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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Dull Ache In Stomach And Gas In Stomach?

Hi. My stomach has had a dull ache persistently for a week. Also very gassy and pain seems to be temporarily relieved when I belch or pass gas. Feels better when lying down but gradually gets worse when standing or in an upright position. I ve been taking Nexium or some form of it for approximately 10 years for Gerd/acid reflux. WebMD symptom checker said it was most likely IBS. Is this something more serious that I should be concerned about?
Mon, 6 Apr 2015
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General & Family Physician 's  Response
Hi,
Stomach bloating or pain or belching could be due to acute gastritis,dyspepsia,Erophagia,irritable bowel syndrome,peptic ulcer,bowel obstruction,inflammatory bowel disease like crohn's disease or ulcerative colitis.

As you are taking tab.Nexium since long time for GERD for symptomatic relief but the important thing is to diagnose the cause of this beching,gas or dull ache inside stomach since for 1 week.

You should undergo certain blood investigations with urine and stool examination for R/M and ova or ultrasound of abdomen or upper GI scopy if required.

Treatment is mainly depend on the underlying cause but symptomatic treatment can be given.

You may require antibiotics (quinolones, antiprotozoals or amoxycillin derivatives) and anti-helminthic (albendazole) with proton pump inhibitors and prebiotics and probiotics
.
You must consult your gastroenterologist for detailed medical history and thoroughly clinical examination and get it diagnosed first.
Thanks.
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What Causes Dull Ache In Stomach And Gas In Stomach?

Hi, Stomach bloating or pain or belching could be due to acute gastritis,dyspepsia,Erophagia,irritable bowel syndrome,peptic ulcer,bowel obstruction,inflammatory bowel disease like crohn s disease or ulcerative colitis. As you are taking tab.Nexium since long time for GERD for symptomatic relief but the important thing is to diagnose the cause of this beching,gas or dull ache inside stomach since for 1 week. You should undergo certain blood investigations with urine and stool examination for R/M and ova or ultrasound of abdomen or upper GI scopy if required. Treatment is mainly depend on the underlying cause but symptomatic treatment can be given. You may require antibiotics (quinolones, antiprotozoals or amoxycillin derivatives) and anti-helminthic (albendazole) with proton pump inhibitors and prebiotics and probiotics . You must consult your gastroenterologist for detailed medical history and thoroughly clinical examination and get it diagnosed first. Thanks.