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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Cause And Treatment For IBS?

My dr put me on amitiza 24micro grams twice a day. I m still not able to have a bowel movement and they keep diagnosing me with Ibs. I have been to a few different drs. I have had many test in the past. They all seem to ignore the fact that I feel full and bloated most of the time and that I throw up at least 4 times a week, this gets worse when I have my period. I have been dealing with this problem for the last 16 years. All of the issue started after I gave birth to my son. I am tired of them just wanting to give medication instead of finding and fixing the problem.
Mon, 23 May 2016
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General Surgeon,  's  Response
Hi.
Thanks for your query.
Noted the history of being prescribed Amitiza 24 micro-grams twice a day, still unable to pass bowel movements and the Doctors diagnosed you as a case of IBS, consulted many Doctors, had many tests. Your complaints started after the birth of your son, you feel full and bloated, vomit at least 4 times a week, worsened on periods, going on for the last 16 years.
The most probable reasons for your problems seems to be as follows:
There can be endometriosis as your symptoms get enhanced with periods.
The endometriosis in turn can cause intestinal and bladder symptoms and hence I would advise you the following:
- Consult Gynecologist and a General Surgeon for clinical evaluation, examination and investigations to get a proper diagnosis.
You need the tests of blood, urine and stool.
X-ray of the abdomen in standing position.
Ultrasonography followed by a CT scan of the abdomen.
Diagnostic laparoscopy and procedures as needed can the diagnostic as well as therapeutic.
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What Is The Cause And Treatment For IBS?

Hi. Thanks for your query. Noted the history of being prescribed Amitiza 24 micro-grams twice a day, still unable to pass bowel movements and the Doctors diagnosed you as a case of IBS, consulted many Doctors, had many tests. Your complaints started after the birth of your son, you feel full and bloated, vomit at least 4 times a week, worsened on periods, going on for the last 16 years. The most probable reasons for your problems seems to be as follows: There can be endometriosis as your symptoms get enhanced with periods. The endometriosis in turn can cause intestinal and bladder symptoms and hence I would advise you the following: - Consult Gynecologist and a General Surgeon for clinical evaluation, examination and investigations to get a proper diagnosis. You need the tests of blood, urine and stool. X-ray of the abdomen in standing position. Ultrasonography followed by a CT scan of the abdomen. Diagnostic laparoscopy and procedures as needed can the diagnostic as well as therapeutic.