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Cause and treatment for recurring stomach pain.

Resolved Question:

Hello Dr,

My name is marcel Halabi I'm Nadim's uncle and now I'm in London and he is from
united arab emirates and he lives in Cairo Egypt .

Nadim he is 17 yrs. suffering a stomach pain from time to time and they did everything they've been asked to do by Nadim's doctor all tests but, they don't say or don't know how to treet him and if we can treat him ?

So what ever you think we need to do ? we will do, and if you think we need to bring him to London or america by next week we will do so, please I need a report about Nadim medical situation to be sent to me by emai, explaining his medical health and many thanks and god bless you doctor.

Best Regards
Marcel Halabi


Category: Gastroenterologist, Medical

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Category: Hepatologist
Dr. Ratnakar Kini is online now

Expert:  Dr. Ratnakar Kini replied 4 Days.

Hi,
Thanks for posting your query at DoctorSpring.com. I am Dr.R.K and I am pleased to assist you.

I would like to have some more information before I can give my opinion.
1. Since when is he having these symptoms?
2. Is the pain in the upper abdomen or lower?
3. How long does each episode ofpsin last?
4. Any factor that worsens or relieves his pain?
5. Does pain affect his sleep?
6. Is he losing weight?
7. How are his bowel movements?

Kindly get back to me with these information and I would in a better position to guide you.
Regards,
Dr.R.K.


Patient replied :

1. Since when is he having these symptoms? Since One year ago. 2. Is the pain in the upper abdomen or lower? In the upper and lower abdomen 3. How long does each episode ofpsin last? Don't understand the word ofpsin ? 4. Any factor that worsens or relieves his pain? Is worsens but it comes and goes . 5. Does pain affect his sleep? No. 6. Is he losing weight? Yes 3 - 5 kilo but the lose of weight has stoped now. 7. How are his bowel movements? He feel nothing ?


Expert:  Dr. Ratnakar Kini replied 3 Days.

Hello.
Sorry for the typographical errors. I apologize for the inconvenience as I will repeat some of the questions.
1. How long does each episode of pain last? 2. What worsens his pain? 3. What provides him relief from pain? 4. Is he having loose stools or constipation?
Kindly get back to me with this information and I would give my opinion.
Regards, Dr.R.K.


Patient replied :

1. How long does each episode of pain last? 1 - 2 hours 2. What worsens his pain? Nothing special it comes and it goes without notice. 3. What provides him relief from pain? The medicine he takes controloc 20. Spascolon ,
and pentasa 500.
4. Is he having loose stools or constipation? Normal most of the times.
please dr. I need you to send me to my email a medical report about Nadim and what you think he has and what is his situation and how can his disease be treated ?
My email: marcel-halabi@hotmail.com
best regards
marcel...


Expert:  Dr. Ratnakar Kini replied 2 Days.

Hello,
Thanks for providing the additional information.
The most likely cause for his symptoms is Crohn's disease.
The medication Pentasa which has been prescribed is meant for treating Crohn's disease only.
But I feel some of the tests have not been done properly. I would advise you to get a repeat upper GI endoscopy done for him. The lesion in the stomach has not been evaluated properly. In addition to that a CT scan of the abdomen ( a CT enterolysis) may also be done to examine the small bowel.
You can consult your gastroenterologist for these tests and further management.
Regards,
Dr.R.K.


Patient replied :

Could you please put it in medical report and to be more specific with the details, many thanks dr.


Expert:  Dr. Ratnakar Kini replied 1 Day.

Hello,

Please note , this consult being an online consult has only limited medical and legal validity. This will not constitute a medical record for treatment purpose. You can take a print of this consult page for record.

Hope this helps
Thank you,
InHouse Physician


Dr. Ratnakar Kini
Category: Hepatologist
Experience: 
Fellowship - DM - TN Dr.MGR Medical UniversityResidency - TN Dr.MGR Medical University Medical School - Stanely Medical College, TN Dr.MGR Medical University
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