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Oct 08, 2013

Morning Stomach Pain Despite Precautions: Seeking Advice

This topic is about a 79-year-old individual who is experiencing significant stomach pain in the morning after getting up, despite having an ileostomy and taking precautions with their diet. The pain is not relieved by over-the-counter medications and disappears when lying down but returns upon standing. They are seeking medical advice and exploring dietary options to manage the discomfort.

Here are some insights and advice shared:

1. The individual was previously hospitalized due to a severe flare-up and was diagnosed with abdominal adhesions. Morphine was used to control the pain in the hospital, and they are now using tramadol at home to keep the pain manageable, though it remains present.

2. There is a possibility of being referred to a pain clinic if the pain worsens.

3. They are looking for dietary suggestions that are suitable post-ileostomy, specifically avoiding fresh fruit, raw vegetables, and all nuts.

4. It might be helpful to ask the doctor to check for a small hernia. Pain that disappears while lying down and returns when standing could be due to gravity affecting a hernia.
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