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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Upper Abdominal Pain?

for 4 days now, i have had a pain in my upper abdomen - the space between my rib cage. sometimes it feels like a rolling gas bubble, but nothing comes out. i massage it trying to make anything move, but it's not really working. i've also been a bit constipated. any thoughts?
Mon, 12 Jan 2015
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General Surgeon 's  Response
Hi! Good morning. I am Dr Shareef answering your query. You did not mention about your gender, age and which side of the abdomen was affected by the pain. From whatever history was available now, if I were your doctor, I would after a clinical examination of your abdomen advise you to avoid food from outside along with avoidance of alcoholic beverages and smoking if you do. I would then advise you for a routine stool test for ova and cyst and treat it if positive. In addition I would also advise you for an ultrasound of the abdomen to rule out chances of calculus disease in the biliary or the urinary tract or any other intra abdominal pathology which might be responsible for your symptoms. An additional assest would be some blood tests like a CBC, blood glucose, serum amylase and lipase, and LFT, and a urine test to rule out a UTI. I would then advise you to add enough roughage/salad and sufficient liquid intake in your diet. Till the reports are available, I would advise your for a proton pump inhibitor along with a probiotic and an anti spasmodic drug for a symptomatic relief.

I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.

Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef.



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What Causes Upper Abdominal Pain?

Hi! Good morning. I am Dr Shareef answering your query. You did not mention about your gender, age and which side of the abdomen was affected by the pain. From whatever history was available now, if I were your doctor, I would after a clinical examination of your abdomen advise you to avoid food from outside along with avoidance of alcoholic beverages and smoking if you do. I would then advise you for a routine stool test for ova and cyst and treat it if positive. In addition I would also advise you for an ultrasound of the abdomen to rule out chances of calculus disease in the biliary or the urinary tract or any other intra abdominal pathology which might be responsible for your symptoms. An additional assest would be some blood tests like a CBC, blood glucose, serum amylase and lipase, and LFT, and a urine test to rule out a UTI. I would then advise you to add enough roughage/salad and sufficient liquid intake in your diet. Till the reports are available, I would advise your for a proton pump inhibitor along with a probiotic and an anti spasmodic drug for a symptomatic relief. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef.