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Suggest Treatment For Abdominal Pain

Posted on Thu, 7 May 2015

Question: Thank you, I am having a pain in my upper...slightly right stomach area. It happens if I go approx. 3 hours without eating. The pain is usually an ache but the last few days has increased and is very painful. Soup and an pepcd ac helps.

Answered by Dr. Muhammad Ali Rauf (6 minutes later)

Brief Answer:
need some details to guide you better

Detailed Answer:
Hello

My name is Dr Muhammad Ali Rauf & i will look into your problem.

I have gone through your query and would try to help you in the best possible way. There could be a number of causes for abdominal pain. I would be in a better position to guide you anything if you answer following questions please:

1. since when are you having pain?
2. Does pain settle/improve after taking food?
3. does pain radiate from one side to any other side?
4. any history of nausea, vomiting or fever?
5. any history of constipation or diarrhea?
6. have you undergone any test like CBC, ultrasound abdomen, etc? if yes then please share results
7. are you on any medication?
8. any history of diabetes, hypertension or other illness?
9. any family history of chronic illness?
10. any other symptom that you would like to share?
11. does pain aggravate while taking fatty meal(in specific)?

I will be looking forward for the answers to conclude the discussion in the best interest of yours.
Thank You

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Muhammad Ali Rauf (12 minutes later)

The pain has been minimal for about two months. It does improve with food within a few minutes. The pain is stationary and I do not have a fever or nausea or vomiting. No diarrhea or constipation.

I have had both upper and lower GI. Four years ago he found a duodenal ulcer.
I was taking medicine and it went away. This pain is not the same. I was doing very well with soup and boiled eggs and non-spicy foods. Yesterday however, I had spicy chili and the pain was very intense.

I think I have an ulcer and am wondering if I should wait a couple of weeks....just eating bland foods and taking Pepcid AC. Or if you think I should see my GI guy immediately.

Thank you, XXXXXXX

Answered by Dr. Muhammad Ali Rauf (3 hours later)

Brief Answer:
Most probably Gastritis/ulcer

Detailed Answer:
Hello

Thank you for getting back with the answers. Probable diagnosis from your symptoms would be Acid Peptic Disease. I would suggest you to get an appointment for your regular gasntroenterologist. Also you would be requiring some medicines which are prescription only meds and you can get easily by visiting him. If i were your treating doctor then i would have advised following things:

> Medical Care:
- Omeprazole one daily for 14 days
- sucralfate suspension thrice a day for 10 days
- a baseline ECG to confirm status of heart
- Ultrasound-Abdomen

> General Care:
Medical care can do NOTHING if you donot take general care about your health. Following steps would help you to recover slowly:

- take small frequent meals.
- take 30-45mins walk/exercise daily in the evening. It will make you fresh, healthy and is good for digestion.
- Don't lie down immediately after taking meal
- raise head end of your bed slightly(by an inch)
- Eat a diet rich in fiber, especially from fruits and vegetables

> AVOID:
fatty & oily food.
spices
heavy meals at night
carbonated & caffeine drinks
chocolates

Hope I have answered your query. If you have any further questions I will be happy to help if not then don't forget to close the discussion and rate it.
Wishing you good health !!

Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar