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What Causes Upper Abdominal Pain Under The Breastbone With Burning Sensation And Nausea?

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Posted on Wed, 15 Jun 2016
Question: I have upper abdominal pain under my breastbone that aerates around to my back, no appetite at all. The pain comes and goes but has become more consistent, sometimes to the point it doubles me over. I had two episodes where I become very hot, and contined swallowing so as not to vomit

doctor
Answered by Dr. Mukund Savaskar (1 hour later)
Brief Answer:
Pain under breastbone with burning and nausea / Under Evaluation

Detailed Answer:
Brief Ans-Pain under breastbone with burning and nausea / Under Evaluation

HI Dear !! Thanks for your query to HCM.

My Impression -about your health issue-

On Reviewing the query facts with your health concerns,You seem to suffer from ?Gastritis with Dyspepsia and colics with gases.

Cause of these ailment needs to be found, which could be IBS/ or Gall Stones.

Please give more details as follow-

Since how long you have this pain under breastbone with gases going to your back?
Is that pain comes with Colics,as that when you doubled up with consistent pain?
Which food causes such a pain-is it Fatty food?
how frequently you eat outside /street fast food?
What is your job and diet style for a day ?
Do you have excess indulgence in alcohol/tobacco/ spicy and fried diet?
Do you have any piles / fissure in ano? give more details about these and other details?
Update if your have any test reports for these complaint,done in past or lately?
Update which food or event caused the burning with vomit feeling lately.

This information is to reviewed and studied before assessing your health issues.

Welcome for any further query in this regard.

Good Day !!

Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Mukund Savaskar (23 minutes later)
Burning pain going to my back quite sometime. I am on my feet 10 hours a day often without eating I do not drink alchol, I do smoke and have a tremendous amount of job stress. I have very inconsistent bowel habits, generally not regular, take a stool softner, or laxative. Sometimes when I eat it feels like the food does not digest it feels stuck, I have no appetite and have lost weight. Sometimes I feel so bloated with gas this is when it usually goes to my back.
doctor
Answered by Dr. Mukund Savaskar (34 minutes later)
Brief Answer:
Pain under breastbone with burning and nausea / Under Evaluation

Detailed Answer:
Brief Ans-Pain under breastbone with burning and nausea / Under Evaluation
Mostly due to Gastric Ulcer(as you've lost weight) from dietary and job stress and due to Constipation accompanied.

Hi Dear !! Thanks for your updates.

Impression-
On review of your updates, You seem to suffer from -Gastric Ulcer on post wall / or Duodenal Ulcer with post wall ulcer.

Other possibilities need to be ruled by Consults with Surgeon and Physician Team.
EGD and Proctoscopy could fix the cause of your burning pain under breast bone and would resolve it after proper treatment

Do's for your health issues-

Take regular bland diet
Avoid Alcohol,
Correct Constipation with high fiber diet and

Consultation with surgeon for piles / fissure in ano- and to plan further treatment with surgeon , if found in you, as this may cause Gastritis with Bloating from Constipation.

EGD (Esophago-Duodenoscopy),Proctoscopic examination with Surgeon to fix Gastritis with post wall ulcer ? or Duodenal ulcer with post ulcer.

Get Stool -Ova / Cyst test and treat any protozoal -amebiasis / giardiasis causing these complaints with you.

Test Stool -HpSAg(for H.Pylorie Stool Antigen) with UBT(Urea Breath TEst) to rule out H pylorie accompanied with others to cause Peptic Ulcer.
Bland / non spicy diet
Less of tea/ coffee / tobacco.

Plenty of fluids and 8 hrs sleep to reduce Colonic /Constipatory stress.
Proton Pump Inhibitors-Tab Panot D-1 x 2-4 weeks to control Peptic Ulcer.

Tab Ciplox D-1 x 2 times /day x 10 days.
Tab Vit B12 and Tab Folic acid- to stabilize -Gastric and enteric mucosa and early recoupement and healing of mucosal ulcers.

Hope this would resolve your health issues in 2-4 weeks time, but would need meticulous care of diet and job work style by repeat checks with Surgeon /Physician for 6 mths time,for long remissions from these complaints.


Welcome for any further query in this regard by a direct question to ME, at following HCM link-
http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229

If you don't have any further query and satisfied,please express your pleasing feedback comments to rate this reply and service, to boost the morale of incoming patients at HCM services.

Keep Me updated soon.
Good Day!!

Wishing Good Healthy Life in time to come!!

Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS
Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.

Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Answered by
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Dr. Mukund Savaskar

General Surgeon

Practicing since :1978

Answered : 3606 Questions

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What Causes Upper Abdominal Pain Under The Breastbone With Burning Sensation And Nausea?

Brief Answer: Pain under breastbone with burning and nausea / Under Evaluation Detailed Answer: Brief Ans-Pain under breastbone with burning and nausea / Under Evaluation HI Dear !! Thanks for your query to HCM. My Impression -about your health issue- On Reviewing the query facts with your health concerns,You seem to suffer from ?Gastritis with Dyspepsia and colics with gases. Cause of these ailment needs to be found, which could be IBS/ or Gall Stones. Please give more details as follow- Since how long you have this pain under breastbone with gases going to your back? Is that pain comes with Colics,as that when you doubled up with consistent pain? Which food causes such a pain-is it Fatty food? how frequently you eat outside /street fast food? What is your job and diet style for a day ? Do you have excess indulgence in alcohol/tobacco/ spicy and fried diet? Do you have any piles / fissure in ano? give more details about these and other details? Update if your have any test reports for these complaint,done in past or lately? Update which food or event caused the burning with vomit feeling lately. This information is to reviewed and studied before assessing your health issues. Welcome for any further query in this regard. Good Day !! Dr.Savaskar M.N. XXXXXXX Surgical Specialist M.S.Genl-CVTS