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mkl8425
@mkl8425

Posts: 12
Joined: Oct 19, 2018

Chronic Abdominal and Back Pain

Posted by @mkl8425, Sun, Oct 21 9:29am

A quick little medical history about myself: I have had IBS for years and have been able to manage it well. I am lactose intolerant, with certain dairy products affecting me worse than others. And I have been seen by an ENT for a chronic GERD related cough for which I was prescribed Prilosec.
For the last two months, I have been feeling an abdominal pain that has moved around as it progressed. Even before this, I have noticed that I have been burping quite a lot. It first started in episodes that would come for a few days then go away and come back a few days later. The first episode was on the right side near my appendix but then went away on its own after a few days. Then it came back on the other side and another time it was more in the back near my kidneys. Now it is becoming more frequent and is accompanied by occasional back pain. All of the pains are relatively mild but are becoming more frequent now. I have been burping a lot more now and it typically gets worse after a meal. The pain now is predominantly in my upper center/left abdomen. I went to my GP about five days ago, and she put the stethoscope up to my gut and said she heard A LOT of gas in there. I also have not passed a normally sized bowel movement in well over a week. They have been infrequent and smaller than normal, very thin, but normal colored. I have taken Miralax once a day for five days now but still have not passed a normal bowel movement, just smaller infrequent ones. Anyways, she ran some blood work and urinalysis on me to check kidney, liver, and pancreatic functions. Everything came back normal (somewhat of a relief) and I have a follow up with her in two days. Since my last visit, I have tried to limit my dairy intake, and well as my carb intake, such as breads and such. I have also been eating more fiber-rich foods and nothing has changed, in fact, things have been getting worse since my last visit. The back pain now comes instantly when I get up in the morning but fades over the day. And the GI symptoms flare up after I eat anything, especially the excessive burping. I've still been eating the same amount of food and my weight has stayed the same, but these symptoms are not only uncomfortable, but they are causing me such much unwanted stress and anxiety.

Does anyone have any similar stories? Can anyone share any ideas as to what might be going on or what I should ask my GP in two days?
Thanks!

REPLY

IBS can be diarrhea or constipation dominate. Could be that you are now having intestinal spasms and constipation. I would discuss this possibility with her.

Is it still considered constipation if I am still passing small, inconsistent bowel movements? Right now I am feeling bloated and the pain has come back on the right side as well.

Hello @mkl8425 and @janecarr. Welcome to Mayo Clinic Connect. Thank you for posting.

Has your stress or diet changed in the past two months, @mkl8425? I'm interested in what your GP does for you when you see him/her- let me know what they say.

@jamienolson

Hello @mkl8425 and @janecarr. Welcome to Mayo Clinic Connect. Thank you for posting.

Has your stress or diet changed in the past two months, @mkl8425? I'm interested in what your GP does for you when you see him/her- let me know what they say.

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Nothing has changed that comes to mind, I will let you know

@jamienolson

Hello @mkl8425 and @janecarr. Welcome to Mayo Clinic Connect. Thank you for posting.

Has your stress or diet changed in the past two months, @mkl8425? I'm interested in what your GP does for you when you see him/her- let me know what they say.

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Hey @jamienolson my GP referred me for an upper endoscopy and colonoscopy no word on how soon yet.

@jamienolson I am scheduled for Colonoscopy and EGD tomorrow… I will let you all know how it goes. Symptoms still remain the same

Wishing you well, @mkl8425!

Liked by mkl8425

@mkl8425

@jamienolson I am scheduled for Colonoscopy and EGD tomorrow… I will let you all know how it goes. Symptoms still remain the same

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Hello @mkl8425

I hope the results of your colonoscopy were good. If you care to post an update, I'd enjoy hearing from you.

@hopeful33250

Hello @mkl8425

I hope the results of your colonoscopy were good. If you care to post an update, I'd enjoy hearing from you.

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@hopeful33250 It went well. The doctor said everything looked normal but took samples for biopsy. Should know sometime next week and follow up with GP. Oddly enough, my symptoms subsided after I cleansed my bowel and hadn't eaten for over 24 hours, then returned the next day when I resumed eating as normal.

I am glad to hear that the procedure went well and that everything seemed OK, @mkl8425. Thanks for following up.

That is interesting that the symptoms returned after you resumed a normal diet. You might report this to to your doctor. It might represent a clue to the problem.

Have you ever been tested for food allergies, gluten, etc.? You might mention the possibility with your doctor to see if is something to look into.

@mkl8425

You might be interested in reading the different discussions for other GI type problems. There are discussions on Collagenous Gastritis, Median Arcuate Ligament Syndrome (MALS), Mesenteric Panniculitis or Sclerosing Mesenteritis. These are rather rare diagnoses that doctors often miss because they are not seen all that often. As you read these posts, if you read something that sounds similar to your own symptoms, you might talk with your doctor about it.

Remember a second opinion is always a good option when you are dealing with pain and discomfort that is not easily diagnosed.

Will you keep in touch and let me know how you are doing?

@hopeful33250

@mkl8425

You might be interested in reading the different discussions for other GI type problems. There are discussions on Collagenous Gastritis, Median Arcuate Ligament Syndrome (MALS), Mesenteric Panniculitis or Sclerosing Mesenteritis. These are rather rare diagnoses that doctors often miss because they are not seen all that often. As you read these posts, if you read something that sounds similar to your own symptoms, you might talk with your doctor about it.

Remember a second opinion is always a good option when you are dealing with pain and discomfort that is not easily diagnosed.

Will you keep in touch and let me know how you are doing?

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Will do, thanks for the response!

@mkl8425

Will do, thanks for the response!

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👍

So the results of my colonoscopy/EGD came in. As far as my understanding, from reading the report, the only thing that they discovered was, "Mild Focal Chronic Peptic Duodenitis." I read into Duodenitis and understand that it is inflammation of the duodenum that is often caused by the bacteria H. Pylori. However, this test came back negative. Not sure what all of the other terms attached to "duodenitis" mean, but I will follow up with my GP to see what she says. Symptoms have remained the same, however the last two days or so they have been so mild, almost non-existent.

@mkl8425

So the results of my colonoscopy/EGD came in. As far as my understanding, from reading the report, the only thing that they discovered was, "Mild Focal Chronic Peptic Duodenitis." I read into Duodenitis and understand that it is inflammation of the duodenum that is often caused by the bacteria H. Pylori. However, this test came back negative. Not sure what all of the other terms attached to "duodenitis" mean, but I will follow up with my GP to see what she says. Symptoms have remained the same, however the last two days or so they have been so mild, almost non-existent.

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Do you notice the pain increasing with any particular food or seasoning, @mkl8425?
I have had three surgeries of the duodenum for neuroendocrine tumors and sometimes when I've had an EGD I've had some inflammation in that place as well. I monitor my diet quite carefully and avoid heavy meals and also spicy foods.

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