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Sharp abdominal pain, flatulence and irregular periods - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1773 Questions
User :   Dear User, You have started the test chat with our doctor. The duration of the test chat is 5 minutes. After the trial period, you will be redirected to the Payment page.
Doctor :   Hi
Doctor :   How can I help you?
User :   hi
User :   I have mild pain on my left mid abdominal area and the pain radiates to the left side and back . I have been feeling it mostly at night or when I seem to be in bed. I get a lot of gas especially at night and my stools are mushy but no diarrhea. I had a sharp abdominal pain for months on my mid abdonimal area more towards the left but it seems to have went away but now I have a different pain on my left abdominal area. I have this new pain for about a week now. I do have a problem with my gallbladder and don't have a normal menstrual but I don't know if its related any idea what it could be?
Doctor :   Let me read it first
Doctor :   before I can answer you
User :   ok
Doctor :   To determine the cause of this I need to ask you few question relating to you problem and that will take more than 5 minutes, is it ok?
User :   ok
Doctor :   Our discussion about your problem may need more than 5 minutes. You will be taken to the payment page after 5 mins trial is over.It's a very nominal cost. After payment, you will be brought back to the chat from where you left it. I will be here to assist you.
Doctor :   Now let us start our discussin
Doctor :   What is the grade of pain on a scale of 1 to 10
Doctor :   What is the exact nature of pain, pinching, pressing, burning etc?
User :   well the pain wakes me up at night so I would say 7

Doctor :   are you back?
User :   the pain is like burning
User :   yes
Doctor :   Ok
Doctor :   Do you have any other symptoms?
User :   its a burning pain and my left side feels sensitive
Doctor :   like nausea, vomiting?
User :   no
Doctor :   What is the duration of the present symptom?
User :   Sometimes it hurts for a couple of seconds the most maybe like 5 but its getting more frequent. It actually hurts right now.
Doctor :   are you there?
User :   I have had this pain for about 1 week
Doctor :   and you said you had pain two months back but a milder version of it
Doctor :   at the same place
User :   yes it was a sharp pain not burning
Doctor :   Please provide these details -Age: Gender: Occupation: Location: Marital Status: Weight and Height:
User :   a little more towards to the left mid abdominal
User :   25 years old , female , single 5'4" about 180
Doctor :   Ok do you have refluxes at night into the mouth?
User :   for the past 3 days I feel like I want to burp but cant and I feel like acid on my throat
Doctor :   Is this only for the past three days or is it increased for the past 3 days?
User :   only the past 3 days
Doctor :   Do you have bloating in the stomach?
Doctor :   stomach fullnss even on slight eating
User :   no
Doctor :   Do you pass gas from anus?
User :   yes, very frequently
Doctor :   How many times you attend loo per week?
User :   I have noticed that I pass a lot of gas for a couple of months now more than usual
User :   sorry whats loo?
Doctor :   Stool
User :   per week? im not sure
Doctor :   any color change in stool?
User :   it looks a little darker than usual
Doctor :   Ok , Now I want to know about the Gall bladder disease you were mentioning
Doctor :   please explain what happened, what did the doc say?
Doctor :   are you typing?
User :   yes I went to see my doctor over a year ago and I mentioned pain on my upper left abdominal area the doc said it seems like its my gallbladder. She felt the area and gave me some pills. She told me to go back in a month and she gave me some pills and told me what to eat and what not. I never went back for a follow up. She had asked me back then if I felt pain on my back and if I had any other symptoms and I said no but a
User :   yes im still typing
Doctor :   fine
Doctor :   please continue
User :   yes a half a year later I started having pain on my back and the pain on my left upper abdominal area got worse. There was a time when the pain wouldnt go away and felt nauseas and I wanted to pass out
User :   sorry the pain on my right upper
Doctor :   So you were mentioning about the pain on right side till now
Doctor :   or only in the past
Doctor :   and now you have on left
Doctor :   side
User :   i still get the pain on my right side but not as much
User :   yes now its on the left
User :   spasms on my right and left abdominal area
Doctor :   Could you tell me the medicines she gave for the gall bladder
User :   yes let me go get the bottle
Doctor :   ok
User :   sorry i couldnt find it
Doctor :   Ok
Doctor :   Do you know the dosings?
