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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Abdominal Pain And Constipation?

hi, my 9 yr. old son is suffering from severe abdominal pain and severe constipation. We tried numerous laxatives, but nothing is quite doing the job. He already had an upper GI series, endoscopy, colonoscopy ,mri, ultrasound, colonic motility test and all came back normal. He recently started to complain on joint pain, specifically in the hip, knee, and shoulder. His ASO is very high 1260. His younger brother was recently diagnosed with familial mediteranean fever, with the mutation v726a, while my 9 yr. old s test came back that he has the mutation e148q which the rheumatologist says is not considered positive fmf. Can his symptoms be a result of elevated aso, or fmf? what else can it be? we are desperately looking for some help. Thanks, Fraidy
posted on Fri, 23 Jun 2017
Twitter Thu, 23 Aug 2018 Answered on
Twitter Tue, 28 Aug 2018 Last reviewed on
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General Surgeon,  's  Response
Hi,

This may be related to IBS and chronic constipation (spasms). That is particularly true when you consume foods like nuts or popcorn that would trigger spasms of the bowel.

I suggest running colonoscopy to exclude organic problems first. With regards to finding blood floating in the toilet after you pass the motion, that would be related to possible:

- fissures due to chronic constipation
- haemorrhoids.

In both cases, you need to take measures to reduce constipation that would trigger such problems:

- Do more physical activity.
- Increase water consumption.
- Take more foods high in fiber content.
- Fiber supplements can help.
- Can use laxatives once in a while to improve the symptoms.

Hope I have answered your query. Let me know if I can assist you further.
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What Causes Severe Abdominal Pain And Constipation?

Hi, This may be related to IBS and chronic constipation (spasms). That is particularly true when you consume foods like nuts or popcorn that would trigger spasms of the bowel. I suggest running colonoscopy to exclude organic problems first. With regards to finding blood floating in the toilet after you pass the motion, that would be related to possible: - fissures due to chronic constipation - haemorrhoids. In both cases, you need to take measures to reduce constipation that would trigger such problems: - Do more physical activity. - Increase water consumption. - Take more foods high in fiber content. - Fiber supplements can help. - Can use laxatives once in a while to improve the symptoms. Hope I have answered your query. Let me know if I can assist you further.