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Abomen pain with twist in colon in ENDOSCOPY, CT SCAN.

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Hi, I am suffering from lower abdomen pain on the left side above the groin ( I am a female, aged 53 years) for the last 3 years. I have taken lot of medicines but of no avail. Recently, I was asked to undergo endoscopy and a CT scan, the reports of which are attached hereto. I understand that there is twist in my colon, my doctor advised me medicines (prescription attached) and said that I should be alright and fit to travel. I need advice as to whether the advice given to me by the physician is right or should I go for a surgery and whether the pain will subside.

Category: Gastroenterologist, Surgical

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Category: Gastroenterologist, Surgical
 22 Doctors Online

Hello,
Thank you for your query at DoctorSpring.com
You have two problems as per your reports
1. Sigmoid diverticulae and it's symptoms
Treatment - surgery for its complications like bleeding, obstruction, repeated diverticulitis etc...otherwise it will be managed with medications
2. Adhesive subacute intestinal obstruction
Treatment - usually with medications. ..requires surgery only in few patients
This is common after any abdominal surgery
To correlate with ur symptoms i need to know few points
1. Did u had any surgeries in the past?
2. Give complete details of your symptoms?
Dr. Lokesh


Patient replied :

Dear Dr. Lokesh, Thank you for your reply. 1. I was operated and through laparoscopic treatment my ovaries and uterus was removed about 4 years ago for excessive bleeding. 2. I have the following symptoms: a) feeling of wanting to go to motion always; though I go only once mostly, occasionally twice, mostly solid, occasionally semi-solid and loose. Occasionally, I see food particles. Sometimes mucus b) pain at the lower abdomen going upto back and down to the groin level C) gas is coming out occasionally. Kindly guide me on food and medication and how long it will take for me to be alright. Regards, Durga


Hi
Acute angulations on colonoscopy may be due to adhesions of previous surgery. ...for that you don't need any treatment
Your symptoms goes more in favour of IBS (irritable bowel syndrome ). ..
You need to take regular diet without skipping a meal
Should take more boiled food than fried items
Should take good amount of dietary fibres
You don't need any surgeries
Medications. .....
Tab. Rifagut 550mg
1-0-1 for 4 weeks. ..after food
Tab. Ibscim 1 sos for pain
Dr. Lokesh


Dr. Lokesh HM
Category: Gastroenterologist, Surgical
Experience: 
Fellowship: Minimal Access Surgery (FMAS)
Fellowship: Pancreato-Biliary surgery (FPBS), SGPGI Lucknow, 2012
Senior Residency: MCh, Sanjay Gandhi Post Graduate Institute of Medical Sciences (SGPGI) Lucknow, 2011
Junior Residency: MS, PGIMER, Chandigarh, 2008
Medical School: MBBS, MS from Post Graduate Institute of Medical Education and Research (PGIMER) Chandigarh, 2007
Dr. Lokesh HM and 4 other Medical Specialists are ready to help you

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