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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Duodenum Pain After Eating?

i have had localized pain in the area of the deuodenam since I was 16. I am 49 and weigh 141 lbs. Last year I had a positive hyda scan for spasms of the gallbladder and had it removed. I was asymptomatic for a few months, but the pain has returned. I cannot link it to any particular food, but when it occurs, it is always after I eat. The pain can be so severe, I have been hospitalized. My diagnosis is IBS with constipation. HELP!
Mon, 8 Sep 2014
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General Surgeon 's  Response
Hi.
The diagnosis is obvious as written by you , the IBS- irritable bowel syndrome.
I would advise you the following.
Upper GI endoscopy, Colonoscopy, Enteroclysis that is barium study under fluoroscopic control to see for motility disorder, this can be due to annular pancreas.
Occasionally Diagnostic laparoscopy helps in diagnosis and treatent as intestinal obstruction due to a band can be treated simply with a small cut.
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What Causes Duodenum Pain After Eating?

Hi. The diagnosis is obvious as written by you , the IBS- irritable bowel syndrome. I would advise you the following. Upper GI endoscopy, Colonoscopy, Enteroclysis that is barium study under fluoroscopic control to see for motility disorder, this can be due to annular pancreas. Occasionally Diagnostic laparoscopy helps in diagnosis and treatent as intestinal obstruction due to a band can be treated simply with a small cut.