Doctor :   of the medicines]
Doctor :   given to you then
User :   no
Doctor :   Did you follow the diet principles
Doctor :   said to you then
Doctor :   Now please calculate your BMI using this link
Doctor :   WWW.WWWW.WW User :   no i didnt follow it
Doctor :   ok calculte the BMI now
Doctor :   with the linkk
Doctor :   I calculated for you
Doctor :   It is 31
User :   ok
Doctor :   you are in Obesity Range
User :   yes i need to lose weight
Doctor :   and you are more prone to this kind of problem frequently in future too
Doctor :   The Gall bladder problem is also might be because of the Obesity
Doctor :   and during those days you have to take Low fat diet
User :   do you think the pain on my left side is related to my gallbladder?
Doctor :   Look Gall bladder problem leads to indigestion of fats
Doctor :   which leads to gas passing out from anus
Doctor :   and refluxes
Doctor :   The indigestion leads to swelling of intestines and the pain especially at night
Doctor :   So there are two solutions for your problem
User :   ok
Doctor :   One is solution for this episode and the other is long term solution
User :   yes
Doctor :   It is because you did not follow the dietary principles of the doctor
Doctor :   you keep having this problems too
Doctor :   Now please follow these tips what I say
User :   So I know I need to take care of my self and eat healthy but is these something I can take for the pain?
User :   ok
Doctor :   Yes the main diet is principled around, WHOLE GRAINS
User :   Another thing my doctor told me was that I had a littlle bit of blood in my urine
Doctor :   AND LOTS OF WATER around 3 litres/d ay
User :   what about dairy?
Doctor :   you should completely cut on Dairy products, coffee, chocolate
Doctor :   and see that you dont go to bed atleast for 2 hours after your meal
Doctor :   For the pain you can take PEPTOBISMOL
Doctor :   syrup
Doctor :   now
Doctor :   Most importantly you got to Start on weight loss program which is an emergency now
Doctor :   Atleast start with a daily brisk walk for 30 minutes early in the morning
Doctor :   or a convenient time
Doctor :   in a day but do it regularly
Doctor :   every day
User :   yes i been eating very unhealthy and havent exercised in a while and thats when everything got worse
User :   should i take fiber supplements?
Doctor :   Most important
Doctor :   Which keeps your stools regular
Doctor :   and smooth
Doctor :   WHole diet is important
Doctor :   whole grains, no processed foods
Doctor :   whole bread, organic foods
Doctor :   Fresh Vegetables and Fruits are to be included in the diet
Doctor :   I would aks you to consult a dietician for a wt loss diet menu's
Doctor :   you can opt for the Low fat diet designed by American Heart assosciation
Doctor :   for the wt loss porgram
User :   do i need to take vitamin d pills since i cant have dairy?
Doctor :   It is not necessary
User :   ok
Doctor :   Now immediately wht you have to do in a nut shell
Doctor :   1. WT loss program
Doctor :   2. Consult a dietician
Doctor :   3. Start with 30 min brisk walk daily
Doctor :   4. Peptobismol for the pain with 3 litres of water daily
Doctor :   over 24 hrs
Doctor :   If the pain doesnt come down I would suggest to see a Family practitioner in your area
Doctor :   Is there any thing else that I could help you with?
User :   so i need to derink 3 liters of water in 24 hours?
Doctor :   Yes
User :   just for 1 day or every day?
Doctor :   Every day
Doctor :   from now on
User :   ok
Doctor :   Do you smoke or chew tobacco/drink alcohol/Any illicit drugs/ betel nut chewing? If yes how much/how often and how long you have?
User :   I do none of that
Doctor :   Do you have any other health problems? Over wt, Diabetes, High Blood pressure, Asthma, Allergies,Thyroid? Any Operations If so why? please say if there is family history of such problems.
Doctor :   You got to see the Gynecologist for you Irregular periods.
User :   I don't have any of those problems but there is a family history of diabets and cholesterol and cancer
User :   Yes, I have gone years with no period
Doctor :   That is another problem that can be linked to your overweight
Doctor :   Ok?
Doctor :   Is there any thing else that I could help you with?
User :   ok, no that's about it
Doctor :   Please fill the feedback form say done when done.
Doctor :   Thanks for consulting Healthcaremagic. Bye for now. Please refer your friends to our service.
User :   ok thank u
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