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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Abdominal Pains And Nausea?

I am wondering what could be wrong with my wife. She is having upper abdominal pain, in the center, and its fluctuating. One minute its ok, and the next its not. She is also experiancing nausea and its a lot worse when the pain comes. She is also having upper back pain. A few hours ago we did some heavy lifting of some furniture and she said her back hurt a little bit then, but thats normal for her. She then had some chips and salsa, which I shared with her, and then she had a turkey and mayo sandwich. 20 min later all of this started. She has taken pepto, Levsin, Zofran, and nothing is helping. Any ideas? BP and Pulse are normal and lung sounds are all clear.
Fri, 19 Dec 2014
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General Surgeon,  's  Response
Hi.
Thanks for your query and an elucidate history.

I have read your wife's history and understood Her problem.
The causes of the pain in upper abdomen in a female patient. Nausea is common with any sort of problem of the abdomen is just an indication that something is not alright in the abdomen.
The character of the pain which you explained is called spasmodic pains. This occurs in case of intestinal obstruction. or some problem in the initial (proximal) part of small intestine. She also have a back-pain , you say,.
I would advise in such a patient the following:
Standing X-ray of the abdomen.
Enteroclysis
Ultrasonography of the whole abdomen to start with and confirmatory CT scan of the abdomen if something is positive.
Relevant blood, urine and stool tests after a clinical examination

The treatment will depend upon the final diagnosis.
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What Causes Abdominal Pains And Nausea?

Hi. Thanks for your query and an elucidate history. I have read your wife s history and understood Her problem. The causes of the pain in upper abdomen in a female patient. Nausea is common with any sort of problem of the abdomen is just an indication that something is not alright in the abdomen. The character of the pain which you explained is called spasmodic pains. This occurs in case of intestinal obstruction. or some problem in the initial (proximal) part of small intestine. She also have a back-pain , you say,. I would advise in such a patient the following: Standing X-ray of the abdomen. Enteroclysis Ultrasonography of the whole abdomen to start with and confirmatory CT scan of the abdomen if something is positive. Relevant blood, urine and stool tests after a clinical examination The treatment will depend upon the final diagnosis.