Patient's Query
Hello doctor,
I am a 31-year-old male. I have discomfort, pain in my left side of the stomach below the rib cage for the last one year. It is there for 24 hours. Sometimes increases after eating rich food although I am not a heavy drinker, sometimes pain increases after five pegs. I did the following tests, USG: normal of all organs, endoscopy: normal of all parts, Colonoscopy test was normal. Stool test- Mucus +, starch +, vegetable +, pus 1-25. CT scan upper abdomen- Liver enlarged 165 mm and tiny cyst 3.7 mm. Conclusion: hepatomegaly with a small hepatic cyst. SGPT/SGOT normal. Amylase is normal. These are the test and reading. I have not been given any medicine. My question is what is the problem? Sometimes, I get burning sensation below the abdomen in the right side too. Please advise.
Hi,
Welcome to icliniq.com.
We are here to help you. You are suffering from irritable bowel syndrome (IBS). I would highly recommend you to stop alcohol, as it will otherwise harm you. I would advise following in such scenario. To take a proton pump inhibitor like Pantoprazole and Rabeprazole. To avoid fat, pepper in the diet. To take smooth muscle relaxant like Mebeverine for stomach pain. Drugs like Chlordiazepoxide and Clidinium bromide are used in refractory cases. These medicines will surely help you. I have lots of my patients who improved on these medicines. Share my opinion with your doctor before you act upon it.
Patient's Query
Thank you doctor,
I have additional queries to the problem. My family physician did prescribe me a muscle relaxant, it was not much of help (although I did not take it for a longer period). My dad is suspected to be an IBS patient, he suffers from a frequent need to go to do potty 8 to 10 times a day). Is it confirmed that I have IBS and not any of the diseases of IBD like Crohn's, colitis, etc.? Is there any possibility of me having the following disease in the future? Colorectal cancer, colonic polyps, ulcerative colitis, diverticulitis. If yes then what precautions I must take and what test I must do to keep a check on any disease happening in my stomach? Lastly, I feel stomach tightness sometimes all throughout the day (but I do not have any problem when I am waking up, it starts only after eating and then the pain stay throughout the day). Also, should I ignore the one cyst in the liver?
Hi,
Welcome back to icliniq.com.
See these tests or suspicion of disease is required if you have low hemoglobin or weight loss. If you are worried, simply get hemoglobin and stool tests for occult blood. If both are normal, no further tests are required. No special precautions. Just avoid spices. Say no to tobacco, alcohol. Walk, meditate. Yes, that cyst can be ignored.
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Answered byDr. Anshul Varshney
Medically reviewed byiCliniq medical review team
Same symptoms don't mean you have the same problem. Consult a doctor now!
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