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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Cause Of Persistent Left Sided Abdominal Pain With Occasional Burning Before BM?

Hello. I am 29 (almost 30 years old) and I ve been having a persistent abdominal pain on the left hand lower side for about 4 months. It seems to be most aggravated when I go from sitting for long periods of time and standing and I feel it almost constantly through out the day. I exercise and doing any type of abdominal exercise is painful. I also get a stabbing burning sensation along with it on occasion, which seems to be aggravated right before a bowel movement. What could this be? Also, it appears my perineum is a bit swollen.
Mon, 18 Feb 2019
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General Surgeon,  's  Response
Hi,

The most likely possibility of anal fissure.

There is various possible management as conservative medical and surgical after the diagnosis confirmation on clinical grounds.

Conservative management includes
- sitz bath
- high fiber diet
- bulk-forming laxatives
- local application of fissure healing and analgesic ointment
- regular anti-inflammatory medications
- control of body weight, sugar
- strict diet control to avoid all spices, non-veg (major provokers).

Surgical management can be discussed with the consultant surgeon in his or her office more precisely.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Bhagyesh V. Patel, General Surgeon
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Cause Of Persistent Left Sided Abdominal Pain With Occasional Burning Before BM?

Hi, The most likely possibility of anal fissure. There is various possible management as conservative medical and surgical after the diagnosis confirmation on clinical grounds. Conservative management includes - sitz bath - high fiber diet - bulk-forming laxatives - local application of fissure healing and analgesic ointment - regular anti-inflammatory medications - control of body weight, sugar - strict diet control to avoid all spices, non-veg (major provokers). Surgical management can be discussed with the consultant surgeon in his or her office more precisely. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon