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What Causes Upper Abdominal Pain?
Question: i feel pain at times on upper right side of abdomen spreading to ribsit is more prominent when bowels are not clear i am a regular consumer of alcohol to the tune of 5-6 drinks if i leave alcohol for 15-20 days symptoms subside but again constipation aggrevates the situations i get my liver functions & other test done on three monthly basis but more so ever they come to be normal i have got my gall bladder removed due to stones in2007 since then the problem is aggrevated it reduces a bit if i stick veg food i am a diabetic with HBA1C ranging 5.75 to 6.75 often ggt shoots to 250-300 pls advise
Brief Answer:
looks like pancreatitis with gastritis
Detailed Answer:
Hi XXXXXXX
Welcome to HealthcareMagic.
As per your symptoms you seem to be having alcohol induced pancreatitis, which subsides on alcohol abstainance and evident by raised ggt (a marker of oxidative stress).
Also you are having gastritis which resolves to an extent on eating less spicy vegetarian foods.
So i would suggest that you take a course of a ppi tablet like pantaprazole or omepraze on empty stomach for a few weeks along with a gastrokinetic like levosulpride to prevent reflux and relieve constipation.
Also first and foremost you need to stop alcohol consumption completely, or whatever treatment you may take, it won't help.
And take a high fiber diet and fruits as they are rich source of antioxidant.
Hope i have been helpful.
Regards,
Dr. Ashish Verma
looks like pancreatitis with gastritis
Detailed Answer:
Hi XXXXXXX
Welcome to HealthcareMagic.
As per your symptoms you seem to be having alcohol induced pancreatitis, which subsides on alcohol abstainance and evident by raised ggt (a marker of oxidative stress).
Also you are having gastritis which resolves to an extent on eating less spicy vegetarian foods.
So i would suggest that you take a course of a ppi tablet like pantaprazole or omepraze on empty stomach for a few weeks along with a gastrokinetic like levosulpride to prevent reflux and relieve constipation.
Also first and foremost you need to stop alcohol consumption completely, or whatever treatment you may take, it won't help.
And take a high fiber diet and fruits as they are rich source of antioxidant.
Hope i have been helpful.
Regards,
Dr. Ashish Verma
Above answer was peer-reviewed by :
Dr. Prasad
Thanks for the advice further I had gone for blood test with thyrocare 15 days ago these were the results marked in red colour Total cholesterol 222, triglycerides 223, Vldl cholesterol 44.6, GGt 448, sgot 107, sgpt 156, rest of the results were normal pls advice again with respect to my previous question also hoping for a advice covering all queries thanks
Brief Answer:
still i will go with same diagnosis
Detailed Answer:
Hi XXXXXXX
Sorry if i had missed out on anything in my last reply.
As per your reports you are having high cholesterol and you need to cut down on fats and oils and red meat. You may eat fish, but not fried one. And consult a physician for medication for the same.
Have you also got serum amylase or lipase done in these tests? These are done for pancreatitis. If not, then get it done.
As per me, all the diseases you are suffering from can be greatly improved upon by diet restrictions. You need to cut down on fats, alcohol and spices. Eat more of fish, oats, green vegetables and fruits. These will take care of your constipation as well (one bowel of oats daily, its very good for cholesterol control).
In your reports your liver enzymes are also raised (sgot, sgpt). But these can even be raised in pancreatitis. So get serum amylase and lipase done and start on a ppi with gastrokinetic and antilipid drugs in consultation with a physician and stop alcohol.
Hope this time i have covered everything.
Regards,
Dr. Ashish Verma
still i will go with same diagnosis
Detailed Answer:
Hi XXXXXXX
Sorry if i had missed out on anything in my last reply.
As per your reports you are having high cholesterol and you need to cut down on fats and oils and red meat. You may eat fish, but not fried one. And consult a physician for medication for the same.
Have you also got serum amylase or lipase done in these tests? These are done for pancreatitis. If not, then get it done.
As per me, all the diseases you are suffering from can be greatly improved upon by diet restrictions. You need to cut down on fats, alcohol and spices. Eat more of fish, oats, green vegetables and fruits. These will take care of your constipation as well (one bowel of oats daily, its very good for cholesterol control).
In your reports your liver enzymes are also raised (sgot, sgpt). But these can even be raised in pancreatitis. So get serum amylase and lipase done and start on a ppi with gastrokinetic and antilipid drugs in consultation with a physician and stop alcohol.
Hope this time i have covered everything.
Regards,
Dr. Ashish Verma
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
value is normal
Detailed Answer:
Hi XXXXXXX
The values of amylase and lipase are normal. So it can be mild liver damage due to alcohol.
So continue your udiliv and stop alcohol and fatty foods.
You are just 47yrs with diabetes, hypertension, and high cholesterol and mild liver damage. What else you want. Leave alcohol and follow the adviced diet and things will be much better.
Regards,
Dr. Ashish Verma
value is normal
Detailed Answer:
Hi XXXXXXX
The values of amylase and lipase are normal. So it can be mild liver damage due to alcohol.
So continue your udiliv and stop alcohol and fatty foods.
You are just 47yrs with diabetes, hypertension, and high cholesterol and mild liver damage. What else you want. Leave alcohol and follow the adviced diet and things will be much better.
Regards,
Dr. Ashish Verma
Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
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