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I have a pain in my lower left abdomen, just under the rib…

Customer Question
I have a pain...

I have a pain in my lower left abdomen, just under the rib cage, if I press it. It feels dull, like when pressing a bruise

Doctor's Assistant: How long have you had the pain? What seems to make the pain better or worse?

About a month, maybe more. Not pressing it and I don’t notice it

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

History of IBS, depression, allergies - gluten, lactose, I’m taking an antidepressant once a day. I’ve chronic urticaire also and a skin rash. All possibly stress related. My wife was pregnant, it was a high risk pregnancy and we lost the baby last week. It has been for me a stressful 4 months

Submitted: 8 months ago.Category: Medical
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Answered in 5 minutes by:
12/13/2017
Doctor: DrRussMD, Board Certified Physician replied 8 months ago
DrRussMD
DrRussMD, Board Certified Physician
Category: Medical
Satisfied Customers: 65,673
Experience: Internal Medicine--practice all of internal medicine, all ages, family, health, prevention, complementary medicine, etc.
Verified

Hi.
Welcome to just answer. I am here to answer questions for education and information. I will respond shortly with an answer, or a question for you

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Doctor: DrRussMD, Board Certified Physician replied 8 months ago

What has your doctor said about this pain?

What tests?

What diagnosis?

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Customer reply replied 8 months ago
My Dr is theoretical and thinks it is the pancreas
Customer reply replied 8 months ago
No call needed
Customer reply replied 8 months ago
Hello?
Doctor: Dr.Saleem, Doctor replied 8 months ago
Dr.Saleem
Dr.Saleem, Doctor
Category: Medical
Satisfied Customers: 3,527
Experience: MBBS
Verified

Hello and welcome to JA. Dr Saleem here. Will be answering you shortly

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Customer reply replied 8 months ago
No thanks for a call. Respond here
Doctor: Dr.Saleem, Doctor replied 8 months ago

Sorry to hear about that. Is it a constant pain or it comes and goes? Does it radiate to the back? Does it change with food, posture or activity ? Anything that seems to help?

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Doctor: Dr.Saleem, Doctor replied 8 months ago

Please ignore the automated phone call requests

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Customer reply replied 8 months ago
It is only noticeable when I press the area.
I have back pain regularly so if it is radiating I am not aware because I have spondylolethetis isthmic at L5-S1
Customer reply replied 8 months ago
No change when eating
Customer reply replied 8 months ago
I feel a little constipated. I open my bowels nearly every day, but it feels like it is not much
Customer reply replied 8 months ago
I am wondering if it is IBS. And perhaps stress related.
Doctor: Dr.Saleem, Doctor replied 8 months ago

Alright you need to get a few labs done alongwith an ultrasound.

These include;

Complete blood count

Serum amylase/ lipase for pancreatitis

Serum liver function tests

Ultrasound abdomen.

You can manage the pain with tylenol or ibuprufen. Take an antacid if it feels gastric which is typically burning .

For constipation you need to add fiber in the form of fruits/ vegetables. You may take miralax if this doesnt help. Keep good water intake .

If the pain is IBS related then OTC mebeverine can be really useful.

So for now take tylenol and omeprazole for pain, miralax for constipation and get these tests done

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Doctor: Dr.Saleem, Doctor replied 8 months ago

Please let me know if you have any further queries

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Doctor: Dr.Saleem, Doctor replied 8 months ago

Please reward credit for the consult by clicking 5 stars in rating corner of your page if you are satisfied.

Wishing you a healthy life.

Regards.

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