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Reason for piercing pain in the abdomen - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Abdominal Pain
Answered by

General & Family Physician
Practicing since : 2009
Answered : 590 Questions
User :   I need to speak with somebody who specializes in abdominal pain
Doctor :   Hi
User :   Hello
Doctor :   I am a general practitioner. I believe, I can help you within my expertise.
User :   great..
User :   let me tell you what is going on here
User :   i have the worst pain I have ever experienced in my life in my lower right abdomiin
User :   gallbladder
User :   i've been to the ER
Doctor :   Ok
User :   and they can
User :   not finnd gallstones
Doctor :   Ok
User :   but I need advice on how to quell the pain
Doctor :   May I know since when are you having this pain?
User :   over a month. but it got really bad on tuesday, that's when I went back to the ER
Doctor :   Can you describe the nature of the pain?
User :   a sharp sharp peircing pain
User :   piercing
Doctor :   Ok
Doctor :   May I know your age?
User :   the first time I went, they put me on percocet
User :   24r
User :   24 yr
Doctor :   Ok
User :   I've been eating bananas and applesauce
Doctor :   Ok
Doctor :   May I know your age?
User :   also I haven't had any good sleep
User :   I'm 24
Doctor :   Do you notice any factors that is causing the pain, like hunger?
User :   no, I can tell when I get hunger pain along with it
User :   but it's entirely different
Doctor :   Ok
Doctor :   Does the pain increase with movements?
User :   sometimes
User :   but also if I get in the correct possitions it lessens the pain
Doctor :   Does the pain increase when you breathe?
User :   only deep breaths
Doctor :   Ok
User :   would you like some more symptoms
Doctor :   I would like to know few more details before, i give you an opinion.
Doctor :   Do you suffer from chronic cough?
User :   No
Doctor :   Do you have any other medical illness such as diabetes/hypertension?
Doctor :   Do you smoke?
User :   no
User :   and no
Doctor :   Ok
Doctor :   Let me brief you.
User :   ok
Doctor :   From the description of your symptoms, I can think of two possible causes.
Doctor :   1. Gall bladder induced pain associated with gastritis.
Doctor :   2. A pleuritic chest pain.
User :   from the research I've done, i would lean towards number1
Doctor :   Since, I am unable to perform a physical examination, I cannot pinpoint the exact though.
Doctor :   Gall stones is one of the causes for the pain around the gall bladder region, however there can be other causes,
Doctor :   such as dietary factors, alcohol, infections and so on.
User :   What is the best way to go about relieving that pain without taking narcotics
Doctor :   Stress and weight are also factors that can play a role in this conditions.
Doctor :   I shall suggest you few measures that may be useful.
Doctor :   1. You can use analgesics (paracetamol or opioid analgesics) in times of severe pain.
Doctor :   2. Be regular with your diet, restrict oily and spicy food consumption.
Doctor :   3. Physical exercise to help reduce weight ( if your weight is above the required BMI)
User :   in regards to number 2, does that mean I should stay away from omega 3, because I have been taking that
Doctor :   4. Restrict alcohol consumptions if any.
Doctor :   Omega fatty acids are fine, however vegetable oils which are high sources of cholesterol should be avoided.
User :   ok
Doctor :   5. If your pain is persisting, then I also suggest you to get an endoscopy done to look for peptic ulcers, which may be contributing to the problem.
Doctor :   6. Avoid strenous physical exercises.
Doctor :   Following the dietary and lifestyle changes as suggested should be as regular as possible.
User :   I can do that
Doctor :   And lastly if your symptoms persists, you would need a thorough check up which includes liver functions analysis and for possible infective causes too.
Doctor :   Have you followed what I have suggested?
User :   Yes, everything except exercising regularly. I haven't been able to do much because of the pain
Doctor :   You need not perform the exercises while in pain,
User :   All i can do I walk my dog around the neighborhood
Doctor :   Simple weight reducing exercises such as morning walks also are helpful.
User :   Ok, I may go on one right now
Doctor :   Continue with this form of exercise.
Doctor :   Do you have any other query.
User :   What about OTC pain relievers?
Doctor :   You can use the OTC pain relievers such as Ibuprofen, but you will have to use antacids along with it.
User :   ok. And do you recommend anything for sleep?
Doctor :   I mean, Antacid syrup such as Syp Mucaine gel has to be taken before food, and the pain relievers following this after you food.
Doctor :   The best form of treatment for insomnia is modification of bed manners.
Doctor :   I mean, use of soft light,
User :   Ok,
Doctor :   comfortable bed and pillows,
Doctor :   avoiding food just before you hit the bed ( your dinner has to be atleast an hour before you sleep)
Doctor :   Restricting television before you hit the bed and so on.
User :   Ok sounds good, I have to go I have 2 minutes left
Doctor :   If they fail to help you, then you can use antihistaminic drug which can bring about drowsiness.
Doctor :   Simple antihistamincs are tylenol cold tablets.
Doctor :   The last form of treatment, if all these measures fail are the sedatives which can be prescribed after face to face consultation alone.
Doctor :   Have you followed?
Doctor :   Do you have any other query?
User :   yes\
User :   thank you
User :   have a good day
Doctor :   Thanks for consulting me.
Doctor :   Bye for now.
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