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Q&A Topics

Abdominal Pain


Yesheen (dr.) Singh Medical Doctor View profile

Dear Y

Thank you for your question. It sounds like quite a complex constellation of symptoms. How do you know the pain is beginning in your left ovary? That is quite a specific statement - have you had a problem there before? From the symptoms you describe it could also be you left kidney. Without examining you it will be difficult for me to offer an opinion.

Use of antibiotics negatively impacts the helpful bacteria that occupy the membranes of the bladder, uterus, fallopian tubes and ureters. This can then lead to pain and discomfort in any of these organs. The first recommendation I can make is the addition of a good probiotic, usually one from the fridge section of your health store, which you should ideally use for at least 4-6 months. I would also steer clear of any further recommendations to use an antibiotic until you work to bolster you general level of immunity.

Secondly I would recommend reducing your intake of acid-forming foods, including red meat, sugar and artificial sweetener containing foods, white flour and preservatives. Thirdly I would ensure that you were taking in enough clean water.

I hope these tips help. If you need more specific information please make an appointment at 076-229-4662.

Many thanks and warm regards

Yesheen

Gabriell (dr.) Prinsloo Medical Doctor View profile

Hi

Sorry about the delay in answering your question!

Flexocam is a non-steroidal anti-inflammatory. If there is no improvement then your pain is probably not caused by inflammation.

It sounds like your digestive system is most likely out of balance. This commonly results in symptoms including abdominal pain, bloating, indigestion and increased gas formation without necessarily resulting in changes when going to the toilet or overt disease.

Stress, poor diet, lack of exercise or previous use of antibiotics amongst other things can lead to an imbalance in the gut bacteria with an increase in the bad ones and decrease in the good ones. This can lead to damage of the gut wall and leaky gut syndrome. In addition the excess of bad bacteria or Candida results in increased gas formation, bloating, indigestion and/or pain. This could account for pain that comes and goes as well as moving around. Symptoms are often worse at the end of the day or after eating specific foods.

To diagnose this it is useful to do a stool test specifically to look at the good and bad bacteria as well as the possibility of leaky gut syndrome. Treatment would depend on what the test shows but would also include modification of the predisposing factors.

The other option to consider is that abdominal pain can be related to tension and nerve compression in the back. This would be worse at the end of the day or after a long period of sitting.

If you would like help finding the appropriate person to go to, please email me at Gabriell@skylightsanctuary.com

Warm regards

Gabriell

Yesheen (dr.) Singh Medical Doctor View profile

Dear Mrs W

Thank you for your question. It sounds like you need someone to do a full medical history and examination to ascertain your core problems, which from the message you posted looks very likely to be in the gastro-intestinal tract. An abdominal ultrasound and some blood tests would also be helpful in pointing you and your practitioner in the right direction. I find it motivating that you want to make a "play toward fitness" as patient responsibility is one of the key factors to a successful health intervention.

You would be welcome to visit my website to find out a bit more about me, and if you would be comfortable having me consult with you on your health concern. If not please email me again and I can find someone more suitable to your criteria.

Many thanks and warm regards

Yesheen

Gabriell (dr.) Prinsloo Medical Doctor View profile

Hi, I'm sorry to keep you in suspense!

It doesn’t sound like you are pregnant. Pain similar to period pains can be caused by back spasm, tummy bugs, indigestion and stress. It sounds more like your digestive system was not working well for some reason (stress, eating something unusual or a mild tummy bug). This results in gas formation and bloating, which can put pressure on nerves causing cramps and lower abdominal pain. There can also be spasm of the muscles in the intestinal wall resulting in cramps and pain.

The best time to do a pregnancy test is at the time of the first missed period (about 2 weeks after conception). If it is done too soon it can be falsely negative. So if you do miss a period then I would recommend a pregnancy test, however I am sure that your period will begin as normal!

Warm regards

Gabriell

Chase (dr.) Webber Naturopath View profile


It would be advisable for your mother to return to the doctor who diagnosed and performed the last surgery if possible. If not I would advise that she see a gastroenterologist who is a specialist for the digestive system. Best wishes Chase Webber ND

Gabriell (dr.) Prinsloo Medical Doctor View profile

Hi

Apologies for the delayed response - I have been ill and away from my computer.

While each person has their own natural frequency of bowel movements, once every 5 days is a very long gap and it is definately not normal to have a lot of pain. For some reason the waste is not moving effectively through your digestive system. It is difficult to know exactly what is going on without the results of the tests that have been done. I think that the answer will only come clear when you see the specialist who can then do an examination and any additional tests needed to work out exactly what is going on.

If the pain worsens or you experience vomiting then go to your GP immediately. Until you see the specialist make sure you are eating a healthy diet with lots of fibre (whole grains, vegetables and fruit especially prunes), drink enough water (6 to 8 glasses a day) and exercise regularly as this increases the movement of waste through the digestive system. Stay away from pills for now, they aren’t the answer unless we know what the exact cause is.

Unfortunately I am unable to give more specific advise without more information.

Hang in there, hopefully it will be solved soon.

Kind regards

Dr Gabriell Prinsloo

Gabriell (dr.) Prinsloo Medical Doctor View profile

Hi

It is unlikely that there is anything that you need to worry about at this point. Have you been unusually stressed recently? Stress could easily affect your digestion causing cramps and bloating, as well as affecting your hormones. If there is no reason for fat gain, the extra weight could just be related to fluid overload.

If you don’t feel back to normal in the next week, then I would suggest going for a check up with your GP. If you are in Cape Town and would like to see me, you can give me a call on 021 7970003 for an appointment.

Kind regards

Dr Gabriell Prinsloo

Felicia Rubin Pharmacist View profile

Millerspas is an antispasmodic and not prescribed very often. It is a Schedule 5 drug and requires a doctors prescription. The reason being, the formulation includes Phenobarbitone, which is a tranquilliser. The main ingredients are anti-spasmodics, thus relaxing the stomach muscle and resulting in pain relief. However, this medication treats only the symptoms and I strongly recommend a diagnosis before using it for a long period of time. I wish you well. you are welcome to come and see me at our Kloof Store for further advice. Regards, Felicia (Senior Pharmacist and Natural Medicine Dispensary Consultant, Kloof Street)

Sean (dr.) Gomes Medical Doctor View profile

It would be difficult to make any form of diagnosis without an examination and further investigations. Your abdominal pain can be related to a number of systems and organs including the bowel, bladder and kidneys. Should the medications that your doctor has prescribed not alleviate the symptoms, I would suggest that you visit him/her again to investigate the cause of your symptoms further, which can be done through radiography. Hope that you are able to get to the bottom of this. Kind regards. Dr Sean Gomes

Sean (dr.) Gomes Medical Doctor View profile

This sounds like a rather complicated case. The investigations you have described should have ruled out all major pathologies that can effect the large bowel and result in symptoms in the lower left quadrant of the abdomen.One possibility is that you may have diverticulosis as this most commonly causes pain on the left hand side as you have described. I would suggest discussing this with a specialist. However, this may not be very likely as it normally occurs in older populations. I would suggest eating a high fibre, high vegetable diet. Try to limit all meat and dairy products.

Other options are to have a food allergy blood test done with either ALCAT labs or MDS Africa (ImuPro tests), as these are comprehensive tests which will test many foods, preservatives and yeasts. One can react to any food, food allergies are not limited to gluten, wheat, dairy etc. Even healthy foods (eg tomatoes) can make you sick if your body reacts to them. Everyone suffering from any sort of gastrointestinal symptoms should consider having one of these tests done. Results usually come as a surprise to the patient and once eliminating the offending foods many feel almost immediate relief.

Lastly, a detox/colon cleanse may be beneficial to you as it will help flush out any bacteria which are overpopulated in your gut as well as give your you GIT system a time to heal. Only detox under the guidance of a nutritional therapist.

Good luck, I hope you find some relief soon.

Kind regards

Taryn (Nutritional Therapist, Kloof Street)


Please Note:

The Wellness Q & A is for informational purposes only, and is not intended to diagnose or provide treatment for any condition. If you have any concerns about your health, you should always consult directly with your healthcare professional. Wellness Warehouse will not be liable for any errors in the Wellness Q & A, or for any actions taken in reliance thereon. The advice on the Wellness Q & A is not comprehensive and does not replace the assessment and advice of your own healthcare professional. Consultation with your healthcare professional is extremely important if you are experiencing persistent or severe symptoms.

Caution:

Consult your doctor, healthcare professional, and/or pharmacist before using any supplements or before making any changes in prescribed medications. If you have a chronic illness or routinely take prescribed or over-the-counter (OTC) medication, or you are pregnant or breastfeeding, it is extremely important to consult your doctor, healthcare professional, and/or pharmacist before taking any new medication. Do not stop taking any prescription medication without consultation and guidance from your doctor.

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