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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Cause Of Intense And Chronic Abdominal Pain In One Diagnosed With Fibromylagia And Irritable Bowel Syndrome ?

Hi I wonder if you can shed some light on my collection of symptoms please. I have recently been diagnosed with fibromyalgia and irritable bowel syndrome . I have been having a lot of abdominal pain and severe bloating (but not diarrhea or passing gas) which mainly occurs when I get up in the morning. I have actually watched my flat stomach abruptly inflate and then I have a sharp pain primarily down the center of my abdomen. It eases off if I lie back down again. I regularly have a sharp pain if I cough, sneeze , laugh hard or have a bowel movement. Twice I have had a strange episode where I have sudden pain and stiffness in my groin area, accompanied by sharp abdominal pain.(Both time were during my period - the sharp pain was not like menstrual cramps). In the last 5 months I have had two CT scans, a colonoscopy, a pelvic ultrasound, a gall bladder ultrasound, lots of blood tests and two stool tests. All that has turned up is that I have a slight vitamin D deficiency, a small umbilical hernia (probably from having my tubes tied) and endometrial hyperplasia (probably from my fibroid - not considered serious). I am taking 150 mg of Lyrica per day (gradually increasing to 300mg), am 47 yrs old, female, 207 lbs on a protein diet (protein shakes, 1 meal/ day meat and vegetables) recommended by my gastro-enterologist. I can t go back to work with this unpredictable, on-going abdominal pain. Taking an anti-spasmodic did not help. I have had symptoms on and off for 5 months or more, but it has been really bad for the past 6 weeks.Is all this really just IBS? Any advice is appreciated!
Mon, 16 Apr 2012
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Dermatologist 's  Response
Hi..dear the..,
Thanks for choosing HCM.,
I gone through Ur history..,
Yes...it could be....IBS..Irritant Bowel Syndrome..,
U have no significant pathology in GIT..,
According to Ur investigations..everything is normal..,
But here U have not maintain Balance diet and regular..,
intervals of diet...no adeqate physical exercise..ok..,
1) Do regular 2 times exercises for 45 mts..,
2) Balance diet like 9:4:1...carbohydrates, proteins and lipids..,
3) Regular diet...having small quantity with number of times ( 5 times).,
4) Don't invite spicy, sour , salt and jenk food..,
5) Take plenty of oral fluids..,
ok follow and observe the result...good luck.,
I find this answer helpful
General & Family Physician Dr. Kamal Kishore Bandil's  Response
You must get investigated for

1. Premenstrual Syndrome

2. Endometriosis
I find this answer helpful

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What Is The Cause Of Intense And Chronic Abdominal Pain In One Diagnosed With Fibromylagia And Irritable Bowel Syndrome ?

Hi..dear the.., Thanks for choosing HCM., I gone through Ur history.., Yes...it could be....IBS..Irritant Bowel Syndrome.., U have no significant pathology in GIT.., According to Ur investigations..everything is normal.., But here U have not maintain Balance diet and regular.., intervals of diet...no adeqate physical exercise..ok.., 1) Do regular 2 times exercises for 45 mts.., 2) Balance diet like 9:4:1...carbohydrates, proteins and lipids.., 3) Regular diet...having small quantity with number of times ( 5 times)., 4) Don t invite spicy, sour , salt and jenk food.., 5) Take plenty of oral fluids.., ok follow and observe the result...good luck.,