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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pain At Ribs On Right Side, Feel Bloated With Pains When Drinking Wine Or Water, Ammonia Smell From Skin. Solution ?

hello, I have been feel these pain at my ribs on my right side. sometimes its the other side too. I notice when I drink a lot of water I feel bloated and pains. I recently notice when I drink wines or alchol my stomack get very bloated and it hurts. also I notice that certain vitamins or mineral give me stomach pain. I m not sure if this all connect to gather but sometimes I can smell ammonia on my skin,in the back of my nose . there was times it was so stronger that I was embasssses. sometimes the ammonia only smells in my personal areas. sometimes its there then in the next hour the smell is gone.thank for any help u can give
Tue, 10 Sep 2013
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General & Family Physician 's  Response
Hello,
Thanks for the query to H.C.M. Forum.
Since you mentioned that pain is on the right rib cage . Sometimes pain also on left side when drink wine or alcohol .
The possibility may be peptic ulcer disease or Hiatus hernia.
Diagnosis can be confirmed by upper G I endoscopy.
As you stated that pain aggravate by drinks of alcohol or wines i.e. substances of irritant nature increase the pain .
So for this try raising the head of your bed about 4 inches with blocks. It also might help to avoid eating or drinking for two hours before you lie down.
To help control the stomach acid , one should not drink ALCOHOL or WINE . Don't use products containing caffeine or spicy food , greasy food, junk , chocolates. Some antacid may help, if not then take proton pump inhibitors after consultation with doctor.
Now the question of smelling ammonia type smell get in blood exmination for serum creatineine & blood urea , may be due to high level of blood urea in body ( ammonia smell).
Good luck.
Dr. HET
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Pain At Ribs On Right Side, Feel Bloated With Pains When Drinking Wine Or Water, Ammonia Smell From Skin. Solution ?

Hello, Thanks for the query to H.C.M. Forum. Since you mentioned that pain is on the right rib cage . Sometimes pain also on left side when drink wine or alcohol . The possibility may be peptic ulcer disease or Hiatus hernia. Diagnosis can be confirmed by upper G I endoscopy. As you stated that pain aggravate by drinks of alcohol or wines i.e. substances of irritant nature increase the pain . So for this try raising the head of your bed about 4 inches with blocks. It also might help to avoid eating or drinking for two hours before you lie down. To help control the stomach acid , one should not drink ALCOHOL or WINE . Don t use products containing caffeine or spicy food , greasy food, junk , chocolates. Some antacid may help, if not then take proton pump inhibitors after consultation with doctor. Now the question of smelling ammonia type smell get in blood exmination for serum creatineine & blood urea , may be due to high level of blood urea in body ( ammonia smell). Good luck. Dr. HET