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What Causes Stomach Pain Under Rib Cage And Trouble Swallowing?

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Posted on Tue, 9 Sep 2014
Question: hello my name is XXXXXXX and I've been on prodaxa since Dec 2011 I have AF and have had two catheter Ablations the last one in April this year. I still have AF. I'm having problems with the nerves in both my legs also if I take the medication late at night (if I forget) I get terrible pains in my stomach just under the rib cage and have trouble swollowing it feels like a big lump is stuck in there
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Answered by Dr. Dr.Albana Sejdini (1 hour later)
Brief Answer:
Gastritis...

Detailed Answer:
Hi XXXXXXX

I am sorry for the situation you are in.

Pradaxa is a blood thinning drug used in patients with high risk of stroke of AF as in your case.

One of the side effects of this drug is increased risk for bleeding.

The terrible pains in your stomach and trouble you get swallowing are due to gastritis or stomach mucosa irritation (most probably due to use of medications like Pradaxa).

Apart Ural (antacid), I advise to start taking PPIs (omeprazole, pantoprazole, etc.) to get pain relief. You need a prescription for these drugs. You can discuss it further with your doctor.

Your problems with the nerves in your legs need further evaluation:
- physical examination by a neurologist
- Doppler ultrasound of the blood vessels in the legs

Then, will be decided on proper therapy. Meanwhile, I advise to:
- keep massaging your legs
- raise your legs wherever you can
- keep moving: physical activity will improve blood circulation
- start taking vit.B complex and Mg supplementation to improve the symptoms

Hope it helped!
Dr.Albana
Note: For further queries related to coronary artery disease and prevention, click here.

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

General & Family Physician

Practicing since :2006

Answered : 7300 Questions

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What Causes Stomach Pain Under Rib Cage And Trouble Swallowing?

Brief Answer: Gastritis... Detailed Answer: Hi XXXXXXX I am sorry for the situation you are in. Pradaxa is a blood thinning drug used in patients with high risk of stroke of AF as in your case. One of the side effects of this drug is increased risk for bleeding. The terrible pains in your stomach and trouble you get swallowing are due to gastritis or stomach mucosa irritation (most probably due to use of medications like Pradaxa). Apart Ural (antacid), I advise to start taking PPIs (omeprazole, pantoprazole, etc.) to get pain relief. You need a prescription for these drugs. You can discuss it further with your doctor. Your problems with the nerves in your legs need further evaluation: - physical examination by a neurologist - Doppler ultrasound of the blood vessels in the legs Then, will be decided on proper therapy. Meanwhile, I advise to: - keep massaging your legs - raise your legs wherever you can - keep moving: physical activity will improve blood circulation - start taking vit.B complex and Mg supplementation to improve the symptoms Hope it helped! Dr.Albana