Question about pain

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CathyA
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Date Joined Mar 2005
Total Posts : 1431
   Posted 3/6/2007 10:41 AM (GMT -7)   
Hi everyone,
   I've had IBS-D for about 10 years.  I've controlled it with calcium.  I've never really had pain with it.......just other funky symptoms, like pressure, bloating, feeling like I had a small animal in my chest, etc.
   But about 5 weeks ago, I started having a chronic ache just to the left of my stomach, about 2" under my left ribs.   Since I HATE going to the doctor, and having awful GI tests, I'm trying to deal with this without going there first.   I'm 57......so I'm sure my body is wearing out.   But have some of you developed different pains here and there, throughout your IBS history, that just come and go, or come and stay, and they don't mean anything bad?
  I sleep on my right side all the time, and was thinking maybe any gas just accumulates in one higher spot, and leads to the pain?   Its on the left side, but I suppose it could be referred pain from my gall bladder.  I have had more diarrhea recently.
   It seems like any time I take antibiotics, my intestines get even worse.  I had an antibiotic right before this pain started up, but I've been taking probiotics ever since, and it doesn't seem to change anything.
   Do alot of you have pain that you just have to live with?  Sorry to sound ignorant.  I guess I've been lucky to have non-painful IBS.........but maybe my luck just ran out!  Thanks!

Keriamon
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Date Joined Jun 2005
Total Posts : 2976
   Posted 3/6/2007 10:57 AM (GMT -7)   
It's usually a good idea to go back to the doctor when your symptoms change. While your symptoms before may have been so vague as to have been classified as IBS, they can change so that your true problem is revealed (it was only after my gall bladder symptoms changed that I got diagnosed correctly). So, I'd suck it up and go back to the doctor, just in case. It could very well be that it's a new symptom of the same old thing, but if there's a chance it might be something else (something that could be fixed), then you should get it looked at.

Have you changed up your probiotics or tried taking a higher dose? Make sure when you do go to the doctor, you get the new breathalyzer test, because it is rather telling that this started right after taking antibiotics; you may now have a bad bacteria in there that's hard to get rid of. They're bad about giving you excess gas. Also, if you haven't already, try the usual gas-relief medicines to see if you can get rid of that pain. It does sound more like gas than anything, but if they can figure out why you have it all of a sudden, maybe it can be treated.

CathyA
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Date Joined Mar 2005
Total Posts : 1431
   Posted 3/6/2007 11:17 AM (GMT -7)   
Thanks Kariamon,
Is the breath test a new thing? I've had gb ultrasounds in the past (about 6 years ago), and I don't think they had the test then. Is it available pretty much everywhere? And what exactly does it test for? Thanks!

Sarita
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Date Joined Mar 2005
Total Posts : 2486
   Posted 3/6/2007 1:27 PM (GMT -7)   

The breath test checks for bacterial overgrowth, but don't think it's a widely available test...not one of the "gold standards," anyway.  You ingest a sugar solution (lactulose); if there's bacterial overgrowth, the bacteria will ferment the sugar into hydrogen and methane.  You'll expel it through your lungs and they'll check to see if you are expelling excess hydrogen and methane.  If you just went through a round of antibiotics, however, the chances of this being the culprit are slimmer.

The upper abdominal pain could be caused by so many things.  How do you describe the pain?  Burny, achy, crampy?  How often do you experience it?  During the day or during the night? 


CathyA
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Date Joined Mar 2005
Total Posts : 1431
   Posted 3/6/2007 3:09 PM (GMT -7)   
Hi Sarita,
The pain is more like an ache, with an occasional cramping on left and right side (of stomach location).
Its pretty much there alot, but does seem to worsen after eating. Have it mostly during the day, but do notice it at night too.

Indigo
Regular Member


Date Joined Mar 2007
Total Posts : 39
   Posted 3/6/2007 4:48 PM (GMT -7)   

CathyA, I get a similar pain, if not the same. I would firstly suggest getting an ultra sound to check your gall bladder and check for gall stones. I also had to have blood taken to check my kidneys and liver were ok. All came back clear, but you feel better knowing that.

After lots of research i came to the clonclusion it is blockages in the colon. As you probably know, IBS used to be called Spastic Colon, coz in many of us the colon does not work exactly right. A normal person will have a smooth flowing colon ripple, and we can get very erratic spasms and cramps. During these spasms and cramps etc, contents of the colon can be shot forward or pushed back and fluid can be increased or decreased and you can get a blockage, just some contents get stuck and it can be very painful indeed. I get blockages in the bend at the top right on regular occasion. The bends in the colon are a common place for these blockages, but it can occur at any point within the colon. I also find that D can increase during these times. I deal with it by taking pain killers. It is the only thing i have found that works, but not all the time. High fat foods make it much worse, too, eggs especially, but that's just me.

I really hope this helps, but please get checked as i am not a doctor.

