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Severe abdominal post treatment for duodenal ulcers - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Digestion and Bowels
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2581 Questions
User :   I am a 22 year old male. I was diagnosed with duodenal ulcers 3 months ago and have been on Nexium. I have been told the ulcers are now healed but I have been having SEVERE pain in my lower central abdomen, the navel and another spot about 2 inches down. It comes and goes in severity but is pretty much a constant source of pain. The pain is a stabbing sensation that gets worse after I eat and when in certain positions such as laying down. I have been to two internal medicine doctors who have not found anything. I have also been to a GI who did blood tests, an upper endoscopy, colonoscopy, capsule endoscopy, CT scan, abdominal xrays, and ultrasound all have come back negative.
Doctor :   hi
Doctor :   Dr XXX here
Doctor :   let me read your query
User :   hello
Doctor :   hi AAAAAAA
Doctor :   from what i see from your history, and from the fact that the endoscopy has been normal, .. it seems that you have severe GERD
User :   The GI said the while they do think I have that, he does not think that is what is causing this pain
User :   the pain is severe enough that it takes me to the ground when it hits at its worst
Doctor :   but since the duodenal ulcers u had prior have healed, you are getting better
Doctor :   i understand ,
User :   the pain has gotten worse not better, I understand the ulcers and the pain i felt with them it was more of a burning this feels like someone is stabbing me
Doctor :   but since all tests have been normal, i guess that this could be a benign issue, though it seems severe due to the pain felt by you
Doctor :   and this pain could be depressing to u ,
Doctor :   are u on any other meds other than nexium?
Doctor :   have you tried any antacids, for this pain ?
User :   yes i have done some looking online and was thinking maybe something involving nerves... the pain has literally stopped my life i can't leave the house because of the pain
User :   I was on an antibiotic for epididimits i am taking bentyl right now but have only been on it for 2 days
Doctor :   i would suggest you to seek your doc, and ask him if he can prescribe you some amitriptyline
to manage this pain
Doctor :   this medication can help this pain better
Doctor :   how is your appetite , any constipation or diarhea ?
User :   like i said i am on my third doc right now all have basically told me they don't know wait it out
Doctor :   ok
User :   no appetite all i have to force myself to eat at all becuse it hurts so bad after. over the past 3-4 months i have lost around 35lbs
Doctor :   oh ok
Doctor :   have you tried gelusil or other anticids ?
Doctor :   antacids **
User :   no just the nexium
Doctor :   i would suggest to try some Over the counter antacids , which will relieve the pain,
Doctor :   take the antacid as and when you get the pain, specifically, after having food
User :   they wont affecting anything else i am taking?
Doctor :   no, not if u take the medicines you are on at different times
Doctor :   take nexium in the early morning
User :   ok do you have any other suggestions if that doesnt help
Doctor :   and the antibiotics, before having food
Doctor :   amitryptline (TO help the pain)
Doctor :   but that would need your doctors prescription
User :   can you think of any other condition it may be
Doctor :   you may be having Irritable bowel syndrome,
Doctor :   which can present as you have
Doctor :   or any malabsorption syndrome like enteritis
Doctor :   but since the all studies are negative, IBS is the most thing
User :   ok i will look into that ibs has been ruled as far as the pain goes thank you
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