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What Causes Right-sided Pelvic Pain, Nausea, Constipation And Stomach Pain?

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Posted on Fri, 24 Jun 2016
Question: I have pain in my right side just above pelvis that go to back but mostly to front. I have little to no bowel movement, the last solid poop was about two inches long and about 3/4 inch diameter and had pea sized pieces on one end that easily separated. I feel nausea in the morning and slightly weak. I have a good appetite with no vomiting and no blood in stool (test terrified). I have acid reflux. I have left side pain but it comes and goes. Used magnesium citrate last night and cleaned everything out good. I still have uncomfortable stomach. I have been diagnose with having diverticula. It also burns when I urinate sometimes.
doctor
Answered by Dr. Prof. Kunal Saha (2 hours later)
Brief Answer:
Your bowel habits need to be regular.

Detailed Answer:
Thanks for asking on HeathcareMagic.

I have gone very carefully through your query. It so happens that our gastrointestinal tract has a forward propulsive movement that moves the food forward as it gets digested, absorbed and finally the remnants get eliminated as feces. It seems that due to any cause this movement is sluggish in your case. Thus as the food stagnates in the stomach you get acid reflux and as the fecal matter stagnates in the large intestine you get diverticulitis and the abdominal pain and discomfort along with constipation (hard pellet like stool of pea sized pieces).

The primary resolution would be to increase the fiber intake. The following link would give you a list of fiber rich foods:
http://www.todaysdietitian.com/newarchives/063008p28.shtml

Also take fiber supplements like psyllium husk or senna. You need to walk regularly in the morning and need to maintain a level of physical activity.

It may still be worthwhile to see a doctor if your problem does not resolve.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Prof. Kunal Saha (2 days later)
I had this burning pain up my back yesterday toward the evening and my body felt achy and burning all over. I had stayed in bent over position for a while of an on as picked an clean vegetables from my garden. The pain got worst into the evening I had only eaten 2 bananas, drank a raspberry, banana, and pear smoothie, and drank a bottle of ensure. though small I had two bowel movements. I went to the emergency room They look at the CAT scan that I did last Thursday and said that there was nothing remarkable. they did a blood and urine test and nothing there. They injected me with a pain/anti-inflammatory medicine and sent me home. the pain in my back in general went away but the specific points of pain I have been having remain - lower right side below the rib cage generally front and back with pronounced area jut above the pelvis sometimes felt to the top of groin and another pronounce area in the back. I woke up this a.m. with fully bloat abdomen with lots gurgling. There is pain on the right side, intermittent pain & burning lower abdomen with some pronounced pain lower left. What is wrong with me. I am a retired Marine who exercise everyday I have routinely just about since birth and I take a fiber supplement with probiotics.
doctor
Answered by Dr. Prof. Kunal Saha (5 hours later)
Brief Answer:
Intestinal obstruction has to be ruled out

Detailed Answer:
Thanks for clarifying. I find it hard to comment without a proper clinical examination. The clinical evaluation by the doctors at the emergency room must have been unremarkable and that could be the reason for their sending you home. Although a CT Scan has been done, I would insist you to get a straight X ray abdomen - erect posture done. I am trying to rule out intestinal obstruction.

Regards
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Prof. Kunal Saha (7 days later)
My question seem to have been closed three days ago and my problem warranted further discussion believe since it has not been resolved??? The last thing from the doctor was that he was attempting to rule out abdominal obstruction. I wanted to point out that I had a front/side/ and lying down X-ray done. That x-ray was followed up with a CT Scan both came back unremarkable. I have since gone to the emergency room, seen a local doctor while visiting another state and no one seem to want to delve into my issue. I have been referred to a gastrologist once I return home. My latest episode I got pain in the center of my chest just below the sternum - so uncomfortable I did not make my connecting flight. Walking around the Airport and drinking water seem to help the pain subside. The bloating and burning throat seem to subside but the constant was the right side pain. still have good appetite but bowel movement is small. Yesterday was right side pain all day. I ate normal and had small BM that almost appeared normal. Today little to no that only consisted of tiny balls after which there was a slight heaviness and tingling in lower abdomen and back with occasional gas. As gas continued pain and discomfort became less and more intermittent. Side pain today is like a line just below the breast but on the side and intermittent. Yesterday pain was just above pelvis and burned up to just below the armpit. There was pain on the left side also just above the pelvis. I am generally not in any excruciating pain. overall I feel great indicative or running over 4 miles today. I have no bulges or bruises on my right side and my appetite remains ferocious. after the constant pain yesterday which I sometimes felt all the way to my anus then that particular pain gone today is making this a weighty burden of anxiety and frustration particularly coupled with a significant change in bowel movement yet nothing being ID'd as a problem.
doctor
Answered by Dr. Prof. Kunal Saha (11 hours later)
Brief Answer:
Underlying problem discussed.

Detailed Answer:
Thanks for writing back. Sorry for not being able to respond faster. As I have already explained, the gastrointestinal tract has a forward propulsive movement and that movement can get hampered due to intestinal obstruction. But even in absence of intestinal obstruction, this movement may become sluggish as in your case and yet cause the problems that you are facing. The burning sensation is due to the stagnation of stomach acids which are originally meant to facilitate digestion. The stagnation also causes stasis of food material and as the undigested matter gets degraded by bacteria, bloating results. Taking fluids urges the system to move the fluid down and in the process activates this peristaltic movement thus providing relief. The solution therefore lies in increasing the fiber intake. Fiber absorbs water and thereby stimulates this movement.

Hope that I have been able to clarify the dynamics.

Regards
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Prof. Kunal Saha

General & Family Physician

Practicing since :1954

Answered : 4467 Questions

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What Causes Right-sided Pelvic Pain, Nausea, Constipation And Stomach Pain?

Brief Answer: Your bowel habits need to be regular. Detailed Answer: Thanks for asking on HeathcareMagic. I have gone very carefully through your query. It so happens that our gastrointestinal tract has a forward propulsive movement that moves the food forward as it gets digested, absorbed and finally the remnants get eliminated as feces. It seems that due to any cause this movement is sluggish in your case. Thus as the food stagnates in the stomach you get acid reflux and as the fecal matter stagnates in the large intestine you get diverticulitis and the abdominal pain and discomfort along with constipation (hard pellet like stool of pea sized pieces). The primary resolution would be to increase the fiber intake. The following link would give you a list of fiber rich foods: http://www.todaysdietitian.com/newarchives/063008p28.shtml Also take fiber supplements like psyllium husk or senna. You need to walk regularly in the morning and need to maintain a level of physical activity. It may still be worthwhile to see a doctor if your problem does not resolve. Regards