Colon cramping
Hello! I would like to consult a doctor.
I experience intermittent cramps in my colon (I believe), and it feels like the cramps extend to my rectum.
During these cramps, whether sitting, standing, or walking, it is very painful, and there is also pain and a burning sensation in my lower abdomen.
Pressing on my lower abdomen causes pain, and it even radiates to my stomach, feeling like cramping pain.
Even after the cramps subside, I still experience lingering pain for several hours.
I have previously visited a family medicine doctor for an examination, and the doctor said there were no issues with my rectum and nothing abnormal was found.
However, when the pain occurs, I am really unable to move.
I would like to ask which specialist I should see to address this issue or how I can resolve it.
Thank you! I appreciate your help!
Min Min, 20~29 year old female. Ask Date: 2010/04/09
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello, based on the symptoms, it appears to be a case of gastrointestinal spasms.
Generally, structural issues in the stomach or intestines should be ruled out first; if none are found, it would be classified as a functional disorder.
If it is a functional issue, dietary adjustments should be made to avoid irritants and high-fat foods, and good bowel habits should be established.
Additionally, managing mood and stress is also very important, as autonomic nervous system dysregulation can lead to gastrointestinal symptoms.
Please consult a gastroenterologist.
Wishing you good health.
Dr.
Chen Qifeng, Taoyuan Hospital, Department of Health.
Reply Date: 2010/04/09
More Info
When dealing with colonic cramps, especially when they are severe and recurrent, it is essential to understand the underlying causes and when to seek medical help. Colonic cramps can be caused by a variety of factors, including gastrointestinal disorders, dietary issues, stress, and even infections. Given your description of the pain radiating to the anus, lower abdomen, and even the stomach, along with the burning sensation, it is crucial to approach this matter with careful consideration.
First and foremost, it is important to recognize that while some abdominal discomfort can be benign, persistent or severe symptoms warrant further investigation. Since you have already consulted a family physician who did not find any abnormalities, it may be beneficial to seek a specialist's opinion, particularly from a gastroenterologist. Gastroenterologists specialize in diagnosing and treating disorders of the digestive system, including the colon, and they can provide more targeted evaluations.
In your case, the symptoms you describe—cramping pain, burning sensations, and the inability to move during episodes—could suggest several potential conditions. These might include irritable bowel syndrome (IBS), inflammatory bowel disease (IBD) such as Crohn's disease or ulcerative colitis, or even functional gastrointestinal disorders. IBS is particularly common and can cause significant discomfort without any structural abnormalities being present. However, it is essential to rule out more serious conditions, especially given the severity of your symptoms.
If you decide to see a gastroenterologist, they may recommend further diagnostic tests. These could include:
1. Colonoscopy: This procedure allows the doctor to visualize the interior of the colon and rectum, and it can help identify any inflammation, ulcers, or other abnormalities. Given your previous experiences with colonoscopy, it may be worth discussing any concerns you have about this procedure.
2. Imaging Studies: A CT scan or MRI of the abdomen can provide detailed images of the digestive tract and help identify any structural issues that may not be visible through endoscopy.
3. Blood Tests: These can help check for signs of inflammation, infection, or other underlying conditions.
4. Stool Tests: These can help identify infections or other gastrointestinal issues.
In addition to seeking medical advice, consider keeping a symptom diary. Documenting when the cramps occur, their duration, any associated symptoms (like changes in bowel habits, diet, stress levels, etc.), and what alleviates or exacerbates the pain can provide valuable information to your healthcare provider.
Dietary modifications may also play a significant role in managing your symptoms. Some individuals find relief by avoiding certain foods that trigger their symptoms, such as dairy, gluten, or high-fat foods. Keeping a food diary alongside your symptom diary can help identify any correlations between what you eat and your symptoms.
Lastly, stress management techniques such as mindfulness, yoga, or cognitive behavioral therapy can be beneficial, as stress often exacerbates gastrointestinal symptoms.
In summary, while your initial consultation did not reveal any issues, the severity and persistence of your symptoms suggest that further evaluation by a gastroenterologist is warranted. They can provide a comprehensive assessment and develop a tailored treatment plan to help manage your symptoms effectively. Remember, you are not alone in this, and seeking help is a crucial step toward finding relief.
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