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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Abdominal Pain?

Woke up this morning with my my right thumb, and 2 fingers next to the thumb completely numb and (tingling, pins and needles sensation). Called my PCP but office is closed due to weather. Should I go to ER? I have been having extreme cramping pain in my lower abdomen for the last 4 days with BM's about every 2-3 hours over the past 36 hours. I have had stomach problems for over a year now and doctors can not find out why. I have had every test in the book. Something is keeping me from digesting food properly, I just belch it right back up 15-20 minutes after eating. I go 4-5 days without a BM and then all of a sudden, bam, I will have 6-8 BM's in one day. Something is not right with the stomach. I have seen 2 different gastro. with no luck. The abdomen pain is killing me, very painful the last 4 days. Please reply. I am a 62 year old male in fair health and live in Chattanooga, TN. Thank you.
posted on Thu, 13 Mar 2014
Twitter Mon, 15 Dec 2014 Answered on
Twitter Tue, 16 Dec 2014 Last reviewed on
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General Surgeon,  's  Response
Hi.
Thanks for your query.
The classical symptoms of alternating loose motions and constipation along with other symptoms is more suggestive of :
Cancer of the intestinal tract.
I would advise you the following tests:
Investigations:
*Routine blood investigations like Complete blood picture, blood sugar, urea, creatinine, liver function tests, thyroid function tests.
*Urine -routine and microscopy
*Stool: routine, microscopy, occult blood, culture and sensitivity.
*Ultrasonography of abdomen,
*Colonoscopy
All these investigations should be within normal limits for one to say you have IBS

If colonoscopy shows cancer, get a biopsy, CT scan of the abdomen and proceed further.

Treatment:
Get a course of an antibiotic, metronidazole, probiotic and see the results , it is possible that you may get a relief.
If not, go for further tests .
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What Causes Abdominal Pain?

Hi. Thanks for your query. The classical symptoms of alternating loose motions and constipation along with other symptoms is more suggestive of : Cancer of the intestinal tract. I would advise you the following tests: Investigations: *Routine blood investigations like Complete blood picture, blood sugar, urea, creatinine, liver function tests, thyroid function tests. *Urine -routine and microscopy *Stool: routine, microscopy, occult blood, culture and sensitivity. *Ultrasonography of abdomen, *Colonoscopy All these investigations should be within normal limits for one to say you have IBS If colonoscopy shows cancer, get a biopsy, CT scan of the abdomen and proceed further. Treatment: Get a course of an antibiotic, metronidazole, probiotic and see the results , it is possible that you may get a relief. If not, go for further tests .