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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Why is there stabbing pain in abdomen? Is it crohns or colitis? Genes shall act?

Of and on, for several months now, I have been experiencing varying degrees of stomach and abdominal pain . Today, for instance, it feels as if I have been punched in the stomach, I am somewhat distended and it is uncomfortable to breath deeply. Several weeks ago, the pain was lower in the abdomen, and was sharp and stabbing , but mostly after eating. Under most circumstances, the pain will last for several days, subside, then go away completely. I thought I had it pin-pointed to fatty, fried foods, but this occurrence began yesterday after a grilled chicken sandwich and baked fries. My first cousin, on my fathers side, has Crohns and colitis and has had over 1/3 of his intestine removed. Although he is the first and only (as far as we can tell) to have this disease, I am concerned in the heredity nature of the disease. I am uninsured at the present time and have previously been diagnosed with viral cardiomyopathy. Any advice would be appreciated.
Wed, 28 Aug 2013
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Psychiatrist 's  Response
Thanks for writing in to us.

Many symptoms of ulcerative colitis and Crohn's disease are similar, but there are some subtle differences. ulcerative colitis patients tend to have pain in the lower left part of the abdomen, while Crohn's disease patients commonly (but not always) experience pain in the lower right abdomen. With ulcerative colitis, bleeding from the rectum during bowel movements is very common, and bleeding is much less common in patients with Crohn's disease.

Crohn’s disease (CD) and ulcerative colitis (UC) — inflammatory diseases of the gastrointestinal tract — have puzzled the scientific community for decades. Ten years ago, researchers recognized that both genes and environment contributed to these diseases.

Researchers at Harvard Medical School have tried to evaluate the evidence for both diseases simultaneously, and discovered that the majority of genetic risk factors are associated with both diseases.

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