Shoyld i be concerned?

[Botino]

Hello, i am a 30 year old woman. Five months ago I went to the ER with acute right lower quadrant pain near the appendix with the pain reflecting right in my back. Normal bloodwork, plain abdominal x-ray showed excessive intestinal gas. Pain continued for several days and then nausea came also.   Had an upper & lower abdominal ultrasound which was clear except a hepatic hemangioma of 29mm. Then came a colonoscopy with a diagnosis of IBS (Spastic sigmoid colon was the major problem). I went to a psychiatrist who diagnosed depression and he put me on remeron. The only problem now is that i still have gas and irregular bowel movwments. Should i be concerned about having something more than just depression or IBS?

[Botino]

I've just had a ct in my upper and lower abdoment. The findings were thickening of the rectum and sigmoid colon and thickening of the pyloric muscle. Also i have a very low B12 vitamin and something, which my gynecologist has not difined yet, 3,3cm in my right overy  

[S. Kaul, MD]

Hi there!

Well, without knowing the relevant clinical details or a detailed clinical evaluation, it would be difficult to comment specifically on the situation. While the symptoms could be related to IBS/ depression, other possibilities such as GI infections, inflammations, motility issues, hormonal/ endocrine imbalance etc. would need to be ruled out as well. While most of these have been ruled out in your case, it might be worthwhile seeing an internist to rule out the rarer causes and be sure of the diagnosis and treatment.
Hope this is helpful.

Take care!