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What causes pain in upper left side of abdomen after eating?

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Posted on Fri, 13 May 2016
Question: I get pain in upper left side of my stomach after I eat and sometimes during?
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Answered by Dr. T Chandrakant (2 hours later)
Brief Answer:
Upper GI Endoscopy, proper additional treatment

Detailed Answer:
Hi.
Thanks fr your query, albeit very short and specific.
To recapitulate: Female/35 - pain in the upper left side of stomach after eating and sometimes during - taking Esomoprazole and Domperidone - have fibromyalgia CREST syndrome (calcinosis, Raynaud's phenomenon, esophageal dysmotility, sclerodactyly, and telangiectasia).

Since the symptoms are suggestive of gastritis or gastric ulcer along with esophageal dysmotility as a part of CREST, getting an upper GI endoscopy to see the exact problems helps in proper diagnosis and plan for a treatment.

Continue with Esomeprazole once a day, Domperidone at 8 hourly interval.
Antacid gel at 3 hourly interval, particularly when on empty stomcah.
Small frequent meals
Soft bland diet.
No stress and/or anxiety is also very important part.
Proper additional treatment of fibromyalgia and CREST with stomach friendly medicines.
8 hours sound sleep.
And whatever additional is needed as per the findings of Endoscopy and tests of blood, urine and stool.

I can understand this is going to be a tough task considering the concurrent multiple problems.
I hope this answer helps you, please feel free to ask for further relevant queries if you feel that there is a gap of communication.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. T Chandrakant (17 hours later)
I had an endoscopy about 2yrs ago and there was no sign of an ulcer then, just inflammation and my opening was very wide, hence the acid reflux being so bad. but could I have developed an ulcer within the last 2 yrs ?
Last year I was particularly unwell, had recurrent uti's of around 8-10 and had anti-biotics for all, which sometimes played havoc with my stomach and bowels! Also went into Retention twice for which I stayed in hospital for second time! Had alot of family stress also, so am very depressed and anxious most of time at the moment! Could that also be contributing to it all?
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Answered by Dr. T Chandrakant (5 hours later)
Brief Answer:
Stress and anxiety are most important factors...

Detailed Answer:
Thanks for your feedback.
Stress, depression and anxiety are the most important contributory factors for your problems and the ulcers can develop overnight, as is hyperacidity which can develop very fast to cause the symptoms, almost immediately on exposure to an instigating factors.
2 years is a long time to have the last examination.
But it showed the wide opening and hence the acid reflux being so bad, ulcers as said earlier can develop very fast and an upper GI Endoscopy is the only way to know what exactly happened.
Recurrent UTI and admission, obstruction to urinary flow, medications and so on can be a contributory factor.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 19404 Questions

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What causes pain in upper left side of abdomen after eating?

Brief Answer: Upper GI Endoscopy, proper additional treatment Detailed Answer: Hi. Thanks fr your query, albeit very short and specific. To recapitulate: Female/35 - pain in the upper left side of stomach after eating and sometimes during - taking Esomoprazole and Domperidone - have fibromyalgia CREST syndrome (calcinosis, Raynaud's phenomenon, esophageal dysmotility, sclerodactyly, and telangiectasia). Since the symptoms are suggestive of gastritis or gastric ulcer along with esophageal dysmotility as a part of CREST, getting an upper GI endoscopy to see the exact problems helps in proper diagnosis and plan for a treatment. Continue with Esomeprazole once a day, Domperidone at 8 hourly interval. Antacid gel at 3 hourly interval, particularly when on empty stomcah. Small frequent meals Soft bland diet. No stress and/or anxiety is also very important part. Proper additional treatment of fibromyalgia and CREST with stomach friendly medicines. 8 hours sound sleep. And whatever additional is needed as per the findings of Endoscopy and tests of blood, urine and stool. I can understand this is going to be a tough task considering the concurrent multiple problems. I hope this answer helps you, please feel free to ask for further relevant queries if you feel that there is a gap of communication.