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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Persistent Nausea And Pain Below The Ribs?

Sorry it s so long! I am 27 yo female, 5 8, 135lbs. I have been dealing with nausea and pain between my rib cage near my LES on a daily basis for about 2 years. I gag daily, however, am rarely able to throw anything up. My original dr told me it was reflux and sent me home with prevacid, which did nothing. My symptoms are not consistent with food intake. I am an SLP and performed an informal barium swallow test on myself to see if I could see any reflux. My stomach appeared to be sagging near my hip bones and radiologist suggested a CT or ultrasound to rule out any tumors, etc. Ultrasound found gallstones, which my GI dr immediately assumed was the problem. My symptoms were not consistent with gallstones so I asked to have a few more tests run to rule out any other disorder. EGD came back positive for H.Pylori which was treated with no relief. Otherwise no remarkable findings. I reluctantly had my gallbladder removed May 28, 2010. I had no nausea for 2 weeks, but it has since returned. GI dr yesterday wanted to have another EGD and if nothing was found, said he would just treat symptoms. I find this unnecessary as nothing has changed since my last EGD in March. Drs wants to label me with the most common disorders they see. It s obviously something that may require a little critical thinking. I have frequent headaches, fatigue and hypothyroidism. PLEASE HELP!
Wed, 2 Jan 2019
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General Surgeon 's  Response
Hi,

Sounds corelation with intestine motility related issues with the hormone imbalance via thyroid disturbances. A detailed history, case evaluation and necessary supportive tests apart from upper GI endoscopy will reveal better outcomes in this instance.

Till that time, you should
- focus on control of body weight, blood cholesterol
- strict dietary measures to avoid all spices, non veg
- take proper sleep
- do regular exercises
- avoid stress, anxiety
- avoid smoking or alcohol if consuming

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

Regards,
Dr. Bhagyesh V. Patel,
General Surgeon
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What Causes Persistent Nausea And Pain Below The Ribs?

Hi, Sounds corelation with intestine motility related issues with the hormone imbalance via thyroid disturbances. A detailed history, case evaluation and necessary supportive tests apart from upper GI endoscopy will reveal better outcomes in this instance. Till that time, you should - focus on control of body weight, blood cholesterol - strict dietary measures to avoid all spices, non veg - take proper sleep - do regular exercises - avoid stress, anxiety - avoid smoking or alcohol if consuming Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon