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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Severe Abdominal Pain And Nausea

Good morning. I have been experiencing pain in the right to middle of my abdominal. I have been waking up for the last two nights nauseous. This morning I did vomit, just bile. Since this has happen two consecutive days, I m beginning to wonder what is going on. The first day I almost vomited, but was able to settle my stomach. I took some tums, and had some mint tea and toast. The rest of the day, I didn t feel too bad, but then it happened again this a.m. I am due to leave for Florida on Wednesday, and I am getting a little concerned not knowing what is going on. I have been belching, but I can tend to have gas issues on occasion, and some reflux. This seems different with the nausea and vomiting. What is your suggestion. Thanks. C.
Wed, 17 Aug 2016
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Internal Medicine Specialist,  's  Response
Thank you for the query.
The symptoms that you have mentioned (pain in the right/middle of the abdomen, belching, nausea and bilious vomiting) are very much suggestive of a gall bladder pathology. I would like to ask whether you are having any fever. I would suggest you to get a liver function test and ultrasonography of upper abdomen done. If there is associated fever, you can get a white blood cell count done. This will help to rule out any GB disorder (eg infection, stone/calculi etc). Occasionally Acute gastritis can have similar symptoms and medications like pantoprazole or omeprazole helps. Presently, i would advise you to avoid high fat in diet and painkillers like diclofenac/ibuprofen.
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Suggest Treatment For Severe Abdominal Pain And Nausea

Thank you for the query. The symptoms that you have mentioned (pain in the right/middle of the abdomen, belching, nausea and bilious vomiting) are very much suggestive of a gall bladder pathology. I would like to ask whether you are having any fever. I would suggest you to get a liver function test and ultrasonography of upper abdomen done. If there is associated fever, you can get a white blood cell count done. This will help to rule out any GB disorder (eg infection, stone/calculi etc). Occasionally Acute gastritis can have similar symptoms and medications like pantoprazole or omeprazole helps. Presently, i would advise you to avoid high fat in diet and painkillers like diclofenac/ibuprofen.