Q. Having abdominal pain and bloated feeling for five months. Could this be due to colon cancer?

Answered by Dr. Ramesh Kumar S and medically reviewed by iCliniq medical review team.
New
Do you have a question on Gastrointestinal Abnormality or Diarrhea? We have medical experts to help you right away. Ask a Doctor Now »

Hi doctor,

I have had abdominal pain for five months. It is mainly under the right side ribs along the right flank. I also have some pain on the left. I feel gassy and bloated. The stomach makes some crazy noises. I was constipated for a few months, but now I have constant diarrhea. I am going to meet my gastroenterologist in a few weeks. Two years ago, I had a similar problem and pain. I had a colonoscopy at that time and that revealed nothing. Could this be due to colon cancer? My pelvic CT with contrast revealed fibroids and small ovarian cyst. My abdominal ultrasound was negative. All my laboratory tests are normal except vitamin D, which is quite low.

Related Questions:

Antibiotic-Associated Diarrhea (AAD)
Can constipation be related to high sugar levels?
Taking Pantoprazole for GERD. Is any drug interactions between Pantoprazole and Voltaren?

Dr. Ramesh Kumar S

FELLOW OF AMERICAN COLLEGE OF GASTROENTROLOGY
Internal Medicine Medical Gastroenterology

Hi,

Welcome to icliniq.com.

  • As per your question, most likely it is not colon cancer. The problems are due to disturbed gastrointestinal flora.
  • Our gut consists of its own environment of a microorganism called gut flora. They are responsible for proper digestion of food. Once this flora is depleted by toxins released by bacteria or due to other factors, many of GI symptoms like bloating, belching, vomiting, constipation, loose stools, etc., will occur.
  • I would suggest you take a good probiotic for a month. It will again replenish the depleted flora. Once the flora is replenished, intestinal motility and secretions will be improved.
  • Tablet Pantoprazole (40 mg once daily before breakfast) will provide relief. Drink a lot of fluid and electrolytes. Along with it digestive enzymes like Papain and Amylase can be taken twice daily before taking food for a week. Silymarin a potent liver tonic can also be taken for a few days.
  • Apart from medicines, some suggestions are as follows:
  1. Increase lukewarm water intake. Eat plenty of fresh oranges, pears, coconut water, vegetables, and fruits. Also, fruit juice can be taken.
  2. Take a small amount of food once in every 2 hours. Eat low-fat and fiber-rich diet. Add more yogurt to your diet.
  3. Avoid cold milk, junk foods, carbonated drinks, alcoholic beverages, smoking and outside foods.
  4. Do some exercise every day as per your capacity. Try to take 20 minutes of walk daily.
  5. Take two teaspoons of Isphagula husk with 200 to 300 mL water once while going to bed every day.

Differential diagnosis:

Disturbed gastric flora.

Regarding follow up:

For further information consult a medical gastroenterologist online.---> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist

Related Questions & Answers


Does constipation cause burning sensation in anus?
Query: Hi doctor, I have a burning sensation in anus after bowel movements for past one week. There is no blood discharge and poop was soft. I avoid eating spicy foods. The burning sensation lasts for hours.  Read Full »
Dr. Akant Kaushal
General Practitioner

Answer: Hello, Welcome to icliniq.com. The most common cause of burning sensation in anus following stools will be the consumption of spicy food. Another cause can be constipation, which can cause fissures around the anus. If this is the condition, apply Diltiazem gel 2 % three to four times a day for se...  Read Full »
 
Is Pantoprazole allergy something to be concerned about?
Query: Hello doctor, I had indigestion problems last month and I was given a Pan 40 injection in a 24/7 hospital in my locality. The moment I was given the injection, my body developed rashes, redness, and itching. My doctor immediately gave Avil injection after which rashes and redness subsided. Two days...  Read Full »
Dr. Salah Saad Shoman
Internal Medicine Physician

Answer: Hello, Welcome to icliniq.com. I have gone through your question and I understand your concerns but yes Pantoprazole allergy is a permanent condition that you will need to report to any doctor you visit before prescribing medications. Also, this allergy is nothing to worry about as long as you av...  Read Full »
 
Why am I having diarrhea following constipation for a long time?
Query: Hi doctor, I am having a slightly upset stomach with bloating for the past four months. I thought I had a bug. Two weeks later, it seemed much better. However, my bowel movements did not return to normal. I had mostly constipation for about a month (even though my stomach did not feel as upset anym...  Read Full »
Dr. Anshul Varshney
Internal Medicine Physician

Answer: Hi, Welcome to icliniq.com. Your history fits into the acid peptic disease. I do not find any sign of cancer over here (attachment removed to protect patient identity). I would recommend you the following. A combination of Pantoprazole and Domperidone once daily for a few days. A good probiotic, t...  Read Full »
 
Trending

Trending

Ask your health query to a doctor online?

Ask a Doctor Online »
* guaranteed answer within 4 hours.