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Dr. Andrew Rynne

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Stomach hurts in morning. All test report came normal. Whats the reason?

Jan 2013
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Answered by

Internal Medicine Specialist
Practicing since : 2003
Answered : 1658 Questions
My husbands stomach hurts across the front every morning he wakes up. It's in the area of his waist, across the front, horizontally across his navel. He recently had a bunch of tests for liver and gallbladder issues (blood tests and ultra sound). They all came back negative.
Thu, 31 Jan 2013 in Abdominal Pain
Answered by Dr. Mayank Bhargava 1 hour later
Welcome to XXXXXXX forum.

Is there any history of prolonged intake of analgesics for relief joints pain?
Is abdominal pain getting relief after passing stools in morning?
Is he a smoker?

With normal liver test and normal gall bladder status in ultrasound imaging, there may be possibilities of peptic ulcer disease, and functional dyspepsia, pancreatitis, irritable bowel syndrome.
As your husband has history of joints pains with alcohol intake (although he is not taking it presently), these possibilities should be kept in mind.

Peptic ulcer disease may be in form of chronic gastritis, fundal gastritis, nodular gastritis, follicular gastritis and gastric & duodenal ulcer and adenocarcinoma of stomach.
You should consult with XXXXXXX medicine specialist/ gastroenterologist and should go for thorough check up.
You should also go for breath urea test for H. pylori infection.
Helicobacter pylori bacteria is responsible for peptic ulcer treatment and eradication is essential for complete relief.
Your husband should go for endoscopy for better clarification.
Persistence of symptoms with normal endoscopy indicates possibilities of functional dyspepsia.

He should also go for complete hemogram, serum lipase and amylase, urine routine microscopy.
There may also be possibilities of Irritable bowel syndrome; if abdominal pain gets relieved after passing stools.
He should also follow dietary restrictions.
Avoid tomatoes, legumes, citrus fruits, onion, garlic, spicy and oily food.
Avoid tea, coffee and chocolates.
Take soft diet with yogurt.
Hope that helps.
Let me know if I can address any more concerns.
Take care,
Dr. Mayank Bhargava
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