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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Stomach Pains With Nausea And Inability Of Bowel Movement?

My 30 year old son just had an endoscopy. He has had Barretts since the age of 7. He has had two fundo plycations, one open and one closed. He was at one time diagnosed with ehlers-danlos however now his doctor says he doesn t have it. Following his procedure today, the doctor said he had a very large opening into the pylorus, he even thought perhaps they had surgically relaxed the pyloric splinter. He stated what I already knew, that there was no record of this. He seemed to think this was a good thing. My son continues to have several digestive and elimination issues. Wouldn t a lax pyloric splinter be a bad thing? Could this be the reason he can t gain weight and be causing the stomach pains, nausea and inability to empty his bowels?
Thu, 24 Nov 2016
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General Surgeon,  's  Response
Hi.
Thanks for your query.
Noted the history about your son having Barrettes since he was 7 and now is 30 years old, has undergone 2 plication surgery, undergone upper GI Endoscopy and found that the pylorus is lax may be widened, wants to know whether this can cause not gaining weight, stomach pains, nausea and inability to empty his bowels...
As per the history you have provided about your son, the symptoms can not be solely due to lax pylorus; this can cause bile reflux, gastritis and add on gastroesophageal reflux disease, nausea, vomiting and can be a reason for loosing weight.
I would advise him the following in such a situation.
To follow the proper medication and diet protocol to at least avoid further progress.
Get enteroclysis or contrast enhanced CT scan of abdomen with enterography to see if there are any other associated problems like sub-acute intestinal obstruction or so on.
If such thing is found, this will need a proper diagnosis an management.
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What Causes Stomach Pains With Nausea And Inability Of Bowel Movement?

Hi. Thanks for your query. Noted the history about your son having Barrettes since he was 7 and now is 30 years old, has undergone 2 plication surgery, undergone upper GI Endoscopy and found that the pylorus is lax may be widened, wants to know whether this can cause not gaining weight, stomach pains, nausea and inability to empty his bowels... As per the history you have provided about your son, the symptoms can not be solely due to lax pylorus; this can cause bile reflux, gastritis and add on gastroesophageal reflux disease, nausea, vomiting and can be a reason for loosing weight. I would advise him the following in such a situation. To follow the proper medication and diet protocol to at least avoid further progress. Get enteroclysis or contrast enhanced CT scan of abdomen with enterography to see if there are any other associated problems like sub-acute intestinal obstruction or so on. If such thing is found, this will need a proper diagnosis an management.