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Pain in abdomen, internal knot above navel - 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 : 2004
Answered : 40 Questions
User :   abdominal pain, internal knot above navel comes and goes. vomitting every nite...eating during the day.
Doctor :   Hi
Doctor :   I am
Doctor :   Can you please detail me about the symptom of abdominal knot?
Doctor :   What is your age and gender?
User :   i have stomach pain to were i have to voimit to releave the pressure...causeing cramps..
User :   age 53 ..male
Doctor :   When was the first time you had this?
Doctor :   Do you have any medical problems like High blood pressure / Diabetes ?
User :   the pain is gone by morning but builds up during the day to were i cramp up by nite an i have to relive my pain
Doctor :   What is the nature of stomach pain, spasmodic / piercing / burning / pulling type
User :   cramps
Doctor :   What is the severity on a scale of 1 to 10, 1 being the least?
User :   well for me its 9
Doctor :   Did you suffer from heart disease or blood clot problem?
Doctor :   High BP / Diabetes?
Doctor :   I know you might be in pain, but I want answers for some questions to be able to guide you
User :   no other medical problems...this just started happing for abot 4 weeks
Doctor :   Did you have similar pain in the past
User :   i had a ulcer five years ago....but nothing since then
Doctor :   Do you take frequent pain killers
Doctor :   sorry pain killers frequently?
Doctor :   Do you have joint pains or fever?
User :   yes ...aspirn
Doctor :   Why do you take Aspirin?
User :   no joint pain or fever
Doctor :   Do you vomit finally, what do you see in the vomitus?
User :   undigusied food
Doctor :   Do you see blood or yellow colored bile?
User :   no
Doctor :   How is your appetite and stool?
Doctor :   I need more time to be able to answer your problem to the best of my ability
User :   this is his wife, i type faster...
Doctor :   Ok
Doctor :   Now let us continue
Doctor :   How is the appetite and stool?
User :   no blood or bile in stool
User :   appetite good
Doctor :   Can you relate the pain with the food?

Doctor :   more before food or after food?
Doctor :   or no relation at all?
User :   after food
User :   dont eat he is fine
Doctor :   Do you mean if he has empty stomach it is good for him?
User :   yes
User :   not digesting food correctly
Doctor :   Is the pain around the navel?
User :   yes
User :   exactly where it is!
User :   physical knot internally above the navel that comes and goes. no rhyme or reason to it.
Doctor :   Look, I suspect an acute peptic ulcer as a strong cause
User :   define peptic ulcer
User :   what to do next
Doctor :   It is a damage in the mucosa of the stomach lining
User :   what to do
Doctor :   this can be due to the previous ulcer and aggravated by use of Aspirin
User :   what to do
Doctor :   Do you have antacid OTC's at home
User :   malox, pepto, tums,
Doctor :   TUMS / MYLANTA
User :   rolaids,
User :   used them all
User :   tried everything
Doctor :   PRILOSEC
User :   hurry...cant recharge this session
User :   havent tried that
User :   pecid
Doctor :   Please take PRILOSEC 20 mg twice a day before food

User :   if that doesnt work??
Doctor :   TUMS thrice a day after food
Doctor :   Even now he has to see a Doctor as he says it is 9/10
Doctor :   because it can lead to complicaiton of bleeding or perforation of the stomach
Doctor :   So do not delay
User :   specific doctor?
Doctor :   Surgeon / Gastroenterologist
User :   ok, anything else?
Doctor :   No Aspirin at all
Doctor :   from now on
User :   ok
Doctor :   No MOTRIN / ADVIL too
User :   what to do about the ain then?
Doctor :   Only TYLENOL is fine for pain relief
User :   excederin?
User :   ok
User :   e says that doesnt do anything for him...tylenolh
Doctor :   This is bad
Doctor :   Then it warrants a doctor examiantion
User :   2 execrdin and pain gone,
User :   ok
Doctor :   Actually the entire things is because of pain killers
User :   the alcohol he drinks aggrivate it?
Doctor :   Yes
Doctor :   No fried food
Doctor :   Only bland diet
Doctor :   Boiled or baked variety
Doctor :   No chilly
User :   he does eat excedrin like candy and drinks daily.
Doctor :   Lot of cold milk
Doctor :   No beverages including colas
User :   gingerale
Doctor :   You have to take care of his diet
Doctor :   Gingerale is good
User :   no beverages meaning what?
Doctor :   No coffee, no carbonated drinks

User :   gingerale is carbonated though
Doctor :   Only cold milk is permitted
Doctor :   Water is the best
User :   ok
Doctor :   Ginger with warm water is what I mean
User :   oh
User :   but cold milk?
Doctor :   Cold milk is fine
Doctor :   Put hot packs over the stomach
User :   will see a doctor.... stress seems to be related
Doctor :   for relief of pain
Doctor :   YEs
Question is related to
Diseases and Conditions
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