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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Abdominal Pain When Suffering From IBS?

Hi, i am writing on behalf of a friend. He had been diagnosed with having IBS when he was 13, without a colonoscopy, and now he is 25. He has been having abdominal pain and interchanges of diarrhea and constipation all these years but a month ago it suddenly got really worse (after having some fish, but even if it was bad, he had never experienced such excruciating pain again), as in one day he started to ache so much he couldn't get up off the floor. It was like stabbing and ripping him apart. He went to the hospital and had blood work done and an X-ray and they said it was normal but suggested a colonoscopy but he didn't go through with it. Ever since he has been having really severe abdominal pain and interchanges of diarrhea and constipation and he has been to several doctors, one prescribing him with amitriptyline and antibiotics for the intestine, and another after that giving him mebeverine hydrochloride alone. He took the antibiotics and amitriptyline for almost a month and it helped him a bit but in the evening he would none the less have the return of the severe pain in his entire abdomen, sometimes centering on the left upper side of it. Then he went to the other doctor who perscribed mebeverine hydrochloride, telling him it would instantly help, without that being the case when he tried it. He had extensive blood work done and everything was normal, no inflammation or anemia, and the doctor said he didn't need anything else and should just take the mebeverine. But he is still in pain and i was wondering if it could be something else with these symptoms. Should he have a colonoscopy or some other less painful test? He also has Gastroesophageal Reflux Disease.
Mon, 1 Oct 2018
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Ayurveda Specialist 's  Response
Hi,

I have read your query and suggest that he (your friend) has to have a colonoscopy.

As my experience goes, such bouts of severe pain are usually caused due to the complications of IBS like ulcerative colitis which can be easily diagnosed by a colonoscopy.

I suggest to discuss with a gastroenterologist and get a colonoscopy done such that a suitable treatment is possible.

For prevention of relapse, I will surely suggest having following medicines of Ayurveda with due discussion and monitoring of an Ayurvedic Physician.
1. Dadimashtaka Churna with freshly prepared buttermilk.
2. Bilagy linctus.
3. Drakshadi Kashayam.

My suggestion on diet during the period of treatment is
1. Avoid the use of milk, curds and milk products (except freshly prepared buttermilk).
2. Avoid use of liquor, high fiber diet, cocoa, caffeine and high protein diet.
3. Vegetables belonging to cucurbitaceae like ash gourd, ridged gourd, snake gourd, etc. can be taken regularly.
4. Intake of a mild protein diet like soups of a whole green gram, sprouted green gram is beneficial.
5. A regular and timely diet with good sleep is always advisable in this condition.

Start with these dietary changes initially during the treatment from a Gastroenterologist and continue it along with prescribed Ayurvedic medicine also.

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

Regards,
Dr. Mahesh T.S.,
Ayurveda Specialist
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What Causes Abdominal Pain When Suffering From IBS?

Hi, I have read your query and suggest that he (your friend) has to have a colonoscopy. As my experience goes, such bouts of severe pain are usually caused due to the complications of IBS like ulcerative colitis which can be easily diagnosed by a colonoscopy. I suggest to discuss with a gastroenterologist and get a colonoscopy done such that a suitable treatment is possible. For prevention of relapse, I will surely suggest having following medicines of Ayurveda with due discussion and monitoring of an Ayurvedic Physician. 1. Dadimashtaka Churna with freshly prepared buttermilk. 2. Bilagy linctus. 3. Drakshadi Kashayam. My suggestion on diet during the period of treatment is 1. Avoid the use of milk, curds and milk products (except freshly prepared buttermilk). 2. Avoid use of liquor, high fiber diet, cocoa, caffeine and high protein diet. 3. Vegetables belonging to cucurbitaceae like ash gourd, ridged gourd, snake gourd, etc. can be taken regularly. 4. Intake of a mild protein diet like soups of a whole green gram, sprouted green gram is beneficial. 5. A regular and timely diet with good sleep is always advisable in this condition. Start with these dietary changes initially during the treatment from a Gastroenterologist and continue it along with prescribed Ayurvedic medicine also. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Mahesh T.S., Ayurveda Specialist