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21 year old with stomach pain below diaphragm, tiredness in the hand, constipation. Reason?

am Zena,from TURKEY, I am studying doctor of medicine ı am 21 years old,52 kg ı am suffering from stomach ache for a longtime.Often i feel pains at the area just below the diaphragm, when i sit for a while may be for studying i feel pains at my left ribs.It pains at a one point and often i feel tiredness at my left hand . for a long time am suffering from constpation.
Asked On : Thu, 20 Dec 2012
Answers:  2 Views:  120
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Diseases and Conditions
General & Family Physician 's  Response
Dec 2012
Hello Zena,
Pain below your diaphragm could be of gastric origin ( suggesting gastritis, peptic ulcer diseases, biliary colic), cardiac origin (angina pectoris, pericarditis etc), abdominal colic due to indigestion, constipation etc. Constipation is not able to stool for 3 days. You might be having bloating or over flatulence which signifies dyspepsia/indigestion.
So in any case, for a person of your age and nature of study plus the fact that you sit for long hours to study, i will think you are having dyspepsia + peptic ulcer diseases. These could be handled by you taking protein pump inhibitor such as omeprazole combined with an antacid. Sodium bicarbonate salt could be of help here. If after taking this for 10-15 days and you still feel the same symptoms, i'll suggest you see a gastroenterologist or your doctor for further investigation and management.

Hope this helps
Answered: Thu, 20 Dec 2012
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Psychiatrist Dr. Ashish Mittal's  Response

Welcome to HealthcareMagic Public Forum

Following possibilities should rule out after evaluation in your case:
-Anxiety: Can lead to increase acidity, dyspeptic symptoms, tiredness and pain due to muscle spasm.

I hope this information has been both informative and helpful for you.
Wish you Good Health.

Dr. Ashish Mittal
Answered: Thu, 20 Dec 2012
I find this answer helpful
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