Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

148 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

What causes persistent stomach ache and fatigue?

Answered by
Dr.
Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 16504 Questions

default
Posted on Wed, 16 May 2018 in Digestion and Bowels
Question: I have a persistent stomachache. I also have fatigue after I eat and have to lay down for 15 minutes and sleep. I have just survived pancreatic cancer. I take TUMS but it does not help. I am on no medication. I have high A1c at6.5 but am watch what I eat and am going to the gym or walking a mile each day.
thanks in advance for your response.
doctor
Answered by Dr. T Chandrakant 1 hour later
Brief Answer:
Please give details and post actual reports.

Detailed Answer:
Hi.
Thanks for your query.
Noted the history.
Please give additional information for me to assist you better:
In which area of the abdomen that you have persistent stomach ache?
Any referred pain?
What was the treatment given for Pancreatic cancer? And when?
Is Pantoprazole helping in relieving the symptoms?
Feedback to these questions will help me to assist you better.
Awaiting.
With Regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. T Chandrakant 2 hours later
Thanks for this information request
Stomach ache occurs all the time below the end of the sternum -- top of stomach.
I did have a similar pain before but more intense and endoscopy procedure was done which only revealed a cyst which was drained. After that procedure, I felt better and no pain. That particular doctor prescribed Pantoprazole to be taken two times a day. I backed off the recommendation because I felt no pain. I took the medication every other day until the pain returned but the pantoprazole did not alleviate the pain. I do not believe that there is any referred pain. Not sure. Treatment for Pancreatic cancer: surgery (Oct, 2016), distal pancreatic surgery.. removed 40%, margins were clear but one lymph node of 11 contained cancer, so I underwent 6 months of chemo. The recent PET scan (Nov. 2017) revealed NO cancer cells. Recently saw my surgeon and mentioned the cyst which he thought was not the cause of my pain. He suggested taking TUMS; however, TUMS does not seem to help much. The Pantoprazole does nothing for pain; the surgeon suggested that pantoprazole can stop working when the body builds a tolerance for it. My fatigue does not occur after every meal. I try to be active. Activity seems to decrease the pain but then fatique sets in about 30 minutes after exercising. thanks for your help
doctor
Answered by Dr. T Chandrakant 9 hours later
Brief Answer:
As explained below.

Detailed Answer:
Thanks for your detailed feedback.
Since tums and Pantoprazole is not helping in relieving the symptoms of pain in upper abdomen below sternum, we have to find the probable cause which may be as follows to mention a few common ones I can think about as per the history you have provided:
Fibro-myalgia in the area of pain.
Post-pancreatectomy referred pain.
Pain due to inflammation in xiphisternum.
Small epigastric hernia with obliterated fat only.

My thoughts:
CT scan of the abdomen and abdominal wall along with detailed clinical evaluation, review upper GI Endoscopy and other necessary investigations can help to find the exact cause.
Please discuss these issues with your Surgeon.
Taking a second opinion of another Surgeon helps sometimes.

I hope this answer helps you.l
Please give feedback.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Drug/Medication
Medical Topics ,  

Recent questions on  Lymph

doctor1 MD

My Occupational Therapy client has increased c/o fatigue when more fluid is removed. Is increased fluid exacerbated by poor diet control? Is this an additional process in addition to the removal of waste products? How is the amount of fluid to be removed determined ? Does the pt lose important aspects of lymph fluid or nutrition with the removal of fluid? Thank you, Murry, OTR/L

doctor1 MD

Hi - I just tasted blood in my mouth, looked in and the right tonsil is a cut and slight blood. Looks like maybe very very small yellow or some spots on that tonsil as well. I've been having sinus drainage I think and allergy issues. No inflamed lymph nodes though. I'm concerned about the cut and blood though.

doctor1 MD

Is it normal for lymph nodes to change size from day-to-day? Yesterday, the doctor told me that my ultrasound showed that the lymph node was benign, and he also cited the fact that it was smaller as another positive sign. However, after walking...

doctor1 MD

swollen area at anus plus lymph node in groin. Are these related?

doctor1 MD

I have tenderness -similar to a very tender bruise under my LEFT (not right), breast, and it extends to under my left arm (cancer in lymph nodes?! -hope not). I also got some shooting pains in that area yesterday but today they are gone. I don't feel the tightness of chest described as signs of a heart attack - just the shooting pain that's pretty much gone and the extreme tenderness that persists. I should also add that it feel like there's a kind of numbness all around the left shoulder blade -skin has totally duller sense of feeling than anywhere else. Bad news -I'm a long term smoker. My guess is this is an inflammatory repsonse to plaque buildup in my heart valves/arteries. Whta do you think I should do, (besides not smoking)?

doctor1 MD

hey my brother is having blood in his stool, from last night. he is also suspected for having t.b. he has lymph node swelling in his peri pancreatic region. can u tell me this blood is actually related to t.b? also tell me if he is suspected fort.b or not in real?