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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Abdominal Pain, Diarrhea, Bloating And Constipation?

Hello, my daughter (age 13), has been complaining of abdominal pain since about 4 days ago. She had diarrhea, bloating, and she is now constipated. The pain varies for her, at times it is at about a 5 on her pain scale, currently she says about a 2. It not so severe that she cries, but she s very uncomfortable. Other than her asthma (which is well-controlled), she is in excellent health. She weighs about 100 pounds, is a gymnast and just a normal teen otherwise! Any ideas on what may be causing her discomfort? She started menstruating about a year ago, and then did not have her period after that except once. Perhaps she is having pre-menstrual cramps?? For 4 days though?? She researched this and thinks she may be lactose intolerant. I don t know much about that condition, as nobody in our family has ever been diagnosed with it. Thanks for your help! Cindy Z.
posted on Wed, 31 Aug 2016
Twitter Sat, 24 Sep 2016 Answered on
Twitter Thu, 29 Sep 2016 Last reviewed on
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General & Family Physician,  's  Response
Hello,
Thank you for asking at HCM.
Your daughter has the symptoms for a few days and in this case the first cause of diarrhea, tummy ache can easily be a vital infection. Because her pain is not on the higher scale we can watch her for 2-3 more days. Her pain seems to be improving as it was 5 and now is 2.
What I would recommend is:
1- Paracetamol for pain
2- Local warm abdominal compresses to help with pain
3- Drink plenty small amount of fluids and eat small amounts if fluid
4- avoiding mild would be a good idea for the coming week, even viral infection may make us prone to lactulose intolerance
5- avoid spicy, fatty, fried heavy food
6- take probiotics
7- if pain is not improving in 2-3 days than your daughter needs to see a doctor. other causes will have to be considered like parasite infection and lactulose intolerance, irritable bowel ect

Hope this answers to your question and is helpful to you
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What Causes Abdominal Pain, Diarrhea, Bloating And Constipation?

Hello, Thank you for asking at HCM. Your daughter has the symptoms for a few days and in this case the first cause of diarrhea, tummy ache can easily be a vital infection. Because her pain is not on the higher scale we can watch her for 2-3 more days. Her pain seems to be improving as it was 5 and now is 2. What I would recommend is: 1- Paracetamol for pain 2- Local warm abdominal compresses to help with pain 3- Drink plenty small amount of fluids and eat small amounts if fluid 4- avoiding mild would be a good idea for the coming week, even viral infection may make us prone to lactulose intolerance 5- avoid spicy, fatty, fried heavy food 6- take probiotics 7- if pain is not improving in 2-3 days than your daughter needs to see a doctor. other causes will have to be considered like parasite infection and lactulose intolerance, irritable bowel ect Hope this answers to your question and is helpful to you