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Abdominal pain due to alcohol induced gastritis - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Abdominal Pain
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2570 Questions
User :   I am a 35 year old, slender female. Medical professional. Lately I have experienced fairly intense upper abdominal pain (radiating to the upper back) immediately after drinking hard liquer. Dull ache, more burning than sharp. Not related to a hangover, in fact..I do not reach the point of feeling "buzzed" at all before the pain sets in. I am worried this is an acute pancreatitis, or an ulcer?. Other symptoms include night sweats (soaked, not hormonal). Recent ALT levels slightly increased beyond clinical range. All other blood work WNL. Have hx of pancreatitis and drug induced hepatitus ( 2 yrs ago - reaction to INH). Know immediate answer is avoid alcohol :)
Doctor :   let me read your query
Doctor :   it may take a few minutes
Doctor :   ok , how long have you been drinking alcohol and what do u mean by history of pancreatitis, and when did you have this ?
User :   first attack 2 yrs ago related to the toxicity...seemed to have triggered subsequent attacks. Not requiring hospitalization, but confirmed by PCP. Increased drinking, honestly, is fairly recent...pain has only been intense past 2 weeks immediately after shot or single drink.
Doctor :   have you been on any medications ?
Doctor :   can u describe the severity of the pain in the back, does it come more often ?
User :   No meds to account for pain. Current meds include Lexapro and Adderall. No NSAIDS. PCP not feeling it is medication related. Dx with acute liver toxicity secondary to INH allergy in 2008. Subsequent liver biopsy revealed benign tumor in liver that did not warrent intervention per GI (last US & MRI in 2008)
User :   Pain is immediate, ...starts in upper stomach, radiating to back. Rest (no drinking) abates pain to manageable level in about 30 min
Doctor :   ok, this seems to be due to alcohol induced gastritis
Doctor :   such a pain that comes within 30 min is due to gastritis ,
Doctor :   try to take some antacids like mylanta, in adequate amounts
Doctor :   this will help to reduce the pain
Doctor :   in addition, you do know that reducing alcohol intake is the key
User :   Thank you very very much :)...and, yes, will stop drinking
Doctor :   it seems that you have moved out of the chat session
Doctor :   please login again if you have any medical query
Doctor :   thanks and take care
Doctor :   bye for now
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