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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Epigastric Pain With Belching

64 yo healthy female with no heart disease, nonsmoker, no history of clots. ?htn. Hx of chronic pain. Recently on mobic 15mg daily for several weeks. To er with eoigastric pain, belching, nasusea, vomiting. Neg EKG. Neg cxr. Relief of nausea with zofran. 80 percent relief with GI cocktail. Positive d dimer (3.05). No sob. No dyspnea. No tachycardia.
Is spiral ct necessary?
Mon, 3 Nov 2014
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General Surgeon,  's  Response
Hi ! Good morning. I am Dr Shareef answering your query.

Even though D Dimer test could also be elevated in some other situation (like an arthritis with chronic pain as in your case) as well, I would advise you to go with your doctor's advice for a spiral CT to rule out any other likely source to prevent any serious problem. Till then, you could go for a proton pump inhibitor drug and an anti emetic if need be. At the same time, I would also advise you to get your routine blood check up done like a CBC, ESR, RA factor, serum uric acid, serum lipid profile, blood urea, and serum creatinine. Further management would depend on the reports of investigations.

I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.

Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef.

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Suggest Treatment For Epigastric Pain With Belching

Hi ! Good morning. I am Dr Shareef answering your query. Even though D Dimer test could also be elevated in some other situation (like an arthritis with chronic pain as in your case) as well, I would advise you to go with your doctor s advice for a spiral CT to rule out any other likely source to prevent any serious problem. Till then, you could go for a proton pump inhibitor drug and an anti emetic if need be. At the same time, I would also advise you to get your routine blood check up done like a CBC, ESR, RA factor, serum uric acid, serum lipid profile, blood urea, and serum creatinine. Further management would depend on the reports of investigations. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef.