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Suggest treatment for pisgastric stabbing pain

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Posted on Fri, 15 May 2015
Question: Hi Doctor:

I discussed my symptoms with another md the other day who was very helpful. I was getting severe episgastric stabbing pain which went away quickly, just frequently, with burning feeling throughout my abdomen. The pain seemed to happen when I tried to eat or drink. Well the pain had gotten worse during the course of the day. I finally went to the er. Blood work good; blood sugar a bit elevated at 133 which has always been 70-80. They gave me pepcid iv and fluids which decreased the pain. They sent me home with lazoprazole and sulcarate (carafate). They didn't tell me what it was. At this time, the epigastric pain has subsided but pain and burning persists throughout the abdomen plus severe nausea. Could this be the medicine or an ulcer dont know what to do? Thank you for your help.


doctor
Answered by Dr. Muhammad Sareer Khalil (2 hours later)
Brief Answer:
the medication are not responsible for the symptoms

Detailed Answer:
Hello and Welcome

I appreciate your concern

Both Sucralfate and Lansoprazole are not responsible for the burning pain and nausea. I would have liked to add metoclopramide and bismuth subsalicylate to the treatment you have been prescribed, if you were my patient, as I use this regimen in my clinic with good results. Based on your description , the symptoms point towards exacerbation of GERD. Empirically , GERD/Dyspepsia and associated gastritis can be treated with PPIs and above medication for at least two weeks. If the symptoms persist then an upper G.I endoscopy should be done to look for other causes including peptic ulcer disease. Try to take small meals at regular spaced intervals. 30 minutes of exercise should be done regularly preferably twice daily. Try to Avoid cola, caffeine, ice cream and over processed food. Avoid eating at least 3 hours before going to bed. Keep a diet routine or calendar to make a habit to predict how you respond and what progress you make along the way.


Wishing you best of health

Thanks

Please consult your doctor before deciding on any further course of action.

Dr. M.S. Khalil
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Answered by
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Dr. Muhammad Sareer Khalil

General & Family Physician

Practicing since :2012

Answered : 2919 Questions

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Suggest treatment for pisgastric stabbing pain

Brief Answer: the medication are not responsible for the symptoms Detailed Answer: Hello and Welcome I appreciate your concern Both Sucralfate and Lansoprazole are not responsible for the burning pain and nausea. I would have liked to add metoclopramide and bismuth subsalicylate to the treatment you have been prescribed, if you were my patient, as I use this regimen in my clinic with good results. Based on your description , the symptoms point towards exacerbation of GERD. Empirically , GERD/Dyspepsia and associated gastritis can be treated with PPIs and above medication for at least two weeks. If the symptoms persist then an upper G.I endoscopy should be done to look for other causes including peptic ulcer disease. Try to take small meals at regular spaced intervals. 30 minutes of exercise should be done regularly preferably twice daily. Try to Avoid cola, caffeine, ice cream and over processed food. Avoid eating at least 3 hours before going to bed. Keep a diet routine or calendar to make a habit to predict how you respond and what progress you make along the way. Wishing you best of health Thanks Please consult your doctor before deciding on any further course of action. Dr. M.S. Khalil