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    What causes upper abdominal pain and nausea?

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Posted on Mon, 10 Jul 2017 in Abdominal Pain
Question: 48 yr old son has pain of 10 in upper abdomen pain so bad couldnt walk had ct sscan us bood tests scope down throat so far nothing what else should we do still hving pain and nausea and throwing up but now dry heaves?
doctor
Answered by Dr. Sunil 3 hours later
Brief Answer:
[Please provide details.

Detailed Answer:
Hi,
Thanks for asking on this forum as CT and endoscopy are normal i need to know more details before i can answer your question.

Is there a feeling of obstruction(patient feeling)?
Is food regurgitated? If so, how long after swallowing?
Is there a burning pain just after eating?
Ask the patient to point to the level.
Does the patient use a single finger or spread the fingers and move the palm over much of the abdomen?
What is the nature of the pain?
Are there any aggravating or relieving factors?
How often is the pain felt and how long does it last?
Is there radiation elsewhere?
Is appetite good?
Is there any change of weight up or down?
Smoking or alcohol.
Opiate abuse ?
Cocaine and amfetamine ?



Reply asap.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Sunil 12 hours later
no drug use of any kind. Can eat and swallow fine. Sharp stabbing pain constant upper abdomen only relieved by strongest pain med available nauseau and dry heaves constant. No reflux had operation to fix that years ago. no feeling of obstruction.
doctor
Answered by Dr. Sunil 52 minutes later
Brief Answer:
Follow up of patients question.

Detailed Answer:
Hi there have gone through your reply.

As CT and Endoscopy are normal and pain is there in upper abdomen a 2d echocardiogram of heart should be done initially to rule out ongoing cardiac pathology like Myocardial infarction or unstable angina.
In some cases Angina pain is felt in upper part of abdomen and is often missed by doctors.

As of now as there is no other symptom apart from sharp pain i would suggest you to go for 2d echo of heart and MRI abdomen.
Any pathology related to abdomen and heart would be reflected in it.

Inmedical history you have penned down that he is responding to morphine.Cardiac pain specifically responds to Morphine.
Please discuss this with your primary and follow up after that.

Thank you.
Above answer was peer-reviewed by : Dr. Prasad
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Dr. Sunil

Gastroenterologist

Practicing since :1982

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