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What causes abdominal pain and pressure in a type 1 diabetic patient?

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Posted on Mon, 25 May 2015
Question: 57 yo female, abdominal pain and pressure, frequently over the last week, with accompanying pain below right shoulder blade. I have had my gall bladder removed years ago. These symptoms come with and without food.

Type 1 diabetic, no abnormal increase in sugars.
doctor
Answered by Dr. Muhammad Ahmad (28 minutes later)
Brief Answer:
I would need some info

Detailed Answer:
Hi,

Welcome to Health Care Magic.

I am Dr.Muhammad Ahmad, I have read your question in detail, I understand your concern and will try to help you in the best possible way.

In order to help you better , I would like you to give me some more information,

I will here by ask you some relevant questions to fill up the information gap.


1) At what location in abdomen do you feel pain?

2) Is it cramping or piercing?

3) Do you geel gas bloating?

4) Any problems in digestion lately?

5) XXXXXXX history of constipation






Waiting for your input


Regards.

Dr.Muhammad Ahmad.

M.B.B.S ( Licensed Family practitioner)

Resident M.D.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Muhammad Ahmad (3 hours later)
mid abdomen.

pressure moderate dull pain

feels bloated

often experience loose stools

constipation only experienced when on certain meds - no history of it

pain radiates to under shoulder blade and is intense enough to cause me to lie down

doctor
Answered by Dr. Muhammad Ahmad (16 hours later)
Brief Answer:
Peptic ulcer

Detailed Answer:
Hi,

Thanks for writing back,

You pain is quite typical of the pain of a peptic ulcer.

Specially duodenal ulcer to be specific.

If you search on internet images "Referred pains" you will see that shoulder blades specially the right one gets referred pain from duodenal ulcer.

The pain usually is piercing and stabbing plus it occurs mostly after meals.

There are certain measures you can take which will help you control your symptoms.

1) Avoid bitter sour food.

2) Avoid fizzy, sour, decaffeinated drinks, , don't take tea or coffee at all.

3) Avoid smoking and alcohol if you use them.

4) Increase fibre content in your food strictly avoid junk, use whole wheat products , you can even use fibre supplements (organic ones)

5) Eat red and white meat less for some days.

6) Reduce weight if you have more weight than you should.

Then we come to meds,

1) You can use antacids over the counter for quick relieve like syrup Gaviscon.

2) I would prescribe my patient with Omeprazole or any other PPI they really help.

3) Then my patients responded really well to prokinetics like motillium.

4) I would also ask my patients to take zantac in night if they took omerpazole in morning to add the effect.




I Hope this answers your question, if your have more queries feel free to ask, otherwise close the discussion and rate it. Wish you the best of health.



Regards,

Dr.Muhammad Ahmad.

M.B.B.S.

Resident M.D.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Muhammad Ahmad

General & Family Physician

Practicing since :2012

Answered : 1308 Questions

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What causes abdominal pain and pressure in a type 1 diabetic patient?

Brief Answer: I would need some info Detailed Answer: Hi, Welcome to Health Care Magic. I am Dr.Muhammad Ahmad, I have read your question in detail, I understand your concern and will try to help you in the best possible way. In order to help you better , I would like you to give me some more information, I will here by ask you some relevant questions to fill up the information gap. 1) At what location in abdomen do you feel pain? 2) Is it cramping or piercing? 3) Do you geel gas bloating? 4) Any problems in digestion lately? 5) XXXXXXX history of constipation Waiting for your input Regards. Dr.Muhammad Ahmad. M.B.B.S ( Licensed Family practitioner) Resident M.D.