Doctors Lounge - Gastroenterology Answers
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Forum Name: Gastroenterology Topics
Question: severe stomach pain
|scarletthread - Wed Jan 14, 2004 6:07 pm||
This is concerning my brother. He's been having severe stomach pain, diarrhea, spaghetti style bowel movements. The pain is worse immediately after eating, so severe as to doubling over. The pain is constant, with almost constant bowel sounds, gurglings and high pitched noises, etc. He's had several abdominal surgeries in the past. We're suspecting a bowel obstruction, due to adhesions. He's scheduled for surgery next week. My dilema is, the dr. has'nt done any testing to determine if there is a BO. What would be the normal protocol?
|Dr. Tamer Fouad - Sun Jan 25, 2004 8:54 am||
Patients that have undergone frequent abdominal surgeries in the past develop adhesions due to fibrosis as a result of the surgery. This is a frequent complication.
Normally you would request an x-ray first to confirm the diagnosis. Then try conservative treatment by reducing oral intake and the use of laxatives if necessary. If treatment is insufficient or progressive then surgery maybe required.
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