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Chest and abdominal pain due to gastric troubles - Online Doctor Chats

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

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   hi eoc
User :   Hi Doc
Doctor :   Hi
Doctor :   Iam.Dr.xxxxx
Doctor :   May i help you?
User :   Good evening doc, i have kind of chest pain and pain spreading out to lower abdomen .. and its been happenin for the past 2 weeks at odd times.. (primarily in the early monring or afternoon times)
User :   I am 35 years old
Doctor :   Ok
User :   today i had IVS intake in the hospital and they suspected it to be gastric
Doctor :   Do you have any history of acidity?
User :   but i see that pain subsidised when i took rest and started aggravating again
User :   i dont have any istory of acidity
User :   i am facing this for the first time
Doctor :   Do you have nay local pain there?
Doctor :   Do you have pain in the right chest?
User :   yes
Doctor :   What type of pain is that,like pricking or dull aching ?
User :   its kind of pricking pain
Doctor :   do you have normal bowel?
User :   i have pain in the right chest
Doctor :   do you have nausea and vomiting?
Doctor :   do you have pain when you press on that area?
User :   i don tsee normal but it wasa full of froth and i have pain in the morning during nature call
Doctor :   when is the pain more?
User :   i dont ave nausea or vomitting
User :   the pain is more in the early mornings ..
Doctor :   ok
Doctor :   do you have any pain in the umbilical region?
User :   yes
Doctor :   Did you have any sudden lifestyle change?
Doctor :   do you take excess spicy foods?
User :   generally we take spicy food
User :   no change in lifestyle
Doctor :   do you have adequate appeptite
User :   but lot of mental pressure
Doctor :   ok
Doctor :   try reducing spicy foods first
Doctor :   ok
Doctor :   do you take enough vegetables and fruits?
User :   not much..
Doctor :   do you take more tea or coffee?
User :   i dont take neithre tea nor coffee
Doctor :   ok good
Doctor :   do you have any burning pain during urination?
User :   no
User :   is it symptoms of gastrics or anyting else
Doctor :   Abdominal pain is caused by inflammation (for example, appendicitis, diverticulitis, colitis ), by stretching or distention of an organ (for example, obstruction of the intestine, blockage of a bile duct by gallstones, swelling of the liver with hepatitis), or by loss of the supply of blood to an organ (for example, ischemic colitis).
Doctor :   do you have diarrhoea?
User :   no
User :   but in the morning. its very difficult during nature's call.. i have severe pain
Doctor :   ok
Doctor :   did you do blood tests?
User :   no
Doctor :   Laboratory tests such as the complete blood count (CBC), liver enzymes, pancreatic enzymes (amylase and lipase), and urinalysis are frequently performed in the evaluation of abdominal pain.
Doctor :   An elevated white count suggests inflammation or infection (as with appendicitis, pancreatitis, diverticulitis, or colitis).
Doctor :   Liver enzymes may be elevated with gallstone attacks.
Doctor :   Blood in the urine suggests kidney stones.
Doctor :   Amylase and lipase (enzymes produced by the pancreas) commonly are elevated in pancreatitis.
Doctor :   When there is diarrhea, white blood cells in the stool suggest intestinal inflammation.
Doctor :   Did you take xrays of abdomen and chest?
User :   nope
Doctor :   Plain abdominal x-rays of the abdomen also are referred to as a KUB
User :   in the hospital .. they gave te IVS and ave oral
User :   gave oral
Doctor :   what did they say?
Doctor :   are they planning for endoscopy?
User :   they said that the pain will subsidise and gave Domstal , sucrafil
User :   tey wanted me to take te medication for couple of days and observe
User :   also OMEZ and valium
Doctor :   ok they are anti acidity drugs
Doctor :   did they tell you to reduce spicy foods
User :   nothing specific like that
Doctor :   and to take small frequent meals than large meals
User :   nope
Doctor :   and also not to go to bed immediately after food
User :   nope
Doctor :   do you have any menstrual irregularities?
User :   no .. i dont have irregularities
Doctor :   ok
Doctor :   so when did they ask you to get back
User :   after couple of days
Doctor :   do you feel relieved taking those tablets?
User :   nope
User :   hence te reason for this chat
Doctor :   the most common cause can be gastritis
Doctor :   an inflammation of the mucosa of stomach and intestine
Doctor :   that can come due to irritation or infection
Doctor :   so you need to undergo some more investigations to exactly confirm that
Doctor :   Abdominal pain may not arise from the abdomen.
Doctor :   Some heart attacks and pneumonias can cause abdominal pain.
Doctor :   Diseases of the pelvis or groin can also cause a pateint's abdomen to hurt.
Doctor :   Diseases people worry about most are appendicitis, gallbladder disease, ulcers, infections,
User :   are you recommending or advising for any tests ..?
Doctor :   so most probably your cause will be gastritis
Doctor :   i would advise you to continue that fro some more days
Doctor :   and still if no benefit
Doctor :   then go ahead
Doctor :   with further investigations like
Doctor :   Laboratory tests such as the complete blood count (CBC), liver enzymes, pancreatic enzymes (amylase and lipase), and urinalysis are frequently performed in the evaluation of abdominal pain
Doctor :   Abdominal ultrasound is useful in diagnosing gallstones, cholecystitis appendicitis, or ruptured ovarian cysts as the cause of the pain.
Doctor :   Endoscopy is useful for detecting ulcers, gastritis (inflammation of the stomach)
Doctor :   Always understand the
Doctor :   fact that gastritis
Doctor :   takes time to heal
Doctor :   like 2-3 weeks
User :   ok,
Doctor :   even 2 months in some
Doctor :   since the best medicines are given to you now
Doctor :   i feel you still have a lot of chance to get cured soon
Doctor :   also understand
Doctor :   if you worry and tense more
Doctor :   the acid disorders will worsen
Doctor :   as it has an emotional factor too
Doctor :   that triggers acid release
User :   ok
Doctor :   Diagnosing the cause of abdominal pain is one of the hardest things for a healthcare provider
User :   ok, let me take the medication and see how it works
Doctor :   yes sure
Doctor :   and since you are in the follow up
Doctor :   you dont need to worry
User :   ok
Doctor :   you may take expert opinion fro our gastroenterologist if you prefer so
User :   sure,
Doctor :   Is there anything else i can help you with now?
User :   that all abt it now
Doctor :   Thanks for consultation....
User :   tx for your advise
Doctor :   Bye for now......
Doctor :   Take care.....
User :   Bye
Doctor :   Do login anytime for help.....
Doctor :   Bye......
User :   sure, will do
User :   i like this service very much to get instant suggestions
User :   and advise
Doctor :   Thanks a lot...
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