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Forum Name: Gastroenterology Topics

Question: Chronic Abdominal Pain-Lower Left Quadrant


 mommyinpain - Mon Jan 30, 2006 2:38 pm

I began experiencing severe abdominal pain in my lower left quadrant beginning in March, 2005, one year after C-section delivery of my 2nd child.. Since that time, I have had numerous exams and procedures, both Gyn abd GI, including laparoscopy and colonoscopy, 2 CT scans, 2 regular ultrasounds and 2 vaginal ultrasounds, as well as numerous X-rays...I was recently given a trigger point, lidocaine injection into the area of pain which had little effect.

Bottom line is nothing is showing up, but my pain is getting worse... This pain is not related to bowel movement, and there is no constipation/diarreha. Now, I'm hearing IBS, but it doesn't make sense since I have no probs going potty, and eat a great deal of fiber/drink 10 glasses of water per day (I developed an anal fissure 4 years ago after my daughter was born and have been managing THAT also). I recently discovered a condition called "abdominal wall pain" and the symptoms seem closer to that. As stated above, I was given a trigger point injection recently, but it had little effect. Now, my Doctor wants me to go on Cymbalta, a powerful anti-depressant which I'm terrified of...

The pain seems related to posture/exertion/movement and is ruining my family's as well as my quality of life. I'm running out of possibilities and would sure appreciate any feedback...Thank you for your time...
 Dr. Tamer Fouad - Thu Feb 09, 2006 2:20 pm

User avatar Hello,

After all the investigations you have gone through, there really is very little I can add. However, I will try my best to share a few thoughts.

Chronic lower abdominal pain can be caused by irritable bowel syndrome, inflammatory bowel disease, cancer.

Irritable bowel syndrome usually leads to abdominal pain that is accompanied by altered bowel habits.

Less common causes include causes in the abdominal wall, fibromyalgia, hernia, referred pain, metabolic disorders (porphyria, chronic renal failure, and Addison's disease), endometriosis and psychological disorders.

I'm afraid after excluding organic causes of abdominal pain, a doctor is only left with the possibility of functional and psychological causes.

Best regards.

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