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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes abdominal pain and cold sensation in the feet?

Hi Doctor My husband is 35 years. He is suffering from abdominal pain since last 4 weeks. When he gets pain it lasts for an hour. His hands and feet get cold. He had endosocopy and colonoscopy done. Report says body and antral type gastric mucosa with mild chronic active gastritis composed of scattered lymphocytes and plasma cells in the lamina propria. There were minor changes suggestive of PPI-effect on acid-secreting tubes. H Pylori not detected. There is no intestinal metaplasia, dysplasia or malignancy. Blood test report says Lipase Level 82 U/L. What do you suggest?
Mon, 8 Apr 2019
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General & Family Physician 's  Response
Hi,

The report points to a chronic yet the active process of gastritis. It is one of the diseases that might take longer to treat completely. Resolving mild cases of gastritis can often be through the use of medication and lifestyle changes. H. pylori are the most common reason but since the result was negative other differential comes in question most common are:
1. long-term use of non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen and naproxen.
2. excessive alcohol consumption
3. chronic stress
Lipase level is high but not dangerously high. I do recommend life style modifications in a healthier diet and less consumption of drugs or food that might cause irritation of the stomach lining.
It is normal physiologic reaction with abdominal pain the extremities might get cold.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Ahmad Nazzal, General & Family Physician
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