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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Abdominal Pain. CAT Scan Showed No Kidney Stones. Heartburn, Belching, Sore Throat. What To Do?

HI docotor.. Earlier in June i was suffering from right lower abdominal pain.. As i was diagnosed with kidney stones, doctor asked me to go for CAT scan.. I took a scan and the doctor said there is no stones and send me to internal medicine... The doctor saw the scan and all my organs (stomach, pancreas and so) are structurally good.. no need to panic... he didnt gave any tablets too... I have a bad habit of very sensitive nature... I started to think about it more... Then heartburn comes after two days... one of my friend said as you are so sensitive, the stress factor caused you heartburn.. He is right and am thinking all the time about it... After eatng, when i belch i started to feel the food coming back... I have a sore throat because of this.... Please help me, what should i do? I am sure all these symptoms are stress induced.. sometimes traces of blood in saliva too... not always.. my doctor friend said, this is because of the stomach acid.. help me...
Mon, 29 Jul 2013
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Pathologist and Microbiologist 's  Response
Hello and welcome to HCM,

The symptoms that you have mentioned are no doubt due to regurgitation of acid in esophagus and throat.
Soreness of the throat is due to acid irritating he throat mucosa.
Stress is one of factors that increases acid secretion in the stomach.
For symptomatic relief, proton pump inhibitors (PPIs) can be used.
PPIs are group of drugs which decrease acid secretion in the stomac.
they are taken empty stomach.
Certain life style modifications need to be followed to decrease acidity e.g.
1. Relaxing exercises
2. Avoiding spicy foods, excessive tea, coffee, alcohol
3. taking stroll after dinner
4. Sleeping with head raised

An upper gastrointestinal endoscopy is required to look for any lesion in the esophagus and stomach.
You need to refer an gastroenterologist for an examination and relevant investigations.

Thanks and take care
Dr Shailja P Wahal



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General & Family Physician Dr. Athish Peter Margos R's  Response
Hi there,
Right lower abdominal pain and heart burn are 2 different entities.As your CAT scan is normal any significant pathology for the cause of right lower abdominal pain is already ruled out.So,there is no need to worry on this.Now coming to heart burn,its true that it can be stress induced.Some other habits can also contribute to this like irregular food habits,excess coffee,smoking,alcohol,high spicy food etc.Heart burn is due to to reflux of acid from the stomach upward into the esophagus.This can cause congestion in the larynx,which may be the cause for the sore throat that you are experiencing.Firstly try methods to reduce your stress,Secondly avoid food and other habits that increase stomach acidity and thirdly take antacids for 3-4 weeks.If you still dont feel the difference further evaluation in the form of endoscopy may be required.
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Abdominal Pain. CAT Scan Showed No Kidney Stones. Heartburn, Belching, Sore Throat. What To Do?

Hello and welcome to HCM, The symptoms that you have mentioned are no doubt due to regurgitation of acid in esophagus and throat. Soreness of the throat is due to acid irritating he throat mucosa. Stress is one of factors that increases acid secretion in the stomach. For symptomatic relief, proton pump inhibitors (PPIs) can be used. PPIs are group of drugs which decrease acid secretion in the stomac. they are taken empty stomach. Certain life style modifications need to be followed to decrease acidity e.g. 1. Relaxing exercises 2. Avoiding spicy foods, excessive tea, coffee, alcohol 3. taking stroll after dinner 4. Sleeping with head raised An upper gastrointestinal endoscopy is required to look for any lesion in the esophagus and stomach. You need to refer an gastroenterologist for an examination and relevant investigations. Thanks and take care Dr Shailja P Wahal