How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Arun Phophalia Your Own Question

Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 29561
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
Type Your Health Question Here...
Dr. Arun Phophalia is online now
A new question is answered every 9 seconds

I have had an intense pain all over the abdomen for nearly

Customer Question

I have had an intense pain all over the abdomen for nearly 24 hours. I can still urinate but have had no bowel movemtn in more than 24 hours. I have vomited once and had a lot of undigested food from more than 10 hours previous. The pain is constant and all over but tends to come in waves. i have had my gall bladder removed, had a history of kidney stones (teince) and tend to have blockages in my intestinges, but they tend to pass within a couple hours.
Submitted: 1 year ago.
Category: Health
Expert:  Dr. Arun Phophalia replied 1 year ago.

Greetings Christian .

I am Dr. Phophalia. I am a General surgeon and I would assist you today.

Do you have bloating, gas, tenderness and inability to pass gas (difficulty passing gas)?

Dr. Arun

Customer: replied 1 year ago.

I tend to have a lot of gas but had none recently. There is a slight bloating in the stomach area. There is an increase in pain if I lie down or turn to either side.

Expert:  Dr. Arun Phophalia replied 1 year ago.
Hello Christian,

The most likely possibility for your symptoms are;

1) Intestinal obstruction due to scarring from the previous surgery. OR
2) Pain due to Renal stone / Ureteric stone; when stone passes from the kidney to bladder via ureter, the intestines ceases their peristalsis / movement, which is termed as paralytic isles.

Both of these conditions would need an ultrasound, an x-ray of the abdomen and may be a CT scan to confirm the cause. So going to either an urgent care clinic or ER would be recommended. You may need an enema and intravenous fluids. Home use enema are not advised till cause of this is ascertained.

Please feel free for your follow up questions.

I would be happy to assist you further, if you need any more information.

Thanks for using JustAnswer.

 

We have recently implemented a new rating and feedback system. Please be aware that you are rating my courtesy and service as a professional. If you have any questions whatsoever, or there is anything I can clarify for you, please temporarily bypass the rating system by clicking “Continue the Conversation” or "Reply."

Clicking either of the lowest two options reflects poorly on me so please reply to me if there is anything else I can do to help before choosing those options. I appreciate your patience while we work out the kinks. It's important to me that you are 100% satisfied with the service I have provided you. Thank you.
Customer: replied 1 year ago.

This is the first time this has happened and my gall bladder surgery was nearly 2 years ago si I don't scarring could be the problem. I was just wondering if there was an blockage since it tend to have them fairly often.

Expert:  Dr. Arun Phophalia replied 1 year ago.
Hello Christian,

A paralytic ileus can also occur due to low potassium which may secondarily happen due to vomiting or electrolyte imbalance. Intestinal obstruction due to other causes like twisting of intestines are also fairly common. The intensity of your symptoms would dictate whether you can do a watchful waiting or need to go to a doctor. If the symptoms are mild, you may wait and watch. If there is no abdominal tenderness, you may use suppository for the bowel movement. Avoid an enema though. If the symptoms are moderate to severe, it is advisable to go to a doctor.

It is privilege assisting you
Customer: replied 1 year ago.


I do also have Addison's Disease. Too much potassium is very toxic due to this condition, but again, I have had this condition for more than 20 years and this is the first occurance of this problem.

Expert:  Dr. Arun Phophalia replied 1 year ago.
With the Addison's disease, we have to be more cautious with your these symptoms as electrolyte imbalances can be easy with the vomiting and not passing motion for more than 24 hours. Thus getting blood work for electrolytes would be advised with the medical imaging like x-ray and ultrasound.
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 29561
Experience: MBBS, MS (General Surgery), Fellowship in Sports Medicine
Dr. Arun Phophalia and 3 other Health Specialists are ready to help you
Customer: replied 1 year ago.


Just want you to know after speaking with you I went to the ER at my local hospitol and was diagnosed with extreme inflamation of both my liver and pancreas. I had surgery in a couple days to remove some stones that were lodged in the tubes leading from my liver and pancreas, but none were found. Instead they made incisions in case stone did show up they would pass more easlily. I have had no more pain and am having a follow up with my VA doctor on July 10.

Expert:  Dr. Arun Phophalia replied 1 year ago.

Thanks Christian, for taking time for follow up. I really appreciate it.

Occasionally there are very tiny concretions which block the bile and pancreatic ducts causing them to be inflamed and resultant paralytic ileus. It is good that passage of these ducts have opened up and you are pain free. You would need blood work for liver and pancreatic function tests on your July 10 visit to the doctor.

It is great pleasure and privilege interacting you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
< Last | Next >
  • http://ww2.justanswer.com/uploads/NU/nursescare4u/2013-3-31_03429_JApic.64x64.jpg Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Doctor

    Satisfied Customers:

    102
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor (MD)

    Satisfied Customers:

    5622
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/drphophalia/2007-08-23_095626_dr._arun_phophalia.jpg Dr. Arun Phophalia's Avatar

    Dr. Arun Phophalia

    Doctor (MD)

    Satisfied Customers:

    17025
    MBBS, MS (General Surgery), Fellowship in Sports Medicine
  • http://ww2.justanswer.com/uploads/VA/VANP/2012-6-6_235535_Skye2.64x64.jpg A. Schuyler, NP's Avatar

    A. Schuyler, NP

    Nurse Practitioner

    Satisfied Customers:

    12170
    Board Certified NP, MS, RN. Private practice & hospitalist
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Doctor (MD)

    Satisfied Customers:

    10029
    Over 20 yrs of Family Practice
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Doctor (MD)

    Satisfied Customers:

    6234
    U.S. Physician/Surgeon in Neurosurgery