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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Yesterday around mid-afternoon I experienced tightening in my abdomen area.

Answered by
Dr.
Dr. Bonnie Berger-Durnbaugh

General & Family Physician

Practicing since :1991

Answered : 3129 Questions

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Posted on Sat, 9 Feb 2019 in Abdominal Pain
Question: Yesterday around mid-afternoon I experienced tightening in my abdomen area. I had trouble sleeping due to the discomfort and when I woke up this morning it was about the same as it was yesterday. I am currently training in the gym and taking meal replacement shakes in the morning along with the skinny gal appetite suppressant tablets. I have been taking those for three weeks now with zero side effects. I have been using the bathroom frequently today and I have no sign of a fever. I'm actually perfectly fine if it weren't for my stomach pain.
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Follow up: Dr. Bonnie Berger-Durnbaugh 0 minute later
Yesterday around mid-afternoon I experienced tightening in my abdomen area. I had trouble sleeping due to the discomfort and when I woke up this morning it was about the same as it was yesterday. I am currently training in the gym and taking meal replacement shakes in the morning along with the skinny gal appetite suppressant tablets. I have been taking those for three weeks now with zero side effects. I have been using the bathroom frequently today and I have no sign of a fever. I'm actually perfectly fine if it weren't for my stomach pain.
doctor
Answered by Dr. Bonnie Berger-Durnbaugh 41 minutes later
Brief Answer:
Questions

Detailed Answer:
Hello and welcome,

So that I can advise, please tell me:

1. Where in your abdomen is the tight feeling - your upper right, lower right, upper left, lower left, by the navel or all over?

2. Is it tender if you push on your abdominal muscles or anywhere else?

3. Scale 0-10 (10 = XXXXXXX pain) - please rate.

4. Any diarrhea?

5. How long have you been training, and did you do anything different recently?

6. Does the tightness change with eating or not eating?

7. Does the tightness change with movement of your body in different positions?

8. Your age?

Awaiting the details to assist you further...

Thanks


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
doctor
Answered by Dr. Bonnie Berger-Durnbaugh 0 minute later
Brief Answer:
Questions

Detailed Answer:
Hello and welcome,

So that I can advise, please tell me:

1. Where in your abdomen is the tight feeling - your upper right, lower right, upper left, lower left, by the navel or all over?

2. Is it tender if you push on your abdominal muscles or anywhere else?

3. Scale 0-10 (10 = XXXXXXX pain) - please rate.

4. Any diarrhea?

5. How long have you been training, and did you do anything different recently?

6. Does the tightness change with eating or not eating?

7. Does the tightness change with movement of your body in different positions?

8. Your age?

Awaiting the details to assist you further...

Thanks


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Bonnie Berger-Durnbaugh 11 minutes later
by the naval and it is tender if I push on it.
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Follow up: Dr. Bonnie Berger-Durnbaugh 0 minute later
by the naval and it is tender if I push on it.
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Follow up: Dr. Bonnie Berger-Durnbaugh 2 minutes later
I would rate my pain as a 7 due to the discomfort. I have been training for 4 weeks now. Weight loss training. aside from changing my entire diet I have not done anything differently. if I do move my body it's the same discomfort as I feel walking.
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Follow up: Dr. Bonnie Berger-Durnbaugh 0 minute later
I would rate my pain as a 7 due to the discomfort. I have been training for 4 weeks now. Weight loss training. aside from changing my entire diet I have not done anything differently. if I do move my body it's the same discomfort as I feel walking.
doctor
Answered by Dr. Bonnie Berger-Durnbaugh 41 minutes later
Brief Answer:
Information

Detailed Answer:
Hi XXXXXXX

Thanks for the additional information.

Here are my thoughts:
Given that you have been training recently, for 4 weeks, and have no other symptoms (nausea, fever, malaise), it can be a muscular strain. Usually that will hurt more with use of the specific muscles though.

Given that you have been taking an appetite suppressant, and the pain is by the naval which can be the 1st part of the small intestines, a site that can get irritated from too much stomach acid, it might be gastritis/duodenitis. But that typically changes with eating or not eating.

So there are two things that concern me: you rate the pain as 7/10 and said it hurts more with walking. That can go with muscle strain, but it can also go with an early appendicitis, which often causes worse pain when the person walks. Usually appendicitis has worsening pain, and nausea and low grade fever. But not always.

So - I think you should go in and be checked out in person as it isn't getting better. It is most likely a muscle strain, but I have to err on the side of caution here so I recommend you go in to be seen.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
doctor
Answered by Dr. Bonnie Berger-Durnbaugh 0 minute later
Brief Answer:
Information

Detailed Answer:
Hi XXXXXXX

Thanks for the additional information.

Here are my thoughts:
Given that you have been training recently, for 4 weeks, and have no other symptoms (nausea, fever, malaise), it can be a muscular strain. Usually that will hurt more with use of the specific muscles though.

Given that you have been taking an appetite suppressant, and the pain is by the naval which can be the 1st part of the small intestines, a site that can get irritated from too much stomach acid, it might be gastritis/duodenitis. But that typically changes with eating or not eating.

So there are two things that concern me: you rate the pain as 7/10 and said it hurts more with walking. That can go with muscle strain, but it can also go with an early appendicitis, which often causes worse pain when the person walks. Usually appendicitis has worsening pain, and nausea and low grade fever. But not always.

So - I think you should go in and be checked out in person as it isn't getting better. It is most likely a muscle strain, but I have to err on the side of caution here so I recommend you go in to be seen.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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