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Suggestion of endoscopy for Acid peptic disease - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Good Posted in: Peptic Ulcer
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
User :   I have been having right upper abdominal pain just under my rib cage area for the past few months.At first i thought it was a pulled muscle since I had a really bad cold and was coughing really hard and alot but it has gotten worse in the past week and the cough is almost gone
Doctor :   Hi,
User :   Hello
Doctor :   is the pain burning or gripping type ?
User :   Sharp almost breathtaking at times as if something was caught under my rib
Doctor :   ok, is there any relation with the food , and hoe is the pain in the early mornings
User :   I have noticed it worse after eating and have had a lot of belching.Also noticed that my stool has changeded to ribbon like and frequent with a large amount of gas
User :   Early in the morning is not as bad
Doctor :   its clearly a symptom of acid peptic disease
Doctor :   i doubt of gastric ulcers ,
User :   What is that and how can I get my doctor to treat it
Doctor :   get an endoscopy to search for the same
User :   I worry that it could be my gall bladder,pancrea or liver since I read so much about this type of pain
Doctor :   you have to visit a gasteroenterologist for endoscopy' where a fiber optic camera is passed through your food pipe and pictures of the inner stomach are taken
User :   ok do I have to be referred to a gastroenterologist or can I just make an appointment with one
Doctor :   either works
User :   Thank you I will start there.
Doctor :   Yes, you are welcome
User :   What if EGD is clear?
Doctor :   Then you should be put on trial antacids and antoisposmodics
Doctor :   if it do not help then consideration of musculoskeletal involvement is to be done
User :   Is that going to help with the bloating feeling and fullness also?
User :   I can lay on my right side but it feels like there is a baseball under my ribs.But when I lay on my left side the pain is sharper.
Doctor :   as i think the antacids will surely help you , my strong suspection is Acid peptic disease
Doctor :   this still pushes me to think of an ulcer
User :   I already take omeprazole
Doctor :   May be the drug has to be changed to the better one like lansoprazole
User :   ok thank you
Doctor :   but if an ulcer has set in then the treatment may vary
Doctor :   a combination of drugs like ulcer protectives , anesthetic syrups and antacids are required
Doctor :   It seems you have moved out of the chat window. Please log in back if you have medical queries
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