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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain In Upper Abdomen?

I took an overdose in the late hours of saturday night (three days ago) I still have a severe pain in my upper abdomen like hunger pangs but when I eat the pain disapears for a while andI also have black stools. The doctor told me to ring if this continued so I rang the hopital where i stayed saturday night and explained the pain was still there, they were concerned but told me go see m GP but I can not get an appointment for a week. I am concerned I have an ulcer after the amount of Ibuprofen in my system.
Mon, 10 Nov 2014
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General Surgeon,  's  Response
Hi.
Thanks for your query.
Read your history and understood the problem.
Your history is classical of an acid peptic disorder, most probably of an active ulcer in the stomach or duodenum.
The hunger pains. which reduce disappear on for a while on food as it coats and protects from pains.
Black stool is indicative of an active bleeding from an ulcer. This is called malena.
You need to consult a Gastroenterologist and get an urgent upper GI Endoscopy to confirm the diagnosis.
Till then please follow as per following:
Zantac 12 hourly.
Pepcid every 3 to 4 hours when on empty stomach.
Add Domperidone or such motility regulators.
Soft bland diet.
No aerated colas / soda/ drinks.
Early dinner. No late nights.
Treatment for anxiety (as prescribed / needs a prescription by your Doctor)
Lying in a reclining position
Walk around after dinner.
Think of the factors which increased the present problem, GERD, anxiety and try to avoid.
If no relief, get Upper GI endoscopy done and get prescription for added Medicines.
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What Causes Pain In Upper Abdomen?

Hi. Thanks for your query. Read your history and understood the problem. Your history is classical of an acid peptic disorder, most probably of an active ulcer in the stomach or duodenum. The hunger pains. which reduce disappear on for a while on food as it coats and protects from pains. Black stool is indicative of an active bleeding from an ulcer. This is called malena. You need to consult a Gastroenterologist and get an urgent upper GI Endoscopy to confirm the diagnosis. Till then please follow as per following: Zantac 12 hourly. Pepcid every 3 to 4 hours when on empty stomach. Add Domperidone or such motility regulators. Soft bland diet. No aerated colas / soda/ drinks. Early dinner. No late nights. Treatment for anxiety (as prescribed / needs a prescription by your Doctor) Lying in a reclining position Walk around after dinner. Think of the factors which increased the present problem, GERD, anxiety and try to avoid. If no relief, get Upper GI endoscopy done and get prescription for added Medicines.