Hello doctor,This case of suspected IBS is related to my wife who is 34 years old. Symptoms mentioned below in sequence since seven months back are:Stabbing pain in lower part of left butt only which radiated down to the knee. The timing of pain occurrence is not specific, sometimes during the day, suddenly while getting down from the car, while walking along the road and then would go off suddenly.At times, the pain was severe that made her stay awake at midnight and she could not walk properly. This happened for one week, this would not be eased with Voveran gel or other oil massages. No morning stiffness observed.Abdominal pain and bloating followed in the morning.Often all the above symptoms would lessen after passing stool or gas and would worsen with a treadmill exercise (pain would start).She was taken to a GP who treated her for gastritis but symptoms of stabbing pain were not relieved which also occurred in the daytime but did not happen night but the abdominal pain was there with bloating.She also visited a gastro, who suspected IBS. Gave medicine for nerve pain (no NSAIDs), symptoms of gas, etc., reduced. Stabbing pain relived mostly, no abdominal pain.X-ray of SI and spine were fine.ANA was fine.Only ESR was high 74 but three months later it was 54.Currently, she is taking Levosulpiride, Esomeprazole Domsta, and Lactifiber NP.
Hi. Her symptoms suggest either meralgia paresthesia or nerve compression of L4 L5. Yes, IBS (irritable bowel syndrome) or gastritis may be associated.In such case, my recommendations would get her an MRI LS spine. Most of the time X-rays do not show nerve compression. I would recommend only the following medications: Get her MRI and write back to me with reports.  For more information consult a criticalcare physician online -->