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Suggest Treatment For Upper Abdominal Pain Along With Bloating And Constipation
Question: Hello,
My name is XXXXXXX XXXX and I am 30 years of age. Since Past 5-6 years , I am facing some strange health problems . I get tremendous pain in my upper abdomen area and it also disturbs my breathing when I lay down on bed. The pain remains for 5-6 days and goes away and there is not specific cure for the pain I feel.
Following Medicines I have tried so far
1- Ganaton Total
2- Pan-D
3- Pan-L
4- Omez 20
5- Histac (The one which dissolves is water)
My family Physician says that my stomach is producing too much acid, but I am eating the same food which my family members eat and I am the only one who is facing these problems. Apart form the pain following problems I Have
1- Constipation - Not because of hard stool but because of incomplete evacution
2- Bloating (Only when it pains) and whatever I have eaten last that fluid comes out. Sometimes when I puke out by applying some pressure, pain goes away, but happens sometimes
3- There is no specific place I feel the pain, sometimes its left side of the lower chest and sometimes its right side of lower chest, but whnever it goes it goes by Puking out or through my poop.
My name is XXXXXXX XXXX and I am 30 years of age. Since Past 5-6 years , I am facing some strange health problems . I get tremendous pain in my upper abdomen area and it also disturbs my breathing when I lay down on bed. The pain remains for 5-6 days and goes away and there is not specific cure for the pain I feel.
Following Medicines I have tried so far
1- Ganaton Total
2- Pan-D
3- Pan-L
4- Omez 20
5- Histac (The one which dissolves is water)
My family Physician says that my stomach is producing too much acid, but I am eating the same food which my family members eat and I am the only one who is facing these problems. Apart form the pain following problems I Have
1- Constipation - Not because of hard stool but because of incomplete evacution
2- Bloating (Only when it pains) and whatever I have eaten last that fluid comes out. Sometimes when I puke out by applying some pressure, pain goes away, but happens sometimes
3- There is no specific place I feel the pain, sometimes its left side of the lower chest and sometimes its right side of lower chest, but whnever it goes it goes by Puking out or through my poop.
Brief Answer:
Investigations as mentioned to get a proper diagnosis and plan treatment
Detailed Answer:
Hi.
Thanks for your query and an elucidate history.
Noted your problems with detailed description that you have given.
To recapitulate:
-Male/30 - Pain in upper abdomen - 5 to 6 years - disturbs breathing when you lay down on bed - remains for 5 to 6 days and then goes away.
-Pain in the upper abdomen/lower chest goes away by puking or poop
-Constipation- basically incomplete evacuation
-Bloating and pain together - Vomiting relieves pain.
-Treatment history with Ganaton Total, Pan-D, Pan-L, Pomez 20 and Histac and now started Enterogermina.
After reading the history, my thoughts are:
-First of all you should get proper clinical evaluation, examination by a Gastroenterologist and investigations to decide the exact cause so that a proper curative treatment can be planned.
-I would advise you the following:
Tests of blood, urine and stool (for 3 consecutive days).
Upper GI Endoscopy
CT scan of the abdomen
Thick Barium swallow and meal.
These investigations will help us to get a proper diagnosis.
If the stool shows infection a 5-day course of an antibiotic, metronidazole, to continue the pre and probiotic. See the response.
If there is no complete relief from incomplete evacuation, Colonoscopy too must be done.
If all the investigations are near normal, then a possible diagnosis of IBS- irritable bowel syndrome should also be borne in mind.
If there are positive finding, a proper treatment can sometimes be instituted.
Another important point is the amount of stress and anxiety too can add to the problems and should be kept under control.
I hope this answer helps you to get a proper diagnosis, and get a proper further treatment. Please feel free to ask for more or if you need further clarifications or if you feel there is a gap of communication.
Investigations as mentioned to get a proper diagnosis and plan treatment
Detailed Answer:
Hi.
Thanks for your query and an elucidate history.
Noted your problems with detailed description that you have given.
To recapitulate:
-Male/30 - Pain in upper abdomen - 5 to 6 years - disturbs breathing when you lay down on bed - remains for 5 to 6 days and then goes away.
-Pain in the upper abdomen/lower chest goes away by puking or poop
-Constipation- basically incomplete evacuation
-Bloating and pain together - Vomiting relieves pain.
-Treatment history with Ganaton Total, Pan-D, Pan-L, Pomez 20 and Histac and now started Enterogermina.
After reading the history, my thoughts are:
-First of all you should get proper clinical evaluation, examination by a Gastroenterologist and investigations to decide the exact cause so that a proper curative treatment can be planned.
-I would advise you the following:
Tests of blood, urine and stool (for 3 consecutive days).
Upper GI Endoscopy
CT scan of the abdomen
Thick Barium swallow and meal.
These investigations will help us to get a proper diagnosis.
If the stool shows infection a 5-day course of an antibiotic, metronidazole, to continue the pre and probiotic. See the response.
If there is no complete relief from incomplete evacuation, Colonoscopy too must be done.
If all the investigations are near normal, then a possible diagnosis of IBS- irritable bowel syndrome should also be borne in mind.
If there are positive finding, a proper treatment can sometimes be instituted.
Another important point is the amount of stress and anxiety too can add to the problems and should be kept under control.
I hope this answer helps you to get a proper diagnosis, and get a proper further treatment. Please feel free to ask for more or if you need further clarifications or if you feel there is a gap of communication.
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Neel Kudchadkar
Answered by
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