How JustAnswer Works:
  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • Go back-and-forth until satisfied
    Rate the answer you receive.
Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor
Category: Medical
Satisfied Customers: 46995
Experience:  MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
5625079
Type Your Medical Question Here...
Dr. Arun Phophalia is online now

I have been suffereing with nausea, and tenderness in my

Customer Question

Hello, I have been suffereing with nausea, and tenderness in my lower abdomen since late December, I have seen my doctor had all the usual blood tests not celiac disease etc, but condition still persists and is getting worse, I am currently not eating gluten, 10 days in with no noticeable benefit,
JA: Is this a time sensitive issue? What type of specimen are they testing?
Customer: they did not test a specimen as it was solid
JA: Anything else in your medical history you think the Doctor should know?
Customer: well there is a history of cancer in the family but no blood test for this
Submitted: 12 days ago.
Category: Medical
Expert:  Dr. Arun Phophalia replied 12 days ago.

What are your age and gender?

What did your CT scan show?

Do you have increased urinary frequency, urinary burning, heartburn, diarrhea/constipation, nausea, vomiting, fever, loss of appetite, bloating, gas, burping, tenderness on the abdomen?

Customer: replied 12 days ago.
45 male, nausea sometimes, bloating sometimes, slight tenderness lower abdomen
Customer: replied 12 days ago.
what a con
Expert:  Dr. Arun Phophalia replied 12 days ago.

 

Thanks for the additional information.


I am writing the answer for you and will get back to you in 5 minutes. If you get a phone call request, you may ignore it as that is an automated site trigger. Thank you.

 

Expert:  Dr. Arun Phophalia replied 12 days ago.

Your symptoms are suggestive of;

1) Irritable bowel syndrome (IBS).

2) Diverticulosis.

You need the following investigations;

1) A barium meal is a helpful study in the diagnosis of intestinal motility disorders/IBS.

2) Computed tomography (CT) and nuclear magnetic resonance examinations are also necessary.

3) Defecography

4) Scintigraphic study of the small bowel or colonic transit time is currently the most preferred investigation for your symptoms. It shows the intestinal progression of the meal.

A recommended diet resource for IBS;

 

http://www.webmd.com/ibs/controlling-irritable-bowel-syndrome-with-diet


Diet resource for the elimination of the diet when there are food allergies;

 

http://global.oup.com/us/companion.websites/9780195371109/pdf/00_Mullin_Appendix_3.pdf


Diet resource for what to eat and avoid:

 

http://www.ibsdiets.org/fodmap-diet/fodmap-food-list/

 

Another extensive resource for IBS diet:

 

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5444258/

Discontinue the following if you do them;

1) gum chewing,

2) smoking,

3) drinking carbonated beverages, and

4) gulping food and liquids.

The following may help you;

1) Avoid

a) Cabbage

b) Beer

c) Legumes

d) Cheese

e) Beans

2) This may help;

a) Bismuth subsalicylate

b) Activated charcoal

c) Simethicone; (Maalox, Mylanta); Simethicone causes gas bubbles to break up.

d) Beano; contains an enzyme (alpha-galactosidase), which helps to breakdown certain complex carbohydrates.

All are available without a prescription.

Avoid foods that appear to aggravate symptoms. These may include milk and dairy products, certain fruits or vegetables, whole grains, artificial sweeteners, etc. But this is based on the personal observation for the aggravating food.

Was this information helpful to you?

 

Please feel free for your follow up questions.

I would be happy to assist you further if you need any more information.

Thanks for using Just Answer.

Expert:  Dr. Arun Phophalia replied 12 days ago.

A positive rating would be highly appreciated for my time.

You are not charged extra for providing a positive rating.

Just Answer is based on the honor system. Experts are paid for time and expertise only when a positive rating is received.

Wishing you all the very best in life.

Sending good, healthy vibes your way.

http://ww2.justanswer.com/help/how-do-i-rate-answer-hl

Stay blessed.