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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Abdominal Pain During Bowel Movements?

Always before a BM, I get severe stomach pain. It lasts anywhere from 4-20 minutes. I ve been dealing with this since I was about 8 and I m 24 now. Was checked when I was younger for colon issues and he also checked for lumps? All turned up ok and apparently I was in good health. It s almost always in the morning after breakfast and sometimes before bed. Any ideas?
Mon, 27 Apr 2015
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General & Family Physician 's  Response
Welcome to HealthCare Magic. Thank you for posting your query.
I can understand your concern.

You could be suffering from inflammatory bowel disease. It is difficult to make a pin point diagnosis without actually examining you. You may need an upper GI endoscopy and a colonoscopy to help the diagnosis part.

I would suggest you to
-     Drink loads of water
-     Avoid oily,spicy food
-     Have a diet rich in fibres
-     I would start tablet Pantoprazole . Your doctor can guide on the exact dosage
-     I would also start syrup Lactulose to soften your stool
- Get a blood haemoglobin , total count , ESR done - to look at the amount of blood loss.
- I would also start Tablet Tranexamic acid as and when there is excessive bleeding.
-     Avoid straining during stool

I would also suggest you to visit a physician . He/she can examine you and correlate clinically.

Hope this helps.
Write back to us.
Have a nice day.
Regards.
Dr. Goswami
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What Causes Severe Abdominal Pain During Bowel Movements?

Welcome to HealthCare Magic. Thank you for posting your query. I can understand your concern. You could be suffering from inflammatory bowel disease. It is difficult to make a pin point diagnosis without actually examining you. You may need an upper GI endoscopy and a colonoscopy to help the diagnosis part. I would suggest you to - Drink loads of water - Avoid oily,spicy food - Have a diet rich in fibres - I would start tablet Pantoprazole . Your doctor can guide on the exact dosage - I would also start syrup Lactulose to soften your stool - Get a blood haemoglobin , total count , ESR done - to look at the amount of blood loss. - I would also start Tablet Tranexamic acid as and when there is excessive bleeding. - Avoid straining during stool I would also suggest you to visit a physician . He/she can examine you and correlate clinically. Hope this helps. Write back to us. Have a nice day. Regards. Dr. Goswami