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Have abdominal pain and wake up with nausea. Given zegrid but it didn't help. Have hernia. Suggestion?

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Practicing since : 1962
Answered : 693 Questions
Ok I have abdominal pain for 2 years on and of mostly in the morning I wake up with nausea I went to like 10 doctors they right me zegrid and it don't work I did a lot of test every thing is ok except I have a small hiatal hernia and the doctor say its to small it shouldn't cous no pain and none of them cured my abdominal pain some days are worst then other and I always have gas and its hard to let it out ?
Posted Mon, 8 Jul 2013 in Digestion and Bowels
Answered by Dr. Charles S Narasi 15 days later
Thank you for contacting XXXXXXX with your question. Just by
reading your symptoms , looks like the gas build up in the
intestine is what is causing the pain. You are twenty years old
and according to your reports , all the tests have turned out
normal. The PPI that you were taking is not helping you since
you do not have acid reflux problem.
What you have is "Irritable Bowel Syndrome" associated with
abdominal pain, distension and constipation . This is not
psychological. This is a Brain-Gut disorder mediated by hormone
Serotonin. People with IBS have higher sensitivity to gas bloat.
There are no effective medications for this. Mainly , you need
to be on a high fiber diet or take fiber supplements like
syllium powder daily. You have to drink enough liquids daily.
Regular exercises are helpful.If very constipated, you can try
taking stool softeners daily. You can also try a PEG solution,
polyethylene glycol, daily to regulate your bowels.
Peppermint oil capsules 1-2 daily can reduce the gas.
As for the small Hiatus hernia , I would not worry about that if
you are not having acid reflux symptoms such as heartburn,
recurrent sore throat or cough at nights.
If you are under a lot of stress, try to relax as much as possible
by listening to soothing music or relaxation CDs that are available.
You have a long and healthy life to look forward to.
I wish you the very best.
Above answer was peer-reviewed by
Follow-up: Have abdominal pain and wake up with nausea. Given zegrid but it didn't help. Have hernia. Suggestion? 23 minutes later
I do have acid reflux my upper stomach always burning until I eat when I eat it go away and after like 3 hours the pain comes back
Most of the pain located under my chest in the middle
Answered by Dr. Charles S Narasi 1 hour later
If you do get heartburn or reflux symptoms then you need
to be on a PPI daily once or twice a day. If the current drug
is not effective , your doctor can switch you to a different
PPI. Most of the time that works. It is also important that you
take the PPI about 60-90 minutes before your main meal of the
day and evening meal. Avoid tomato based products, citrus, excess
caffeine. alcohol , tobacco , very spicy , fatty, fried foods and dairy
like cheeses etc. Hope this helps.
Wish you well.
Above answer was peer-reviewed by
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