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Suggest Treatment For Abdominal Discomfort

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Posted on Thu, 20 Oct 2016
Question: Sir
I have a fear towards cancer in my life. Now i have discomfort in my stomac some time pain. I took a ct abdomen in 2014 April it was normal. How fast a cancer grows and will it b a cancer. I have gastic prob. I have late lunch and sleep as soon as food in afternoon and night. No smoking. Drink a little very rarely. My fear now is towards stomac cancer and no heart burn. Only symptims now i have is mild discomfort and inhad upper abdimen pain and my physisian gave Rabimac Dsr for 15 days pain got reduced and i am under cource.
doctor
Answered by Dr. Dr.Arnab (13 hours later)
Brief Answer:
please continue with Rabimac DSR as already advised..

Detailed Answer:
Hello XXXX, Welcome back to HCM,

I've gone through your query and understand your concern,

Please note that these symptoms are too nonspecific and can be experienced in a number of different conditions..

Please let me know why are you thinking about about cancer (Gastric cancers are not only rare but also extremely painful and serious condition) ?

Is there any family history of cancer ?

Any progressive weight loss ?

Any other problems ?

Good to know there's no history of smoking..

All these symptoms are primarily indicating towards Acid Peptic disease only, and specifically since your symptoms are improving after Rabimac-DSR, you should continue it as already advised (you may need further prolongation of therapy based on the findings in the due course)..


Please regularize your daily diet habits and routine, don't sleep immediately after eating, maintain at least 2 hr interval between them..

Try to avoid deep fried and junk foods and have only home cooked meals..have curd daily with/ after meals..

Let me know these details so that I can guide you more specifically..you may upload the previous CT scan printed report here at the reports section for me to review further..


Take Care
Kind Regards
Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Dr.Arnab (31 minutes later)
Sir i always think about cancer and this ct also was taken in fear. Now my prob is i have mild discomfort in abdomen upper and not able to eat much. Lost my interest. My family says always u say like this. I feel i should have gone for endoscopy instead of ct at time of pain. I loosed my appetite some one year ago on fear of same and came back very late after a month. 15 days back also i experienced that. Pls help me. I feel now have they missed the cancer in ct .
doctor
Answered by Dr. Dr.Arnab (9 minutes later)
Brief Answer:
no need to panic..

Detailed Answer:
Welcome back Dear,
I've reviewed the images,there's some lesion/motion artifact in the liver(not stomach), you need to get it reviewed by any radiologist for a detailed opinion on that..

All these are mainly indicating towards the fear of cancer only..

Yes, loosing interest in eating, always feeling fear of cancer, all these are primarily indicating towards stress and anxiety only..I can understand that the family history had a deep impact on you, but Do not Worry.. it's good that you don't smoke and after all your too young..enjoy your family life with the family members and you'll see most of those symptoms will go away within a matter of time only..

Just continue with Rabimac-DSR as advised, you should be fine..


I've gone through all the previous queries, and I strongly suggest you to consider visiting a Psychologist for a detailed counselling session, for long term well being (it's highly effective once maintained properly with serial follow-up counselling sessions), just follow this and you'll be benefited definitely..

Let me know if there's any further queries..

Take Care
Kind Regards

Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Dr.Arnab (7 minutes later)
Sir
I realy thank for your reply. I had upper abdomen pain and now its not there. I take rabimac one a day in morning exactly 20 min before food. As soon as i take food my tummy feel some thing haevy. I eat lot now not able to eat much. As heavyness or discomfor not able to clearly say accom my fear increases. On seing my report is it normal. Will mind suppress the appetite and make me discomfort. Not able to concentrate in any of my day to day work .
doctor
Answered by Dr. Dr.Arnab (10 minutes later)
Brief Answer:
Nothing to Worry..

Detailed Answer:
Welcome back Dear,
I've reviewed those images of 2014 already, and like I've already mentioned, you need to get it evaluated by a radiologist to rule out any lesion/motion artifact.

Yes, you can take the Rabimac DSR around 20-30 min prior to breakfast..

Try not to eat in larger portions, instead have small frequent portions of meal with ~ 2.5-3 hr interval..

Avoid outside junk foods and have simple home cooked meals..have curd/yogurt daily with/ after lunch..avoid too many tea/coffee/alcohol/carbonated fizzy beverages..

Try to chew foods properly before swallowing and try to not talk while eating..

Yes, like I've already mentioned, mind has impact over appetite so excessive stress, anxiety can certainly predispose to all of these symptoms..

All these are quite controllable if you follow the advises already advised as well as visit the Psychologist for a detailed counselling session, for long term well being (it's highly effective once maintained properly with serial follow-up counselling sessions), just follow this and you'll be benefited definitely..

Just move on with your life and leave those worries behind..follow the advises properly as already mentioned..

Take Care
Kind Regards

Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Dr.Arnab (31 hours later)
Sir
Today i gad slight abdomen pain and it went of after i had linch still i am in phobia. What can b done .
doctor
Answered by Dr. Dr.Arnab (3 hours later)
Brief Answer:
Nothing to Worry..

Detailed Answer:
Welcome back XXXX,

Don't worry , just continue following all the advises given previously including continuation of Rabimac DSR..

Try not to let the mind think about it too much, stay engaged with your family, spend quality times with them, you'll feel better..

Try to be engaged in your favorite hobbies (listening to music, watching movies, painting, reading etc.), try to take half an hour of evening walk in the neighborhood/park daily, you'll feel better..

Meanwhile, please try to schedule an appointment with the Psychologist for a detailed counselling session, for long term well being (it's highly effective once maintained properly with serial follow-up counselling sessions), just follow this as already explained in details and you'll be benefited definitely..


Take Care
Kind Regards

Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
Answered by
Dr.
Dr. Dr.Arnab

Critical Care Specialist

Practicing since :2012

Answered : 1479 Questions

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Suggest Treatment For Abdominal Discomfort

Brief Answer: please continue with Rabimac DSR as already advised.. Detailed Answer: Hello XXXX, Welcome back to HCM, I've gone through your query and understand your concern, Please note that these symptoms are too nonspecific and can be experienced in a number of different conditions.. Please let me know why are you thinking about about cancer (Gastric cancers are not only rare but also extremely painful and serious condition) ? Is there any family history of cancer ? Any progressive weight loss ? Any other problems ? Good to know there's no history of smoking.. All these symptoms are primarily indicating towards Acid Peptic disease only, and specifically since your symptoms are improving after Rabimac-DSR, you should continue it as already advised (you may need further prolongation of therapy based on the findings in the due course).. Please regularize your daily diet habits and routine, don't sleep immediately after eating, maintain at least 2 hr interval between them.. Try to avoid deep fried and junk foods and have only home cooked meals..have curd daily with/ after meals.. Let me know these details so that I can guide you more specifically..you may upload the previous CT scan printed report here at the reports section for me to review further.. Take Care Kind Regards