Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
182 Doctors are Online

Abdominal pain with acid reflex and pressure - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: GERD
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2527 Questions
User :   I am having significant stomach pain and pressure. I have been treated for acid reflux/ulcers but have not made any progress with my stomach pain.
Doctor :   Hi
Doctor :  
How can i help you?
User :   Hello
User :   I have been having stomach pain in my upper left abdomen for a few months
Doctor :  
ok
User :   I was treated for acid reflux, which helped with the gerd symptoms, but the sharp pain and pressure has not subsided
Doctor :  
ok
User :   I am uninsured, so I need help decided what my best course of action should be
User :   I have had an h pylori test and barium swallow, both which have come up negative
Doctor :   ok
Doctor :   barium swallow negative for what?
User :   no signs of anything, assumed to be gastritis
Doctor :   was upper GI endoscopy done?
User :   no, i cannot afford one
Doctor :  
ok
Doctor :  
can you describe me the symptoms you have now?
User :   a lot of pressure, feeling full all the time. Sharp pinching pain, usually on my left side, below my ribs.
User :   Some acid reflux as well
Doctor :   acid reflux how does it manifest?
User :   mainly nausea and burning stomach
Doctor :   no burning in chest and throat ?
User :   some, but not often, its mostly contained to the stomach
Doctor :   are the symptoms constant or occasional ?
User :   constant. I wake up and go to bed with stomach discomfort.
Doctor :   are you on any medications presently
User :   sucralfate and over the counter antacids
Doctor :   please specify the over the counter medication and how do you consume the sucralfate and the OTC medication

User :   pepcid complete, I was on 80 mg zantac for a month.
Doctor :   ok
Doctor :   are the symptoms have any relation to food ?
User :   Greasy/fried foods make my nausea worse, but the sharp pains seem to be unrelated to what I eat
Doctor :   ok

Doctor :  
was ultrasound of abdomen examination done at any time ?
User :   no
Doctor :  
ok
Doctor :  
may i know your age and occupation?
User :   I am 24, a recent graduate
Doctor :  
do you consume alcohol or have the habit of smoking ?
User :   no, neither
Doctor :  
ok
Doctor :   Thats good

Doctor :  
Do you have irregular meal timings
User :   since my stomach trouble, I find I am only hungry for about 2 meals a day
Doctor :  
Do you exercise regularly?
User :   unfortunately not
Doctor :   What is your height and weight
User :   4'11'' and 115 lbs
Doctor :  
Ok
Doctor :  
Did you take PRILOSEC OTC too?
User :   I have, as well as protonix and nexium
Doctor :  
Ok
Doctor :  
What is the nature of pain, burning or squeezing or pressing type?
User :   a general pressing type on the left side. intermittent sharp pinching pains.
Doctor :  
Were you put on any antibiotics?
User :   no, because h pylori was negative, I was only treated with antacids and sucralfate
Doctor :  
How were your stools?
Doctor :  
Any problems with it?
User :   they don't seem to be any different than usual
Doctor :  
Any change in color or the consistency?
Doctor :  
or frequency?
User :   I have always had some intestinal discomfort due to IBS, so my bowels do change between constipation and normal consistency, but these seem to be completely unrelated to the current problem
Doctor :  
You cannot presume that
Doctor :  
Even IBS can present with the current problem that yu have
Doctor :  
How long the Nexium and protonix are used by you?
Doctor :  
What is the dose?
User :   Well, perhaps not, but the seems different from any other symptoms and the bowel changes are no different than they have been for years. the nexium and protonix were both used for several weeks each, at 80 mg each (?) with limited success
Doctor :   Ultrasound done?

User :   no
Doctor :  
Is it suggested?
User :   it hasn't been, is this something I should look into?
Doctor :  
Ultrasound could be next step or Endoscopy is useful
Doctor :  
Till then I shall give you some tips
Doctor :  
to tackle the problem
User :   great
Doctor :  
1) Try to put on some exercise daily with just 20 minute brisk walk
Doctor :  
YOu do not have to find time for it
Doctor :  
It is just 20 to 30 min walk
User :   ok
Doctor :  
Be regular and consistent, like at least 4 to 5 days a week
Doctor :  
2) Keep a proper schedule of meal timing
Doctor :  
gap of 3 hours
Doctor :  
in the form of 6 small meal instead of 3 large
User :   should i eat even when i feel naseated/poorly?
Doctor :  
3) Tackle that with small amount of fluids
Doctor :  
in the form of non citrus juices
Doctor :  
*juice
User :   ok
Doctor :  
4) Take a glass of warm water, put a table spoon of honey in it
Doctor :  
early in the morning after you wake up and before your daily walk
Doctor :  
and have it
Doctor :  
daily
User :   ok. what are the benefits of honey?
Doctor :   IT helps to tackle the digestive problems

Doctor :  
Put it in the warm water
Doctor :   So warm water with honey, then exercise at 6 to 7 AM.

Doctor :  
Breakfast by 8 AM
Doctor :  
Morning snack at 10.30 AM
Doctor :  
in the form of fruit bowl or juice or XXXXXXXX biscuit
Doctor :  
1PM, lunch
Doctor :   Lunch should not be heavy, it should be in the size of snack
Doctor :  
again
User :   ok
Doctor :  
Evening snack again at 3 PM to 4 PM
Doctor :  
a fruit
Doctor :  
7 PM, dinner
Doctor :  
8.30 should you can have a fruit or crackers or pop corn aerated
Doctor :  
Make sure you do not consume processed food
Doctor :  
Lots of water helps you a lot
Doctor :  
Try to prepare food without fat
User :   do you feel that my symptoms point to something serious? Would a good diet/exercise regimin clear it up or should I save up the money for an upper endoscopy?
Doctor :  
You should get well with Good diet and exercise regimen
Doctor :  
Reduce the stress and anxiety in your life
Doctor :  
Put on some relaxation exercises, like muscle relaxations least of 3 times a day
Doctor :  
THis should control your IBS
Doctor :  
Monitor your weight and ability to eat well
Doctor :  
without losing much weight
Doctor :  
Try to maintain strict hygiene measures
Doctor :  
If these are not helping, then an endoscopy is needed
User :   ok
Doctor :  
not to treat you but just to find out what is happening
User :   i guess I am just worried it may be something serious such as cancer
Doctor :  
Even after endoscopy the Doctor shall suggest you the same life style measures
User :   yes, I'm sure you're right
Doctor :  
So do not worry too much about it
Doctor :  
Worry causes more problems to you
Doctor :  
When you have this pain, put a hot pack on the area
Doctor :  
on the top
Doctor :   Cancer is not possibility
User :   no?
Doctor :   Please get back to me after a week

User :   that is very relieving thank you
Doctor :  
by following these measures
User :   I will
Doctor :  
Let us see how you progress
Doctor :  
You will take a month to start seeing results but that is all the effort you put
Doctor :   IT helps in many things for you
User :   ok, I will start this immediately
Doctor :  
DO it sincerely
Doctor :  
Ok
Doctor :  
DId you follow?
Doctor :  
Please fill the feedback form say done when done.
User :   I am done
Doctor :  
Thanks for consulting me. I hope the happy new year will bring in good health

Question is related to
Diseases and Conditions
Drug/Medication
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor