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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Severe Lower Abdominal Pain, With Nausea Indicate?

My boyfriend has had a searing pain in his left lower abdomen for over 5 years. Some days it's minor burning and other days it's intense and nauseating. He's been to several doctors, had dozens of tests including x-rays, ct scans, ultrasounds and colonoscopies, He had a hernia repair in that area and the surgeon looked around and found nothing. After the surgery, everything went back to the same symptoms. He is frustrated and doesn't know what to do next. Got any suggestions?
Fri, 30 Jan 2015
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General Surgeon,  's  Response
Hi.
Thanks for your query.
Read the history about your boyfriend, surgery of hernia not giving relief to the searing pain in the left power abdomen; CT Colonoscopy and all tests are negative.
This makes me think differently:
He may have IBS- Irritable bowel syndrome, or some Sensory problem related to the spine, intervertebral disc syndrome or so on.
Get an opinion of a Gastroenterologist to discuss about these points and get started on empirical treatments.
Also advisable is a second opinion of a Neurologist and MRI if the spine, Intravenous pyelography to see any ureteric problems .
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What Could Severe Lower Abdominal Pain, With Nausea Indicate?

Hi. Thanks for your query. Read the history about your boyfriend, surgery of hernia not giving relief to the searing pain in the left power abdomen; CT Colonoscopy and all tests are negative. This makes me think differently: He may have IBS- Irritable bowel syndrome, or some Sensory problem related to the spine, intervertebral disc syndrome or so on. Get an opinion of a Gastroenterologist to discuss about these points and get started on empirical treatments. Also advisable is a second opinion of a Neurologist and MRI if the spine, Intravenous pyelography to see any ureteric problems .