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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain In Upper Abdomen Below The Chest?

I ve been having pain on top my stomach at night it s below my chest and its like a dull pain that hurts and can t sleep from it, it comes for a little then leaves. I have to sit up in a weird position for it to not hurt but the minute I lay back down the pain comes back
Wed, 28 Sep 2016
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General & Family Physician 's  Response
Hi! I had gone through your question and I understood your concern.
If I were you treating doctor for the symptoms that you described I would come out with some of the possible diagnosis :( In the diagnosis is important to know what kind of pain is it : burning , Sharp pain ,and how long it last)
1) ulcer dissease - it's a burning pain or a like discomfort that may be improved by food if it is a duodenal ulcer and worsened if a gastric ulcer .And the pain is worse at night , and its dissapear when you sitting forward . may be a cute pain or chronic pain. Main cause of ulcer is Helicobacter pylori .We treat the infection with antibiotic and the symptoms with PIP :esomeprazol or pantoprazol for some weeks

2)Acid reflux - it's a burning pain that start from uper stomach and go through the esophagus , a lot of spit worsen when you like down after you have eaten it from the spicey and fatty food .coughing during the night . To do the diagnosis we prescribe PIP ( also for treatement ) like esomeprazole 20 mg twice a day or Ranitidine ( antihistamin H2 blockers ) of the symptoms dissapear it may be acid reflux .

3) and more unlikely Pancreatitis it's acute pain wich radiates to the back, with vomiting and other symptoms like :jaundice , tachycardia, tenderness of abdomen. ,We do some examinations : blood test to look for elevated levels of pancreatic enzymes , stool tests , CT.
I would suggest To ask for an appointment with your local doctor To confirm the diagnosis and to get the treatment
.
Meanwhile you are waiting for the appointment follow these advice
Try to stay in the position you have less pain
Avoid fatty food and spicey.
Use a lot of water
Go to bad 3 hour a after having dinner
Eat boiled vegetables like broccoli, potatoes , carrots. eat bananas , avoid alcohol.

Thank you for using HCM, write us if you have any additional questions.
Wish you good health !



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What Causes Pain In Upper Abdomen Below The Chest?

Hi! I had gone through your question and I understood your concern. If I were you treating doctor for the symptoms that you described I would come out with some of the possible diagnosis :( In the diagnosis is important to know what kind of pain is it : burning , Sharp pain ,and how long it last) 1) ulcer dissease - it s a burning pain or a like discomfort that may be improved by food if it is a duodenal ulcer and worsened if a gastric ulcer .And the pain is worse at night , and its dissapear when you sitting forward . may be a cute pain or chronic pain. Main cause of ulcer is Helicobacter pylori .We treat the infection with antibiotic and the symptoms with PIP :esomeprazol or pantoprazol for some weeks 2)Acid reflux - it s a burning pain that start from uper stomach and go through the esophagus , a lot of spit worsen when you like down after you have eaten it from the spicey and fatty food .coughing during the night . To do the diagnosis we prescribe PIP ( also for treatement ) like esomeprazole 20 mg twice a day or Ranitidine ( antihistamin H2 blockers ) of the symptoms dissapear it may be acid reflux . 3) and more unlikely Pancreatitis it s acute pain wich radiates to the back, with vomiting and other symptoms like :jaundice , tachycardia, tenderness of abdomen. ,We do some examinations : blood test to look for elevated levels of pancreatic enzymes , stool tests , CT. I would suggest To ask for an appointment with your local doctor To confirm the diagnosis and to get the treatment . Meanwhile you are waiting for the appointment follow these advice Try to stay in the position you have less pain Avoid fatty food and spicey. Use a lot of water Go to bad 3 hour a after having dinner Eat boiled vegetables like broccoli, potatoes , carrots. eat bananas , avoid alcohol. Thank you for using HCM, write us if you have any additional questions. Wish you good health !