question-icon

What causes severe abdominal pain and excessive weight gain?

default
Posted on Tue, 19 Jul 2016
Question: For several weeks, I have experienced what seems to be pretty severe abdominal pain. I have had a ct scan looking for appendicitis, which came out negative. I wasn't incredibly surprised by that because my pain is in my upper abdominal area from under the breast about 3 in above my navel. I get bouts of extreme pain that requires me to lie down, in addition that area in the upper abdominal area, becomes extremely distended. With that comes long periods (a week or two) of no bowel movements, to then the extreme of cramping and several loose bowel movements in a day and then the cycle begins again. Am I looking for an ulcer or something like that causing the constipation, distention and pain? I am not sure what it going on.

I have also experienced unexplained weight gain, roughly 18 pounds in 4 months
doctor
Answered by Dr. Tayyab Malik (1 hour later)
Brief Answer:
Further evaluation needed

Detailed Answer:
hi.
Thank you for posting query at HCM.

Differentials for your current medical scenario: gastritis, gastric ulcer, duodenal ulcer, inflammatory bowel disease, colitis

however, symptoms should be investigated properly to reach a conclusion.

Considering your presentation and history , especially with "low iron levels",
i would strongly recommend you to fix an appointment with gastroenterologist and undergo endoscopic examination ( esophagogastroduodenoscopy and colonoscopy). The endoscopic examination will give a better picture of most of the anatomical gastrointestinal tract.

Secondly, also test for "Fecal Occult blood".

thirdly, if the weight gain is despite diet modification and following "weight losing strategies", then your advised to monitor your "thyroid hormones (TSH, T3, T4)".

in case, you already have been diagnosed with hypothyroidism, you maybe needing dose adjustments of levothyroxine. Kindly visit treating physician.

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 .

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

Wish you good and sound health.
thank you.
regards,
Dr Tayyab Malik
Above answer was peer-reviewed by : Dr. Priyanka G Raj
doctor
Answered by
Dr.
Dr. Tayyab Malik

Gastroenterologist

Practicing since :2009

Answered : 819 Questions

premium_optimized

The User accepted the expert's answer

Share on
What causes severe abdominal pain and excessive weight gain?

Brief Answer: Further evaluation needed Detailed Answer: hi. Thank you for posting query at HCM. Differentials for your current medical scenario: gastritis, gastric ulcer, duodenal ulcer, inflammatory bowel disease, colitis however, symptoms should be investigated properly to reach a conclusion. Considering your presentation and history , especially with "low iron levels", i would strongly recommend you to fix an appointment with gastroenterologist and undergo endoscopic examination ( esophagogastroduodenoscopy and colonoscopy). The endoscopic examination will give a better picture of most of the anatomical gastrointestinal tract. Secondly, also test for "Fecal Occult blood". thirdly, if the weight gain is despite diet modification and following "weight losing strategies", then your advised to monitor your "thyroid hormones (TSH, T3, T4)". in case, you already have been diagnosed with hypothyroidism, you maybe needing dose adjustments of levothyroxine. Kindly visit treating physician. 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 . hope to answer your concern. Any further questions are welcomed. Wish you good and sound health. thank you. regards, Dr Tayyab Malik