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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Treatment For Severe Abdominal Pain?

I have had constant lower right abdominal pain for going on 2 years now. I have been to the ER twice, seen two GI specialist, been examined by 3 OB/GYNs, had 2 CT scans, a colonoscopy, and stool samples. No one an find anything. At one point, I did test positive for C-Diff, and while the associated diarrhea went away, the pain did not.

At my last OB/GYN visit, she suggested switching my birth control. I did, but I have seen no improvement. I have noticed the last few months that the pain seems to be worse the week before my period.

At this point, I have no idea what to do and feel incredibly frustrated.
Mon, 23 Feb 2015
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General Surgeon,  's  Response
Hi.
Thanks for your query.
Read and understood your problems.
This is a very typical case in which the patient has visited the GI Specialists, Gynecologists, has CT, colonoscopy, stool samples, suspected C.Diff which got treated and now diarrhea.

Your pain typically starts\/ gets worst a week before the periods.
Hence the probable diagnosis is:
-Endometriosis or Anything associated with PID,, the pain increases with the rising congestion secondary to hormonal changes just before the periods starting from a week before the periods.

-IBS, Irritable Bowel Syndrome.

I would advise you the following in consultation with a Surgical Gastroenterologist and / or Gynecologist for a preferably combined treatment :::
-Diagnostic Laparascopy can help a lot in diagnosis as I said. This will be diagnostic as well as therapeutic in some cases.
-If everything is normal, get a treatment on the basis of IBS and you may be fine.
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What Is The Treatment For Severe Abdominal Pain?

Hi. Thanks for your query. Read and understood your problems. This is a very typical case in which the patient has visited the GI Specialists, Gynecologists, has CT, colonoscopy, stool samples, suspected C.Diff which got treated and now diarrhea. Your pain typically starts\/ gets worst a week before the periods. Hence the probable diagnosis is: -Endometriosis or Anything associated with PID,, the pain increases with the rising congestion secondary to hormonal changes just before the periods starting from a week before the periods. -IBS, Irritable Bowel Syndrome. I would advise you the following in consultation with a Surgical Gastroenterologist and / or Gynecologist for a preferably combined treatment ::: -Diagnostic Laparascopy can help a lot in diagnosis as I said. This will be diagnostic as well as therapeutic in some cases. -If everything is normal, get a treatment on the basis of IBS and you may be fine.