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Many questions
New Member


Date Joined Jul 2007
Total Posts : 8
   Posted 7/21/2007 6:16 AM (GMT -7)   
I have come to this message board as someone who hasn't ever posted a question on the internet anywhere - ever...
 
I am coming out of frustration, because I cannot get a solid answer to one single question from any doctor. I am sincerely hoping I can get some feedback from those "In the know" that experience this everyday! My question is this: Does IBS present with a specific pain in the exact same place everytime that it rears its ugly head? Or would that be more specific to Diverticulosis or to IBD? I get a VERY specific pain in my left rear flank area that is always accompanied by D. I have food intolerances that usually trigger this and sometimes the pain is very severe. Never a fever or vomiting, just this pain - everytime in the exact same place. It is not muscular becasue it usually is relieved to some degree by a bowel movement. I am at wits end since I have had this for over 15 years.... Help anyone?? I would appreciate any thoughts from those who are experienced!!!

7Lil
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Date Joined Apr 2005
Total Posts : 3269
   Posted 7/21/2007 9:50 AM (GMT -7)   
Hello Many questions,
Welcome to HealingWell! :-) You've come to a great place... Hopefully we can all help each other.

No, IBS does not always present with a specific pain in the exact same spot. BUT, that's not to say it can't for you. The thing with IBS is that it is a diagnosis of exclusion. If the docs can't find an explanation for your woes, then you have IBS. I usually get lower abdominal cramps that go away after I use the restroom, however, occasionally I get what I think are gas pains that hit me all the way from my breast bone to right above my pubic bone.
I would think that with Diverticulosis the pain would be more consistent. But, I don't have it so I don't know. IBD might be a little trickier because Crohn's, for example, can show up anywhere from your mouth to your anus; it can probably make your entire body hurt. Ulcerative Colitis is more specific to the colon and rectum. The pain might be in a smaller area but still maybe not in the same spot as ulcers reappear randomly.

How bad and how often is your pain? Do you have daily D? Did your doc prescribe anything, like an antispasmodic?
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Sarita
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Date Joined Mar 2005
Total Posts : 2486
   Posted 7/21/2007 10:04 AM (GMT -7)   
Welcome, many questions...hopefully we'll have many answers for you :)  But first...I have questions for you!
 
Have you had any exams done, such as a colonoscopy or barium enema or ultrasound?  What kind of food intolerances do you have?  Is this pain cyclical (i.e., coming and going at specific times, like around the time of your period, etc.)?  How often do you have diarrhea? 
 
I'm sorry you're experiencing such pain; I hope we have some suggestions for you.
Co-moderator - IBS Forum


Many questions
New Member


Date Joined Jul 2007
Total Posts : 8
   Posted 7/21/2007 12:19 PM (GMT -7)   
Thanks for responding - I hope there are answers here too! :-)
I have what I call "episodes". Some that last a week, others longer. Currently, I am having an episode that has gone on now for more than a month. I do have daily D, sometimes as many as 5 or 6 times a day. I had a colonoscopy 15 years ago when this forst started and it was unremarkable. I am scheduled for another one on Aug 29th. I figure its probably a good idea. Generally speaking, it can get worse from dairy products, and most certainly alcohol. Oddly enough, driving in the car will bring on the need to have a BM and the pain sometimes when its at its worse point in the episode. THe pain and the bathroon trouble is daily during the episodes. I tried an antispasmodic at one point about 10 years ago, and it seemd to give me C, so I gave that up. I think the absolutley most frustrating part of all of this - and I am sure you will agree, is the "no specific cause or cure" part. Its like a crapshoot in the dark - like you said - by exclusion. I wonder if anyone out there knows first hand what Diverticulosis feels like? Whats the BEST doctor to go see? A Gastroenterologist? Internal medicine Doc? I know my family doc is not the best source - try as he might.

Sarita
Veteran Member


Date Joined Mar 2005
Total Posts : 2486
   Posted 7/21/2007 1:57 PM (GMT -7)   

A gastroenterologist will be the one doing your scope, so you should have an appointment with him/her or another GI afterwards to go over the results and form a plan from there.  You might give an antispasmodic another go.  If it gives you C, you could try cutting the thing in half and that might work well. 

