Why i am having lower abdominal pain? - #11730
Sir/ma’am Merko around 1.5 month Pehle constipation ka issue hua tha and i was having blood in my stool. Mene piles ki medicines ki and mera constipation and piles ka issue dhire dhire theek ho gaya but then uske baad merko black stool aane laga apne aap I didn’t take iron supplements or anything like that. Dhire dhire vo bhi thik ho gaya apne aap and i was passing normal stool. Pichle 5-6 dino se Merko suddenly right lower abdomen me pain hone laga and jaha 2020 me appendix ki surgery hui thi right side me uss same jagah bhi pain hone laga. I thought ki maybe gastric issue hoga ya kuch khane pine ki wajah se ya jo pehle constipation or piles hua tha uski wajah se kuch ho rha hoga so i took medicine for gas( pantosec-D) and painkillers( Powergesic MR for two days and Zerodol SP for two days) but their was no relief. Then suddenly parso merko constipation hua and in afternoon merko firse stool me blood aaya that was pure red. Uske baad even when i was going for urination the blood was still coming. So tomorrow I went to the hospital and consulted a doctor and he suggested me for USG whole abdomen. The reports was ok everything was normal, just a dominant follicle cyst measuring 1-1.5 cm and doctor said that its normal. Kuch din pehle i also had blood test for regular checkup which included CBC, lipid profile, thyroid, fasting blood sugar, LFT, KFT, urine test and it was also normal just mild anemia, nothing serious. I am not getting if all my reports are normal then why i am having sharp pain? What should i Do ? Is it really only gastric pain ? And if so then why so sharp pain ? Any suggestions please?
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Doctors’ responses
Hello dear See after careful analysis of your history it seems either combination of disease or hormonal alterations Since you have done majority of the tests please get below tests done for confirmation Serum ferritin Serum prolactin Serum progesterone HbA1c if not done Crp Esr Sigmoidoscopy Anoscopy Kindly share the results with gastroenterologist or laproscopic in person for better clarification In the meantime time you can take below medications for improvement Ferrous sulphate once a day for 1 month Vit d sachets once a week for 2 months Zincovit multivitamin therapy once a day for 1 month Febres plus medications for gastric relief These medications can be taken but I request you to please share results of test for confirmation and then take any other medications for improvement Hopefully you recover soon Regards
Hi Ekta,
Since ultrasound was normal, but the pain is sharp and persistent, and localized to an area with surgical history, a CT scan can give more detail.
Please do a CT scan abdomen + pelvis. It can detect: Adhesions Stump appendicitis Small abscesses or bowel wall thickening IBD features
Also do Colonoscopy, since there is recurrent blood in stool, even if due to piles, it’s best to confirm the source by a colonoscopy
Please don’t ignore this pain or try to manage it just with over-the-counter medication, especially if it’s not improving. Since you already took a good step by getting ultrasound and blood work done, the next logical step is CT abdomen and possibly a colonoscopy
Feel free to talk Thank you dear
Hello Ekta, I understand your concern and I know that this must be disturbing. The problems that you are facing might be due to any of these reasons - Gastric/Intestinal issues, recurrence of piles/fissure, post surgical adhesions or Gynecological issue. To find out the exact reason, you need further evaluation. So here is my advise for management of your condition and further evaluation -
1. Diet & Lifestyle - High-fibre diet (green vegetables, fruits, salads). 2–3 litres water daily. Avoid spicy/oily foods, excess tea/coffee. Regular exercise / brisk walking.
2. Medicines (short-term relief) - Syp. Lactulose 15–20 mL at night if constipated. For piles/fissure: sitz bath (warm water sitting) Tab. Drota + Mf , whenever the pain is severe.
3. Further Evaluation - Since USG and blood tests are normal, if symptoms continue, get done a Colonoscopy / Proctoscopy, also get done this blood test - PT-INR. Then, CECT abdomen if pain persists unexplained.
4. When to Re-consult Urgently-Persistent or worsening sharp pain. Recurrent heavy bleeding in stool. Fever, vomiting, severe bloating. Weight loss, loss of appetite.
Feel free to reach out again.
Regards, Dr. Nirav Jain MBBS, DNB D.Fam.Med
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