Indigo


CathyA
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Date Joined Mar 2005
Total Posts : 1431
   Posted 3/6/2007 5:11 PM (GMT -7)   
Thanks Indigo,
What you said makes sense. I've always seemed to have problems with the curve at the top left. Funny you should mention eggs........I hadn't had any in awhile, and then had creamed eggs on toast, and the pain worsened!
I guess I'm lucky that the pain didn't start 10 years ago, when I got IBS. I'm going to keep an eye on it, and I will go to the doc's if it gets any worse. Thanks again.

Silvara7
Regular Member


Date Joined Mar 2007
Total Posts : 35
   Posted 3/6/2007 9:09 PM (GMT -7)   
My most annoying symptom of IBS (or is it IBD?) is an aching, sometimes cramping pain in my upper right abdomen, just below my ribs almost in line with my Rt breast (a little rt of that line). It's always there to some extent, but it really starts hurting me when I'm flaring. I had my first set of GI tests because of this pain and no one could discover the cause. One PA thought it was from a bubble trapped at the bend in my colon. Sometimes when I press on the area, I can feel something moving, but I don't know what a gas bubble in a colon would really feel like. This PA could feel it as well and she's the only one who took the time to do so. At the time, I was told most IBS ppl have left-sided pain.

Has anyone found relief from this sort of pain? Sometimes I lie on my right side, almost on my stomach so I'm pressing all my weight onto that spot. Maybe it's all in my mind, but it's the only thing I've found that helped. Bentyl sometimes helped. Or it just made me not care....

I think the worst pain I had was from the two barium studies. That was awful! sad

I hope you can get back to non-painful IBS, Cathy. It's better that way! tongue
Wendy
20+ yrs IBS, 7 yrs hypothyroid, 3 yrs GERD, "stomach problems" my whole life.
Prevacid 15mg


7Lil
Veteran Member


Date Joined Apr 2005
Total Posts : 3269
   Posted 3/6/2007 9:25 PM (GMT -7)   
Wendy,
Your right side pain could be gas, kidney stones, endometriosis (low pain), tubal pregnancy (low pain), appendicitis, your liver... it could be a lot of things. You mentioned you had your gallbladder checked, right? If it is a new symptom or very painful you might want to consult your doc about it.

IBS is Irritable Bowel Syndrome, a motility disorder. IBD is Inflammatory Bowel Disease, it is the general reference to Ulcerative Colitis or Crohn's Disease (inflammation/ulceration of the digestive tract).
Co-Moderator for the IBS Forum
 
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Silvara7
Regular Member


Date Joined Mar 2007
Total Posts : 35
   Posted 3/6/2007 10:20 PM (GMT -7)   
7Lil said...
Wendy,
Your right side pain could be gas, kidney stones, endometriosis (low pain), tubal pregnancy (low pain), appendicitis, your liver... it could be a lot of things.


Hi Lil,

I'm still not sure if I've got IBS or IBD. I don't think my Dr knows.

When I first started having these pains, I had multiple rounds of bloodwork, pelvic exam, ultrasound (regular and trans vag) and pap. A few years later, I had the barium swallow and then the enema, so they could see my appendex. More pelvic tests and bloodwork. Just last week I had an u/s of my gallbladder, spleen, liver and pancreas and the week before I had a colonoscopy that showed lots of inflammation. (mentioned in my IBS or IBD? thread) The week before that I had an EGD with some gastritis showing. These recent EGD and c-scope are the first time they have ever found any inflammation anywhere. I guess that's why the GI doc wants to say it's IBS.

This upper right side pain has been pretty constant since about '90.
Wendy
20+ yrs IBS, 7 yrs hypothyroid, 3 yrs GERD, "stomach problems" my whole life.
Prevacid 15mg


7Lil
Veteran Member


Date Joined Apr 2005
Total Posts : 3269
   Posted 3/6/2007 11:00 PM (GMT -7)   
That's right! The famous inflammation without a proper diagnosis. I remember us saying that you should seek a second opinion; that that much disturbance in the gut is not IBS. I think you also mentioned you went to the UC board... What did they have to say? I'm pretty sure I've seen a few of them post that diagnosis took years. The biopsy from your scope may not have shown UC or Crohn's but it doesn't mean you don't have it. I just don't understand your doc... Ulcerations are NOT part of IBS.
As for that pain, since all your test came back clear, it may in fact be due to IBD. Especially since you've had it for so long. Geez, since the 90's? I am so sorry.
I cannot stress enough... please get a 2nd opinion.


Co-Moderator for the IBS Forum
 
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Silvara7
Regular Member


Date Joined Mar 2007
Total Posts : 35
   Posted 3/7/2007 12:05 AM (GMT -7)   
Thanks Lil! I'm looking into the 3 other GI's in my area. I have nothing to recommend them at this time and it would be like picking from the phone book. Literally!

The pain that really freaked me out was 4 days before my c-scope. Not like the "usual" pain at all. That night was pretty awful. All the way across my abdomen and then centered just below my navel. Kind of like repeated stabbings. Then blood in the stool and more pains (not so intense) for the next 3 days. IBS has never treated me this badly before so I'm suspicious nono
Wendy
20+ yrs IBS, 7 yrs hypothyroid, 3 yrs GERD, "stomach problems" my whole life.
Prevacid 15mg

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