Gastroenterology/IBS or something else?


Hello Doctor

Ive been dealing with some lower abdominal symptoms in the last 3 months. I had high anxiety all the time so I dont know if its related. I did poked at my abdomen a lot during this time so maybe this also contributed...

In the last 3 months Ive experienced:

- occasional pain with bowel movements
- felt my colon and small intestine (with my hand) swelling up and down in my abdomen - all hard and lumpy
- sometimes when waking up I felt lower and middle back pain especially on movements and more on the left side. the pain would usually subside during the day
- occasionally when coughing with my abdomen stretched, or when peeing after a full bladder, I feel some sharp aches in the lower abdominal sides (both sides) - nothing terrible just unpleasant
- ocasionally I can reproduce the lower abdominal pain if I press on my anus and shake the area. No pain if I move my cervix though.

Had full abdominal ultrasound 4 month ago, normal. Had a colonoscopy 2 months ago that was clear - just very spastic loopy colon. Also had a transvaginal US 1 month ago and everything looked in order, with small amount of fluid in Douglas pouch. Blood tests 4 months ago were good (CBC, ESR ok).

Worried that I had some undiagnosed pelvic infection so I took a course of Azithromycin (1g). That didn't change the symptoms much.

Im wondering if these can be symptoms of IBS? And not something more morbid such as peritoneal cancer or an infection? I don't have any fever or pain if I rest. No pain when I press my abdomen either.

Im not sure if I should accept the IBS diagnosis or I should investigate this more.

Hi Karina Jurgen

I am personally do not believe in IBS. It is “garbage can” diagnosis, when the real reason is not known.
You were checked and your tests were unremarkable. You took antibiotics without changes in your condition.
I presume functional gastrointestinal disorder, low pancreatic function, possible dysbiosis (Candida-yeast overgrowth, SIBO-small intestine bacterial overgrowth), dyshormonal changes, and dysbalance of the neurotransmitters in the brain, and intestines with visceral hypersensitivity, anxiety, etc.

I treat those conditions with
•   Healing diet
•   Acupuncture
•   Colon Hydrotherapy
•   probiotics
•   Vitamins C, D, B-12
•   Magnesium
•   Digestive enzymes
•   Herbal medicine (anti Candida, spices, anti spasmodic, etc)
•   Relaxation technique, and more

It will be unprofessional to give you medical advice without knowing your medical dates. Therefore I send you to my EBook” Healthy Pancreas, Healthy You”. You may find a lot of information such as why you are sick, what you have to eat and more.

I cannot feel that you have structural problems, so relax. ”Ooo my Got” does not work, “What I have to do to be healthy” works.

I wish you health and happiness.

Peter Melamed, Ph.D.


All Answers

Answers by Expert:

Ask Experts


Peter Melamed, PhD


I can answer all questions about digestive health, especially in focus on the non-drug, non-surgery treatment. It includes healing diet, acupuncture, herbal medicine, nutritional supplementation, healing mineral water, abdominal massage, and cleansing techniques. All these practices are widely used by gastroenterologists all over the world.


This is my everyday job at Biotherapy Alternative Medicine Clinic in San Francisco. I have decades of the experience of working as an MD in ICU, outpatient department and privet practice. I have helped many of my patients with the chronic digestive disorders by using the non-drug, non-knife approach for the 20 years.

I published many articles on internet about gastrointestinal disorders. 1. Peter Melamed, Ph.D., Felix Melamed, LAc, MSTCM. EBook Healthy Pancreas, Healthy You. Publisher Biotherapy, Inc, September 2014 2. Peter Melamed, Felix Melamed. Chronic Metabolic Acidosis Destroys Pancreas. JOP. J Pancreas (Online) 2014 Nov 28; 15(6): 552-560 3. Peter Melamed, Felix Melamed. Short Review of Our Work - "Chronic Metabolic Acidosis Destroys Pancreas" with Focus on the Functional Exocrine Pancreatic Disorders JOP. J Pancreas (Online) 2015 Jul 08; 16(4):365-368 4. Peter Melamed, PhD, and Felix Melamed, MS. Acidity Kills the Pancreas. Townsend Letter, the Examiner of Alternative Medicine. August/September 2015, p. 74-80 5. Peter Melamed, Felix Melamed. The Role of the Metabolic Acidosis in the Development of Chronic Pancreatitis. SM Group (USA) Chronic Pancreatitis: Recent Advances. 2015, Aug 10

MD, Ph.D. in the medical science and also LicAc, RN

©2016 All rights reserved.