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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Pain In Lower Abdomen?

Husband, 65, has been having severe pain in his lower right upper abdomen and into his lower diaphragm where his hiatal hernia is. He has suffered from chronic acid reflux (GERD) for 50 yrs. He has an endoscopy every 2-3 years. He is also having extreme difficulties in breathing.... he just can t seem to get enough air. All has been going on now for about 3 months. His doctor ran every blood test and did an EKG. All tests were fine. Although he was diagnosed with PVC. But his pain worsened and so we thought it might be his gall bladder and went to emergency yesterday, Nov 9, where they ran even more blood tests, another EKG, did a cat scan and ultra sound to rule that out. His blood pressure was 165/113 and continued at that all day for 7 hrs in emergency. Again, all tests came back clean! Can his acid reflux, hernia and this PVC all be connected? They sent him home with no diagnosis, other than they think it s his acid reflux causing all of his symptoms and suggested that he go in for an upper GI / endoscopy to check things out. Today, Nov 10, he continues to have a horrible headache cuz of the high blood pressure and pain in his upper right abdomen/lower diaphragm area. Baffled as to what is causing all his symptoms and why they would even send him home with that high of blood pressure... they said they weren t really concerned about it and that it wasn t life-threatening. He is on blood pressure mediations. Please give me advice or your opinion on what could be going on. FYI: He has seen 2 physicians and 1 cardiologist so far... all with Kaiser.
Fri, 24 Jul 2015
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General & Family Physician 's  Response
Ma'am, your husband's blood pressure and PVC can be related and as you said he is on treatment for hypertension but still his BP is raised. What medications he is taking for BP? Is he under some kind of stress. You have to add some drugs like metoprolol for BP and rablet L for GERD. Besides it changing lifestyle to stick to healthy habits do have beneficial effects. Try to destress him if it is so.
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What Causes Severe Pain In Lower Abdomen?

Ma am, your husband s blood pressure and PVC can be related and as you said he is on treatment for hypertension but still his BP is raised. What medications he is taking for BP? Is he under some kind of stress. You have to add some drugs like metoprolol for BP and rablet L for GERD. Besides it changing lifestyle to stick to healthy habits do have beneficial effects. Try to destress him if it is so.