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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Lower Abdominal Pain With A History Of Ulcers?

My boyfriend has been waking up with severe lower abdominal pain for the past two weeks. The pain is not particularly connected to any food, as he is lactose intolerant but has never had pain this severe from food before. It also occurs in such a way that wakes him up first thing in the morning. He describes the pain as "feeling like his intestines are being twisted." He is 23 and has a history of ulcers, but he says that this pain feels different that that. He is a healthy weight, if anything a bit slim (6'4" and 170 lbs).
posted on Fri, 14 Mar 2014
Twitter Tue, 27 May 2014 Answered on
Twitter Wed, 28 May 2014 Last reviewed on
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General Surgeon,  's  Response
Hi.
Thanks for your query and an elucidate history.
Te ''twisting pain''- this is classical of an intestinal pain. If this is waking him up early in the morning, this is most probably due to colitis as the commonest cause.
Get him investigated by blood/ urine and stool tests/ ultrasonography of the abdomen/ colonoscopy if required.
Give him a course of an antibiotic, metronidazole and anti-spasmodics for 5 days, if not much of relief , consult a Gastroenterologist.
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What Causes Lower Abdominal Pain With A History Of Ulcers?

Hi. Thanks for your query and an elucidate history. Te twisting pain - this is classical of an intestinal pain. If this is waking him up early in the morning, this is most probably due to colitis as the commonest cause. Get him investigated by blood/ urine and stool tests/ ultrasonography of the abdomen/ colonoscopy if required. Give him a course of an antibiotic, metronidazole and anti-spasmodics for 5 days, if not much of relief , consult a Gastroenterologist.