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Abdominal Pain with chronic nausea - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Digestion and Bowels
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
Doctor :   Hi
User :   Hello
Doctor :   Dr XXX here
User :   Good to meet you. Patient here :) haha
Doctor :   Please proceed with your query.
User :   Ok. So this is complicated. I have been in and out of the hospital a few times with this terribly agonizing abdominal pain that comes and goes.
User :   but
User :   what's worse is that there has been a chronic nausea now for about 3 months
User :   worst between evening - early morning hours
Doctor :   May i know your age?
User :   i usually wake up feeling pretty deathly. 21.
Doctor :   Since how long are you having this pain?
User :   my last doctor just gave me Zofran to mask the nausea.
User :   The pain comes and goes. it's been 12 weeks now. but the nausea is chronic.
User :   no gallstones, nothing irregular (had an ultra sound)
User :   my bloodwork comes back relatively normal too
Doctor :   Is the pain periodic or continuous?
User :   periodic, usually in the middle of the night. upper right quadrant or lower abdomen.
Doctor :   When did you have your ultrasound?
User :   3 weeks ago
Doctor :   Ok
Doctor :   Any other problems like heart burning, vomits,Belching?
User :   nope.
User :   just this terrible nausea that never goes away.
User :   and sometimes pretty bad fatigue.
Doctor :   Were your Liver Functions test done?
User :   yeah
User :   everything looked good.
Doctor :   When aere they done?
User :   same, 3 weeks ago.
Doctor :   Any problem in urination or periods?
User :   nope. well, my periods have gotten a little more violent and painful but they did a pelvic exam (they thought maybe i had an infection that had spread upward into the abdomen or something) and that looked ok too
Doctor :   Pain in the abdomen can be due to many reasons as Appendicitis, Kidney stones,Cystitis or GERD
Doctor :   Was your endoscopy done?
User :   no
User :   i do have celiac, though - which was diagnosed through bloodwork a few years ago
Doctor :   I will suggest you to get an Endoscopy done to see the exact cause because sometimes USG cannot detect.
Doctor :   Also you may require a Barium Study and CT abdomen.
User :   barium is gross. :)
Doctor :   Get yourself examined by a Gastrienterologist.
Doctor :   It is a study of the stomach and intestine.
User :   ok
Doctor :   And helps in diagnosing ulcers, inflammation, and blockage in the intestines.
Doctor :   In this a solution is given for drinking and then the intestines are observed.
Doctor :   Only a proper examination and investigations can help to reach the diagnosis.
User :   alright.
Doctor :   Are you on any medications for Celiac right now?
User :   no. i just don't eat any wheat/gluten products.
Doctor :   Ok, that is fine
Doctor :   You should avoid wheat products.
Doctor :   Anything else you would like to know?
User :   how soon should i make an appointment? also, do you think after an exam at the doctor that they'll find something? i'm pretty worried they won't.
User :   i'm just tired of the nausea and occasional pain effecting my life
Doctor :   It not an emergency but yes you should get it done urgently. Also you should not be afraid of the tests, at least finding the cause will help you get the proper treatment.
Doctor :   I can understand that constant nausea is affecting you but only proper diagnosis will help you get relieved of it.
User :   alright.
Doctor :   Do not be panicky and keep yourself relaxed and calm.
User :   okay :)
User :   thanks.
Doctor :   Thanks for consulting me, bye for now
Doctor :   All the best and Take care.
User :   thank you!
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