ongoing abdominal tenderness
Feb 9, 2003
I am an acupuncturist working with HIV population in Boston. I have a client who has a long history of lower abdominal tenderness - and a history of cancer. Apparently, his MD has dismissed the abdominal tenderness as a secondary condition related to being HIV+. My patient reports no tests have been done (colonoscopy), though has had a series of upper GI tests. I treat about 50 patients a week, and have no other patients with this presentation. Any thoughts?
Response from Dr. Henry
If he/she is > 50 then a screening colonscopy would be indicated anyway. If your client has had GI cancer then aggressive follow-up seems prudent. I would want to know if there is any blood in the stool, any stool abnormality indicating possible infection, any history of rectal trauma. Some HIV meds can lead to increased visceral abdominal fat which can cause discomfort. KH
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