Discussions By Condition: I cannot get a diagnosis.

chronic constipation and bowel pain

Posted In: I cannot get a diagnosis. 0 Replies
  • Posted By: Anonymous
  • April 13, 2011
  • 00:39 AM

Hello, I am here because my doctor is virtually worthless, and does not attempt to help or care for me at all. I will be changing doctors quite soon. I am 19 and live in California.

Last year in July I went to the ER for what I thought was appendicits. I had a lot of bowel pain on the lower left side. They did a CT scan which returned negative for appendicits, however they said I had a lot of fecal matter in my bowels. They further told me I had a condition called Superior Mesenteric Artery Syndrome (SMA), which I only found out a few months ago is extremely rare and life threatening. I match some of the symptoms (wasting, early satiety), but I have few problems with vomiting or nausea. Note that they did not offer any kind of solution to SMA (no surgery etc). Since a little before the ER visit, I have suffered chronic constipation with infrequent diarrhea.

I had no health insurance at the time so the bill was huge. Luckily I got on my mother's Medi-cal plan, which is state supported insurance for low income peoples. Otherwise the CT scan would have cost $15000 alone.

My problems have been getting steadily worse. It is natural for me to go 4-6 days without a bowel movement. I have started doing abdominal exercises, eating fruit and Activia, drinking more water, reducing red meat intake. I have also done experiments with my diet that remove gluten, caffiene, and fats. None seem to have helped thus far.

I've been seeing my current doctor for about 2 months now. In this time he has found it necessary to lecture me about college, girlfriends, and work. Although these may be things I need to work on, I really think my bowels have a more immediate problem. He had blood, urine and fecal tests done which all came back 'clean', as he said. He told me to eat more fruit, and gave me a sheet of yoga poses to do. The last visit I had with him, he said he would refer me in 3 months to a gastroenterologist if I did not improve.

I suppose I should mention my current symptoms. I have chronic constipation accompanied by frequent abdominal pain under my left ribs (mostly around the Splenic Flexure). Also, a large amount of anxiety. I have been sedentary for some time which could lead to my low bowel motility.
Sometimes when flexing the muscles near the splenic flexure, I can feel my colon 'pop' around my left floating ribs, which I don't think is natural.

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