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Stomach pain, burning sensation, tiredness, weakness, tiredness, constipated, sharp pain, vagina feels smaller, cravings. Help?ab

Have had stomach pain, on the pit of my stomach, burning so much so that it takes my breath away. Feeling emotional, hot, crying, with dizzy spells and feeling weak and tired. Unable to empty my stomach at once, sometimes constipated, sometimes not. Feeling of not being able to emply my bowels all in one. Unable to have intercourse, too painfull, a feeling that my stomach feels like putty, my stomach feeling like not being attached to my body, when I am emptying my bowels it feels as if I have a sharp pain deep in my vagina, My vagina feels 'much smaller" the only way I can explain this, I am 55 years old. Cravings of either continuous eating or not being able to eat. Not sleeping well for nights at a time.
Asked On : Fri, 5 Apr 2013
Answers:  3 Views:  343
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General Surgeon 's  Response
Hi ! Madam, you might be having some hormonal irregularities which should be investigated into. Apart from that you should consult your gynaecologist to exclude any possiblilities of endometriosis which at times gives rise to adhesions between the rectum and vagina, and in such cases you may get deep pain in the vagina while passing stool along with a sense of incomplete evacuation.Go for a a routine stool test for ova/cyst.Also the painful intercourse may be related to this problem.

I would also suggest an ultrasound abdomen for you to exclude any intra abdominal/intra pelvic pathology and if thought appropriate by your treating doctor, a CT scan abdomen.

At the same time, I would like to advise you not to take too much of emotional stress on this, which possibly is the reason for your sleeping problem and also craving or not craving for food.

Try to keep yourself busy and have regular moderate exercise programme.

At the end, I would also like to go for a Psychiatric counselling after your clinician has excluded any major pathological problem. All the best and take care.

Answered: Fri, 26 Apr 2013
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Cardiologist Dr. Anantharamakrishnan's  Response
Hi friend,
Welcome to Health Care Magic

Anxiety is mainly - if not exclusively - responsible for this type of symptoms...
See a gastro-enterologist / have an upper and lower G I Endoscopy - possibly gastritis and Irritable Bowel Syndrome / still one has to exclude any organic lesion in view of the age!
Psychological assessment and counselling could help...

Take care
Wishing speedy recovery
God bless
Good luck
Answered: Fri, 26 Apr 2013
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Internal Medicine Specialist Dr. Mayank Bhargava's  Response
Jan 2013
Hi,
Thanks for posting your query.
Let me know the associated symptoms along with mentioned.
Do you have acidic belching/ abdominal discomfort/ excessive flatulence/ gargling sound in abdomen/ abdominal bloating after taking meals?
Are you getting burning sensation in upper abdomen and retrosternal in location?
With the available described symptoms, there appears to be possibility of functional dyspepsia with multiple somatic symptoms.
Functional dyspepsia is a functional disorder of gastrointestinal tract and Organic disease must be ruled out.
You should consult with internal medicine specialist/ gastroenterologist and should go for thorough check up.
You should also go for ultrasound imaging, serum amylase and lipase, thyroid profile, blood sugar level.
Meanwhile, you should take proton pump inhibitors along with prokinetics for relief of your symptoms.
You should also take tricyclic antidepressants.
Take care,
Dr. Mayank Bhargava
Answered: Fri, 5 Apr 2013
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