Dairy products and alcohol are typical irritants for IBSers, certainly for me (doesn't stop me from imbibing now and then, but I take it slow :-) ) Have you ever kept a food/symptoms diary?  Track exactly what and how much you eat/drink, then write down how many BMs you had that day and describe the pain as best you can.  Do that for two weeks at least.  Your GI will thank you!  It's amazing how patterns can emerge when we don't think there are any patterns but just pay closer attention.

It's good you're getting another scope, sometimes things change over the years.


Co-moderator - IBS Forum


dbab
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Date Joined Jan 2004
Total Posts : 4151
   Posted 7/21/2007 2:37 PM (GMT -7)   
Welcome Many Questions :-)

I have diverticulosis and have had diverticulitis attacks twice. I can tell you that the pain is where your diverticuli are located. For me, they are in the sigmoid area (most popular area for diverticuli) and it produces a stabbing like pain in the lower left abdomen area. It can be very, very painful and can easily cause you to double over. If you notice blood in your stool or you do eventually get a fever with it, its best to seek immediate medical attention. Hope that answers a little bit about the diverticulosis part.

Take Care
"Des"
Co-Moderator ~ IBS Forum
Co-Moderator ~ Lupus Forum 
Dx: IBS 1989, Diverticulosis 2004, Idiopathic Acute Colitis 2006, UCTD 2007
Meds: Plaquenil 400mg, Chlorzoxazone 500mg, Lyrica 50mg, Protonix 40mg, Naproxen 1000mg, Klonopin 2mg/day (tapering to PRN), Miralax 17g, Supplements


http://www.healingwell.com/donate


Many questions
New Member


Date Joined Jul 2007
Total Posts : 8
   Posted 7/22/2007 7:32 AM (GMT -7)   
Well - This helps a lot! Again - it seems that the whole IBS thing is very individual specific and non-descript - again, by exclusion. It doesn't sound like Diverticulosis is what is ailing me - but I will take your advice and start a food diary. Between now and my Colonoscopy, I should get a pretty good idea of any pattern. I will continue to read replies as I find these conversations oddly comforting!! Its really very nice to talk to those who have been there, as opposed to someone who is trying to understand via the facts. Not that that doesn't have its place - but the talking helps.
Thank you very much for responding... :)

Many questions
New Member


Date Joined Jul 2007
Total Posts : 8
   Posted 7/22/2007 7:37 AM (GMT -7)   
Des -
Quick question - The pain I have is in my lower left area, but in the back - appearing to be in the descending colon (the part that runs vertically on your left side). At times, this pain is VERY sharp. Is it typical for the Diverticulitis attack to happen in this area? I know that one can't diagnose, but have you ever heard of pain presenting in the back? My idea is that it is happening in the rear wall of the colon and therefore it feels as if it is in my back as opposed to hurting in the front of my abdomen. Thepain feels very deep in my back. Ugh. This is what is hard to explain to the doctors. They don't get the "back" part.

gutastrophe
Regular Member


Date Joined Jul 2007
Total Posts : 319
   Posted 7/22/2007 8:58 AM (GMT -7)   
Hi Many Questions!  I too find these conversations comforting!  It's always good to know you are not struggling alone with this condition!
 
Back pain is not unusual.  I've gone to naturopaths who claim it is very common to experience this, especially if you are prone to C.  When the bowels are full and trying to move, sometimes the pain can radiate to the back.  During very severe episodes, I have had back pain that feels like someone has pulled a very tight corset around my back and rib cage.  There are so many different areas of the bowel that can be in spasm.  Over the last 20 years, I've had pain that has been localized on the right side, the left side, the center of the belly, the back, under the sternum, and on and on. 
 
I wanted to comment about the car!  Yes, yes I have the same responses whenever I get into my car!  It's gotten to the point at times where I am actually fearful of driving because I am so anxious about what might happen!  I am sure part of it is the worry itself which never helps the gut but I am also convinced that part of it is posture.  I find sitting in general to be very difficult.  I am fortunate in that I am standing all day while I work.  But once I sit down, trouble tends to start.  Sitting in the car sometimes feels like sitting on the toilet and I often wonder if just being in this position makes the bowel think it's time to move!
 

