosed with gallstones 18 years ago through another healthcare provider and my fear is that the VA is just reluctant to make the actual diagnosis and put this off until they actually see gallstones. I know that gallstones are not the only cause of pain...advise?
Wed, 15 Jun 2016
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General Surgeon,  's  Response
Hi Dear !! Thanks for your query to HCM .
Read and reviewed your query and health concerns.
IN the given situation, You seems to suffer from-IBS- with PCS-Post-Chole Syndrome .
Dear,Other Causes of this pain needs to be ruled out-like Piles/anal Fissure/Ulcerative Colitis/ Crohn's Disease. This is because your HIDA scans are normal and you do have history of Cholecystectomy.
Consults with GI Surgeon would plan further treatment accordingly.

Remedy-
Low fat,bland diet x 2-3 weeks.
Sachets-Cholestyramine-to reduce bile induced diarrhoea and fat uptake/ bile reflux gastritis from PCS.
Sporlac 1 x 2 a day- to stabilize bacterial flora from repeated IBS treats
Vit B12 / Folic Acid/ Vit D3 / Calcium and magnesium,copper,selenium, zinc-to control Malabsorption and increase stability of colonic mucosa.
Normaxin-to control pains / acidity / nausea.
Antibiotics with metronidazole-to control bacterial / protozoal Colitis.
Avoding street / fast food.

Hope this would help you to plan further of this complex illness of yours.

If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229



Dear, if satisfied,Don't forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services.


If you want to update more details and ask more update queries ,
You are most Welcome herewith !!

Good Day!!

Wishing Good Healthy Life in time to come!!

Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS
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Suggest Treatment For Pain Syndrome And IBS

Hi Dear !! Thanks for your query to HCM . Read and reviewed your query and health concerns. IN the given situation, You seems to suffer from-IBS- with PCS-Post-Chole Syndrome . Dear,Other Causes of this pain needs to be ruled out-like Piles/anal Fissure/Ulcerative Colitis/ Crohn s Disease. This is because your HIDA scans are normal and you do have history of Cholecystectomy. Consults with GI Surgeon would plan further treatment accordingly. Remedy- Low fat,bland diet x 2-3 weeks. Sachets-Cholestyramine-to reduce bile induced diarrhoea and fat uptake/ bile reflux gastritis from PCS. Sporlac 1 x 2 a day- to stabilize bacterial flora from repeated IBS treats Vit B12 / Folic Acid/ Vit D3 / Calcium and magnesium,copper,selenium, zinc-to control Malabsorption and increase stability of colonic mucosa. Normaxin-to control pains / acidity / nausea. Antibiotics with metronidazole-to control bacterial / protozoal Colitis. Avoding street / fast food. Hope this would help you to plan further of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229 Dear, if satisfied,Don t forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services. If you want to update more details and ask more update queries , You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! Dr.Savaskar M.N. Senior Surgical Specialist M.S.Genl-CVTS