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What Causes Unexplained Chronic Stomach Ache?

Posted on Mon, 29 Dec 2014

Question: hello sir
my brother age 28 yrs suffering from stomach pain since since last 5-6 years we have go through endoscopy,ultrosound, x ray,blood test.liver test,BGMFT several time as consulted by doctors but problem were not found in any of the tests & pain is still their pl suggest me the treatment

Answered by Dr. Rakesh Madhyastha (13 hours later)

Brief Answer:
Need more info

Detailed Answer:
Hello

Thanks for the query

Pain abdomen is one of the most difficult problems that doctors face as the pain can arise from several organs of the abdominal cavity. In order to help you better I need more information from you.

1. Where is the pain predominantly? Middle, towards the sides ( right of left). Above the umbilicus ? etc
2. Is it pricking type or dull aching type ?
3. Is it associated with intake of food?
4. Is the pain constantly there through out the day or comes and goes ?
5. Is he passing motion daily and adequately ?
6. was a biopsy of the colon attempted anytime ? what did it say?
7. If possible please attach all the reports
8 what medication is he on?

I hope to hear from you soon

regards

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

Follow up: Dr. Rakesh Madhyastha (3 days later)

Dear sir
Thanks for reply

I submitted my reply as below

Pain is generally at left side

It is dull aching type

Yes pain is increases after taking meals & remain 3-4 hours than slow down also need to go toilet(stooling)after meals

Also I can not take full dose of food

There is little bit of pain throughout the day

Yesterday we have consulted with one gastroenterologist at XXXXXXX he again recommend ror endoscopy

Sir there is any problem for repeatetive endoscopy ?

The reports will uploaded soon

Thanks

XXXX
0000

Answered by Dr. Rakesh Madhyastha (3 hours later)

Brief Answer:
Gastritis

Detailed Answer:
Hello

Thanks for the query

From the history it is clear that your brother is suffering from gastritis. A repeat endoscopy is essential to rule out gastric ulcer, erosions and also hiatus hernia ( in this condition there will be reflux of gastric acid). Here are my suggestions

1. Tab Pantoprazole with domperidone is the ideal tablet for him. It has to be taken twice daily before food for 15 days and then once a day for a month
2. Do not eat spicy food, milk and milk products
3. Avoid smoking and alcohol
4. Eating smaller meals 4-5 times a day is better than 3 full meals
5. Do not go to bed immediately after dinner
6. Do not engage in bending exercises

I hope I was of help, if you have any further queries please get back to me

Regards

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

Follow up: Dr. Rakesh Madhyastha (2 days later)

thanks sir
I will follow your guidance & report back to you with progress in health

thanks once again

XXXX

Answered by Dr. Rakesh Madhyastha (7 hours later)

Brief Answer:
Follow up

Detailed Answer:
Hello

I recommend that you get the following tests done on pericardial fluid

1. Cell type
2. Cell count
3. Sugar, protein chloride
4. LDH
5. ADA
6. Tb PCR
7. Culture

Regards

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

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