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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Swollen Abdomen Leading To Pressure Under Ribs?

I am a 49 year old woman who has had 4 children. The past month I have been noticing swelling in my abdomen sometimes so badly that I had terrible pressure under my ribs just like when I was full term pregnant. I have also been having trouble with a quick sharp pain that comes and goes in the right side of my abdomen about 4 fingers to the right of my belly button just under my ribs. Always the same place. I have had blood work, a gall bladder ultrasound,ct scan with both kind of contrast, nothing has shown on any of this. Some days that are really bad,I even get nauseous and the pain happens every 10 minutes or so. Other days it only happens about 15 times thru the day. I have logged when it happens and what I eat and they don t seem to be related. I have noticed, it happens most often if I have Sat down quickly, our turned our bent down. I hope you can give me a direction to go now as I currently feel like it is all in my mind when I know it isn t.
Wed, 22 Apr 2015
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General & Family Physician 's  Response
Hi,
Stomach bloating is caused mainly because of air swallowing known as erophagia.

This all symptoms are actually abdominal bloating which could be due to dyspepsia, constipation,gastroenteritis,IBS orinflammatory bowel disease,parasitic infestation(giardiasis) etc.

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 and Regards,
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What Causes Swollen Abdomen Leading To Pressure Under Ribs?

Hi, Stomach bloating is caused mainly because of air swallowing known as erophagia. This all symptoms are actually abdominal bloating which could be due to dyspepsia, constipation,gastroenteritis,IBS orinflammatory bowel disease,parasitic infestation(giardiasis) etc. 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 and Regards,