Canyonbabe711
Veteran Member


Date Joined Mar 2006
Total Posts : 1451
   Posted 7/22/2007 3:22 PM (GMT -7)   
I am really not trying to be funny here but when cows are bloated and having intestinal problems they put them on a truck and drive them around I guess to shake up the insides. Having lived in a dairy area this was quite common. Of course they tend to be sedentary and certainly don't sit much.

Many questions
New Member


Date Joined Jul 2007
Total Posts : 8
   Posted 7/22/2007 4:28 PM (GMT -7)   
WOW! THat's so funny - becasue I was thinking the same thing! I also get pain when sitting at my computer and posture DOES have something to do with it! If I sit hunched - with that posture, the bowels seem to be 'smushed' together - it will act up and I will definitely have to have a BM very soon there after and its often 'rushed' - meaning good thing the bathroon is close by - or I may not make it. I very often forget about the trouble appearing when I have to get in the car - as it seems to only happen when I ride in my husbands truck , as a passenger. I have made mental note of how I am sitting if it happens as opposed to how I sit in my car when I am driving - and my posture is very different. I thought I was losing my mind or "creating" scenarios when I thought this was happening! Somebody else is experiencing this!! YAY! THank you!!!

dbab
Veteran Member


Date Joined Jan 2004
Total Posts : 4151
   Posted 7/22/2007 7:07 PM (GMT -7)   
Many questions, I have never experienced the pain in the back with diverticulosis but I'm sure its not impossible. Mine is in the front right above the pelvic area to the left. I do get back pain though when the IBS spasms are acting up so I wouldn't rule that out. You may want to ask your doc about antispasmodics which might ease the pain a bit and that may give you some answers if its spasms or not. Good luck!!
"Des"
Co-Moderator ~ IBS Forum
Co-Moderator ~ Lupus Forum 
Dx: IBS 1989, Diverticulosis 2004, Idiopathic Acute Colitis 2006, UCTD 2007
Meds: Plaquenil 400mg, Chlorzoxazone 500mg, Lyrica 50mg, Protonix 40mg, Naproxen 1000mg, Klonopin 2mg/day (tapering to PRN), Miralax 17g, Supplements


http://www.healingwell.com/donate


Many questions
New Member


Date Joined Jul 2007
Total Posts : 8
   Posted 7/23/2007 6:21 AM (GMT -7)   
Thank you!!

Keriamon
Veteran Member


Date Joined Jun 2005
Total Posts : 2976
   Posted 7/23/2007 7:56 AM (GMT -7)   
You mention that dairy seems to make you worse. Have you ever tried cutting it out complete? I mean giving up things with even powdered dairy in it. Caesin is a milk protein which people who are just lactose intolerant can tolerate (as it doesn't contain lactose), but which people with a dairy allergy cannot tolerate. Read the labels on food to find out if the food contains dairy. If it does, avoid it and see if you have less attacks. You may have a dairy allergy. Supposedly they are very tricky to identify, food allergies; it's not uncommon to get false negatives on tests. There's also the tricky bit that an intolerance isn't an actual allergy, but an intolerance can be enough to set your bowels off big time.

A few other things to examine closely are gluten (in most grains), artifical and real sugars, caffeine, red meat.

Many questions
New Member


Date Joined Jul 2007
Total Posts : 8
   Posted 7/23/2007 8:00 AM (GMT -7)   
Would it still be an allergy if it happens sporadically? Sometimes (Long periods of times) I can eat dairy and have a glass of wine without any symptoms whatsoever. Would that still be the case do you think?

Canyonbabe711
Veteran Member


Date Joined Mar 2006
Total Posts : 1451
   Posted 7/23/2007 8:03 PM (GMT 0)   
Strangly enough sometimes alcohol will relax the intestine enough to where you may not have a problem. Not advocating drinking but I know the only time my husband did not have to go after eating was when he did not have a drink which eas breakfast and lunch on workdays. He never had a problem in the evening when he had his cocktails or when we went out to lunch or dinner and had wine or a drink but always had it when we went out to breakfast unless on vacation when we would have a Bloody Mary. Have a friend that says the same thing. If I were you though I would eliminate all dairy for 2 weeks and see how you feel. You can use soy or Almond milk for cereal.

Many questions
New Member


Date Joined Jul 2007
Total Posts : 8
   Posted 7/23/2007 2:03 PM (GMT -7)   
Thanks for the info!
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