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Suggest Remedy For Pain Below The Sternum And Abdominal Bloating

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Posted on Mon, 2 Nov 2015
Question: Friday night, extreme pain below sternum, stomach bloated and hard, has stayed that way, paid much decreased, no fever, no vomiting, pepto bismal and acid controller did not work, could not roll onto sides, paid kept me awake
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Answered by Dr. Bonnie Berger-Durnbaugh (30 minutes later)
Brief Answer:
Please clarify - has the pain decreased?

Detailed Answer:
I am sorry you are feeling so badly. I read what you wrote a few times and am not clear when you say that the stomach has remained hard, but "pain much decreased". So is it not hurting you further but your abdomen is still hard?

Also, which acid controller did you try and at what dosage and frequency?

The area you describe hurting is where the end of the esophagus is at. So likely this is from acid reflux. As the esophagus is not meant to have acid in it, acid there can cause a lot of pain - and damage.

You can try Zantac 150 mg twice a day (nonprescription bottle instructs using once a day, but you should double it). You should continue on this for several weeks.

Eat small meals (you can eat more frequently but not a big meal at once as that increases the likelihood of reflux). Don't eat for 2-3 hours before lying down. Avoid alcohol, and no tobacco.

But if the extreme pain returns, OR if pain and bloating continue then do go in to be seen as you may need an upper GI endoscopy to have a look at the lining of your esophagus and stomach.
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Bonnie Berger-Durnbaugh

General & Family Physician

Practicing since :1991

Answered : 3134 Questions

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Suggest Remedy For Pain Below The Sternum And Abdominal Bloating

Brief Answer: Please clarify - has the pain decreased? Detailed Answer: I am sorry you are feeling so badly. I read what you wrote a few times and am not clear when you say that the stomach has remained hard, but "pain much decreased". So is it not hurting you further but your abdomen is still hard? Also, which acid controller did you try and at what dosage and frequency? The area you describe hurting is where the end of the esophagus is at. So likely this is from acid reflux. As the esophagus is not meant to have acid in it, acid there can cause a lot of pain - and damage. You can try Zantac 150 mg twice a day (nonprescription bottle instructs using once a day, but you should double it). You should continue on this for several weeks. Eat small meals (you can eat more frequently but not a big meal at once as that increases the likelihood of reflux). Don't eat for 2-3 hours before lying down. Avoid alcohol, and no tobacco. But if the extreme pain returns, OR if pain and bloating continue then do go in to be seen as you may need an upper GI endoscopy to have a look at the lining of your esophagus and stomach.