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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Treatment For Severe Abdominal Pain?

Hi I've had a pain/ uncomfortable feeling in my upper abdomen for the past 5 days. It started happening at night maybe an hour or two after my dinner and I felt it under my right rib. For the first three nights it lasted only about 1 hour, but then the pain moved to just under the base of my sternum and feels like a constant dull tightness, like someone resting their head on me. I tried an antacid tablet cos my doctor told me it was probably reflux. But it had no effect. I can feel the heaviness has moved slightly to the centre-left just under my breast. I've had blood tests, abdomen and pelvic ultrasound and CT scans but no significant findings. Any ideas on what it could be?
Mon, 24 Nov 2014
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General Surgeon,  's  Response
HI.
Thanks for your query and an elucidate history.
What you need an urgent investigations in such a case is an ECG. We have to rule out Heart Attack.
If the ECG is normal, this has to be treated as Heperacidity with GERD.
I would advise you the 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.
EKG for the heart n a safer side to rule out cardiac problems.
This helps all my patients and should help you hopefully
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What Is The Treatment For Severe Abdominal Pain?

HI. Thanks for your query and an elucidate history. What you need an urgent investigations in such a case is an ECG. We have to rule out Heart Attack. If the ECG is normal, this has to be treated as Heperacidity with GERD. I would advise you the 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. EKG for the heart n a safer side to rule out cardiac problems. This helps all my patients and should help you hopefully