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What Causes Severe Pain And Fullness In The Abdomen?

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Posted on Thu, 18 May 2017
Question: I have the following symptoms: pain in the abdomen when pressed, feeling of fullness and heaviness in lower abdomen, a crampy feeling. I am 60 years old so it is not menstruation.
Should I be worried about these symptoms
doctor
Answered by Dr. Sunil (2 hours later)
Brief Answer:
Dyspepsia.

Detailed Answer:
Hello,
Thanks for choosing HealthcareMagic for your query.
Dyspepsia is a common disorder that affects up to 30% of the general population.
Symptoms of dyspepsia include upper abdominal pain or discomfort and frequently include symptoms of burning, pressure, or fullness often, but not necessarily, related to meals.

Other common symptoms include early feeling of fullness (satiety), nausea, belching, and bloating.
Treatment options for functional dyspepsia generally include one or a combination of:
Diet
Acid-lowering medications
Prokinetic and antiemetic agents


H2 blockers such as ranitidine (Zantac), cimetidine (Tagamet), nizatidine (Axid) or famotidine (Pepcid) are the initial agent used.
If H2 blockers fail to improve symptoms, most doctors then use a proton pump inhibitor (PPI) – omeprazole (Prilosec), lansoprazole (Prevacid), rabeprazole (Aciphex), pantoprazole (Protonix), or esomeprazole (Nexium).

Patients with nausea will respond to medications that target that specific symptom. Limited data suggests that symptoms of early feeling of fullness, upper abdominal fullness, and discomfort after eating may respond to the use of medicines that increase gastrointestinal motility (prokinetic agents). The drugs metoclopramide (Reglan) and domperidone (Motilium) are now the most commonly employed agents.

Please discuss the options with your gastroenterologist and start theperapy you would start feeling better in 3 days.

Regards.
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Remy Koshy
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Answered by
Dr.
Dr. Sunil

Gastroenterologist

Practicing since :1982

Answered : 351 Questions

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What Causes Severe Pain And Fullness In The Abdomen?

Brief Answer: Dyspepsia. Detailed Answer: Hello, Thanks for choosing HealthcareMagic for your query. Dyspepsia is a common disorder that affects up to 30% of the general population. Symptoms of dyspepsia include upper abdominal pain or discomfort and frequently include symptoms of burning, pressure, or fullness often, but not necessarily, related to meals. Other common symptoms include early feeling of fullness (satiety), nausea, belching, and bloating. Treatment options for functional dyspepsia generally include one or a combination of: Diet Acid-lowering medications Prokinetic and antiemetic agents H2 blockers such as ranitidine (Zantac), cimetidine (Tagamet), nizatidine (Axid) or famotidine (Pepcid) are the initial agent used. If H2 blockers fail to improve symptoms, most doctors then use a proton pump inhibitor (PPI) – omeprazole (Prilosec), lansoprazole (Prevacid), rabeprazole (Aciphex), pantoprazole (Protonix), or esomeprazole (Nexium). Patients with nausea will respond to medications that target that specific symptom. Limited data suggests that symptoms of early feeling of fullness, upper abdominal fullness, and discomfort after eating may respond to the use of medicines that increase gastrointestinal motility (prokinetic agents). The drugs metoclopramide (Reglan) and domperidone (Motilium) are now the most commonly employed agents. Please discuss the options with your gastroenterologist and start theperapy you would start feeling better in 3 days. Regards.