HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Have Upper Abdominal Pain, Bloating And Constipation. Taking Hormones. Having Chronic Cough. What To Do?

default
Posted on Fri, 23 Aug 2013
Question: I have upper abdominal pain, started center sternum, moved to left upper quadrant then back center sternum. I have bloating and possibly some constipation. I am taking hormones and had a negative endoscope for polups/cancer in Feb. I do have GERD, possibly IBS and a lazy esophageal sphincter. I do not eat well, heavy on the carbs. The pain and discomfort came on last Saturday and changed from a pain to a heavy feeling across my upper abdomen. Really like there is something in my stomach and upper colon or intestine, whatever that area is called. Right under my breastbone. I have had a chronic cough for about a year +.


My doc ordered blood tests to check on kidney and liver function, all perfect.
My BP runs on the low side and have no heart related symptoms.
doctor
Answered by Dr. Dr.P.Ratnakar Kini (49 minutes later)
Hi,
Thanks for posting your query.
I am Dr.Ratnakar Kini and I am pleased to assist you.

Your symptoms are suggestive of dysmotility dyspepsia and GERD, probably due to gastroparesis ( slow working stomach). Get your blood glucose level checked to rule out diabetes mellitus.

Take prilosec and try to avoid coffee, fatty food, citrus, chocolates for better relief. Weight reduction should be done if obese.

I hope that answers your question.
If you have no more questions, kindly rate this service.
Regards,
Dr.Ratnakar Kini
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Dr.P.Ratnakar Kini (22 minutes later)
Thank you Dr. Kini,
I wondered about this but I think I asked my doctor the wrong questions. I will follow up on the glucose check. I am currently on Nexium for about a week and will continue unless you advise Prilosec is the preferred med. It will be hard but I'll try to reduce the coffee, chocolate and soda.
Yes, obesity is an issue. :-) I forgot to mention the pain/heavy feeling in upper abdomen is more pronounced in the morning when I wake up. Thank you for this service and your advice. It is so helpful!!
doctor
Answered by Dr. Dr.P.Ratnakar Kini (2 hours later)
Hi,
If you are already on Nexium, continue taking it.
For relief from bloating/heavy feeling, you may need prokinetic medications. Discuss with your doctor about it.

I hope that answers your question.
If you have no more questions, kindly rate this service.
Regards,
Dr.Ratnakar Kini
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr.P.Ratnakar Kini

Gastroenterologist

Practicing since :1994

Answered : 2215 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Have Upper Abdominal Pain, Bloating And Constipation. Taking Hormones. Having Chronic Cough. What To Do?

Hi,
Thanks for posting your query.
I am Dr.Ratnakar Kini and I am pleased to assist you.

Your symptoms are suggestive of dysmotility dyspepsia and GERD, probably due to gastroparesis ( slow working stomach). Get your blood glucose level checked to rule out diabetes mellitus.

Take prilosec and try to avoid coffee, fatty food, citrus, chocolates for better relief. Weight reduction should be done if obese.

I hope that answers your question.
If you have no more questions, kindly rate this service.
Regards,
Dr.Ratnakar Kini