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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Chronic Upper Abdominal Pain, Stool And Gas Build-up, Dull Pain On Movement. Treatment Options?

Hi, I ve been having leftside upper abdominal pain for 5 days now. I went to the er on monday and they couldn t find anything wrong on x-ray . Just that i had stool and gas build up in that area. They gave me some stuff to clean me out and it worked, but the pain didn t go away. Could this be soreness or should i head back to the er to see if its something else? I don t really wanna go back unless i really have to. I am not throwing up or any blood in stool . The pain is dull for the most part. Only happens when i get up and walk or move at times.
Wed, 14 Nov 2012
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General & Family Physician 's  Response
Dear Concerned.,

Thanks for writing to us.

Analysis:-

The dull aching abdominal pain associated with bloating could have been caused by,

A)Simple Indigestion // Dyspepsia //due to consumption of unusual food habits- It coul be self limiting for which you can have a wait and watch policy for a day .If you have taken some unusual sea food/tinned or stored foods kindly always take freshly prepared food from now on.

B)Mixed Amoebic/bacterial infection;-A course of antibiotics/anti amoebic medicines with antacids and spasmolytics will do.Kindly hydrate yourself with adequate oral fluids.In addition some probiotic suppliments will help.In a case of infection of this nature you would have fever also in addition to above symptoms.

C)Acid Peptic Disorder: You may have developed Hyperacidity due to irregular food habits .popularly called Hurry/Worry and Curry disorder.Pls take bland soft timely food.

Prevention;-

Timely food habits/Abstain from Smoking/Alcohol/Tea and coffee spicy and oily food.

Investigations:-

Kindly get your routine blood /urine and stools tests done in a Pathology Laboratory.

The gold standard diagnostic procedure if it does not get relieved by above measures is Upper Gastrointestinal Endoscopy by a Gastro-enterologist and following advice therafter..



Wishing you a quick recovery,

Best Regards,

Dr Lt Cdr ASN Bhushan.

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Chronic Upper Abdominal Pain, Stool And Gas Build-up, Dull Pain On Movement. Treatment Options?

Dear Concerned., Thanks for writing to us. Analysis:- The dull aching abdominal pain associated with bloating could have been caused by, A)Simple Indigestion // Dyspepsia //due to consumption of unusual food habits- It coul be self limiting for which you can have a wait and watch policy for a day .If you have taken some unusual sea food/tinned or stored foods kindly always take freshly prepared food from now on. B)Mixed Amoebic/bacterial infection;-A course of antibiotics/anti amoebic medicines with antacids and spasmolytics will do.Kindly hydrate yourself with adequate oral fluids.In addition some probiotic suppliments will help.In a case of infection of this nature you would have fever also in addition to above symptoms. C)Acid Peptic Disorder: You may have developed Hyperacidity due to irregular food habits .popularly called Hurry/Worry and Curry disorder.Pls take bland soft timely food. Prevention;- Timely food habits/Abstain from Smoking/Alcohol/Tea and coffee spicy and oily food. Investigations:- Kindly get your routine blood /urine and stools tests done in a Pathology Laboratory. The gold standard diagnostic procedure if it does not get relieved by above measures is Upper Gastrointestinal Endoscopy by a Gastro-enterologist and following advice therafter.. Wishing you a quick recovery, Best Regards, Dr Lt Cdr ASN Bhushan.