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Q. Even after taking several treatments for abdominal pain and stool problem, there is no relief. Why?

Answered by
Dr. Nitin Dongre
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on Aug 01, 2020 and last reviewed on: Aug 26, 2020

Hello doctor,

I am a 74-year-old male. My problem is pain in the lower left quadrant of the abdomen and sometimes it radiates to the right also. It is persisting for more than 67 years.

All my problems are stated below:

I have mild to severe pain in the lower left quadrant of the abdomen sometimes in the right also. Stool does not appear normal and there is no feel of complete evacuation. When I leave the washroom again I feel urge to pass stool and gas. I pass gas frequently at short intervals.

First time I was hospitalized for this where I was treated with some medicines including Flagyl, Maxaform and some other that I do not remember. I felt some relief but the condition returned. I took treatment for IBS and E.coli, H.pylori, etc. I feel relief for some weeks but the condition returns. When I do not pass gas, I feel great pain in my knees and other joints and weakness in my legs. There is no problem in my upper part of the abdomen but the lower left part has this problem. I develop a lot of gas in the evenings and when I try to pass stool, only gas is released with some wetness in the anal opening.

Dr. Nitin Dongre

Family Physician General Practitioner
#

Hello,

Welcome to icliniq.com.

This is IBS (irritable bowel syndrome) only. It is an autoimmune disorder whiuch means your defense mechanism is working against you. You have to continue your IBS medication for a longer period may be life long and try to adjust yourself with this fact. If you do not want to adjust yourself, you will be the sufferer. You can decrease the doses but do not stop any medicines unless advised by doctors.

Dietary changes are very much helpful like fibers (found in beans, fruits, oats, whole-grain products, and vegetables.) Avoid gluten like wheat, barley, rice, etc. Medicines like Rifaximin, Alosetron will help a little.


The Probable causes:

Autoimmune disorder.

Differential diagnosis:

IBS. Megacolon. Neurological disorder.

Probable diagnosis:

IBS.

Treatment plan:

Rifaximin, Alosetron, and diet regulations.

Preventive measures:

Take high fiber diet.

Regarding follow up:

After 15 days.


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