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What causes pain in the upper abdomen and weight loss?

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Posted on Wed, 27 Jul 2016
Question: I have pain at the upper part of my stomach. Not all the time but a painful twinge off and on throughout the day and I feel bad during this time of pain. Also, I am losing weight.
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Answered by Dr. Tayyab Malik (33 minutes later)
Brief Answer:
Further evaluation needed

Detailed Answer:
hi.
thank you for posting your query at HCM.

noticed your current symptoms.
as pain is accompanied with loss of weight and since your age>55, so i would strongly recommend you to visit gastroenterologist and undergo endoscopic examination. The endoscopic examination will help to grossly view the gastrointestinal tract and further course of action maybe advised accordingly.

endoscopy is usually recommended in a patient presenting with epigastric pain(dyspepsia) alongwith the presence of ALARM symptoms:
where
A is Age>55,
L is Loss of weight;
A is anemia;
R is rapid onset of progressive symptoms ( pain followed by dysphagia /nausea);
M is Melena (black stool)

therefore, in your case, endoscopy is highly recommended.

meanwhile advice is:

OTC antacid like pantoprazole
decrease salt intake
abstain from alcohol and smoking (if positive history)
intake fruits rich in vitamin C
ingest less spicy food
ingest green vegetables

Hope to answer your concern.
Any further questions are welcomed.

Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .

If no further questions, kindly rate the answer and close the dialogue box.
Wish you good and sound health.

Thank you.
Regards,
Dr Tayyab Malik
Above answer was peer-reviewed by : Dr. Nagamani Ng
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Answered by
Dr.
Dr. Tayyab Malik

Gastroenterologist

Practicing since :2009

Answered : 819 Questions

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What causes pain in the upper abdomen and weight loss?

Brief Answer: Further evaluation needed Detailed Answer: hi. thank you for posting your query at HCM. noticed your current symptoms. as pain is accompanied with loss of weight and since your age>55, so i would strongly recommend you to visit gastroenterologist and undergo endoscopic examination. The endoscopic examination will help to grossly view the gastrointestinal tract and further course of action maybe advised accordingly. endoscopy is usually recommended in a patient presenting with epigastric pain(dyspepsia) alongwith the presence of ALARM symptoms: where A is Age>55, L is Loss of weight; A is anemia; R is rapid onset of progressive symptoms ( pain followed by dysphagia /nausea); M is Melena (black stool) therefore, in your case, endoscopy is highly recommended. meanwhile advice is: OTC antacid like pantoprazole decrease salt intake abstain from alcohol and smoking (if positive history) intake fruits rich in vitamin C ingest less spicy food ingest green vegetables Hope to answer your concern. Any further questions are welcomed. Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited . If no further questions, kindly rate the answer and close the dialogue box. Wish you good and sound health. Thank you. Regards, Dr Tayyab Malik