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Lack of apetite, pain in upper abdomen, back, nausea, weightloss, sleeplessness. Barium test, scan normal. Suggestions?

I have not been feeling well for 4 months. Thought it was a stomach flu at first. General unwell, lack od appetite . No vomitting. This continued. I have pain in my upper abdomen below breastbone and a bit to the right. Lots of tight pain behind breastbone and straight through to back. I often feel nauseous. I have lost 35 pounds due to not eating as much. Food doesn t gross me out but not surenwhat I should eat. Have had upper gi scope, barium swallow , ct of abdomen and hida scan. All seem okay. I am also having trouble staying asleep so don t get much sleep.
Asked On : Wed, 27 Feb 2013
Answers:  1 Views:  24
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Gastroenterologist 's  Response
Hello! Thanks for putting your query in HCM. I am a Gastroenterologist (DM).

It may be simply acid peptic disease or non erosive reflux disease since endoscopy is normal. For this take a proton pump inhibitor like rabeprazole along with a prokinetic agent like domperidone. Decreased sleep may be due to anxiety because of illness you are suffering from. For which you can take antianxiety agent like clonazepam at time of sleep which will calm you and also will help in sleep

Few more tips:
1.Avoid fatty meals
2. Don’t lie down soon after meals for at least half hour
3.Take small and frequent meals, instead of full meals at a time
4. wear loose clothes
5. If you are overweight or obese do weight reduction with dieting and exercise

I hope I have answered your query and this will help you. If you have any further query I will be happy to answer that too. Remain in touch and get-well soon.
Answered: Sun, 1 Sep 2013
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