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Stomach cramps, nausea with a history of acid reflux - 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 : 2408 Questions
User :   I went hiking on Sunday and got a nasty sunburn which is beginning to go away and some bug bites. I haven't been feeling too well. Yesterday I was just sore and now, I have stomach cramping. I can't tell if it is because of something I ate or because my period is coming this week. If the bites were to affect me, wouldn't it have happened on Sunday?
Doctor :   hi
Doctor :   Dr. XXXXXXXX here. Let me read what you have typed.
Doctor :   what other symptoms are you having?
Doctor :   when was your last menstrual periods?
User :   really tired, that could be from anything. this cramping hurts when i inhale, front and back
User :   last period was about a month ago
Doctor :   ok. is there chest pain associated?
User :   nope
User :   acid reflux though... this is a problem ive been having for a few weeks
Doctor :   you should go ahead with an examination including chest and abdomen examination to see what is exactly hapening
Doctor :   are you on any medication for acid reflux?
User :   no, just malox when needed
User :   ok, back
Doctor :   hi
Doctor :   was any investigations done for the acid reflux?
Doctor :   is there burning sensation in chest? is there nausea associated with the cramps?
User :   not yet. i was under a lot of stress when it started. i have a physical in a couple of weeks. yes nausea and not a lot of burning right now
Doctor :   ok. i would recommend these following things to be done as the probable cause for your present symptoms could be the acid reflux itself
Doctor :   1) during your physical, request your doctor to investigate cause for acid reflux and start with more powerful acid suppressors
Doctor :   2) take Tab. Prilosec two times a day before food.
Doctor :   3) discuss possibility of doing a endoscopy to look for any gastric ulcer that could be reason for worsening of problems and severe cramps
Doctor :   4) stick to bland diet, avoid spicy, oily, fried foods
Doctor :   5) avoid citrus fruits and juices.
Doctor :   5) drink plenty of water upto 10-12 glasses per day , it will help
Doctor :   Have you followed what I have said?
Doctor :   please get back to me in case you have doubts
User :   yes, i have
Doctor :   is there anything else you would like to ask me?
User :   so its probably not from the bug bites, right?
Doctor :   if the cramps do not come down in next 1/2 hour time, or get more severe, then you should go to ER for the pain relief with intravenous medications
Doctor :   no, it does not seem to be from bug bites, they will have more of skin related lesions., not stomach cramps
Doctor :   is there fever associated?
User :   no fever
User :   i promise i really have checked
Doctor :   ok. then you can focus on managing the acid reflux and the further investigations for it.
Doctor :   is there anything else you would like to ask me?
User :   ok, i can do that
User :   no, that is it. Thank you, i really appreciate it
Doctor :   Please fill the feedback form and comment box, say done when done.
User :   will do.
Doctor :   Thanks for consulting me. Bye for now. Please chat with our doctors 24/7 for medical queries. Please refer your friends to our service.
User :   thanks! bye
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