HomeAnswersInternal Medicineacid refluxKindly help me get relief from upper abdominal pain.

I am concerned about my abdominal pain. Kindly help me to get some relief.

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At February 1, 2017
Reviewed AtNovember 29, 2023

Patient's Query

Hi doctor,

I am a 35 year old male. My height is 5'9", and weight is 220 lbs. I am a smoker and not on any medication. Over the past seven months or so, I have been experiencing on and off severe upper abdominal pain (center), and that radiates through to my back. At times, the pain may just be some discomfort, and at other time it is completely unbearable whereas I cannot sit still, lie down or do anything even to get brief relief of pain. It feels almost like a gas bubble one receives before they belch. I would try to belch and rarely will get success. When I can belch, it seems like a struggle to come out, and other times I am caught off guard and regurgitate stomach acids or bile. This issue would come on progressively from discomfort to unbearable burning or knot feeling in my upper abdomen within an hour and last 6 to 8 hours and suddenly go away. As of currently, I have had these issues from the moment I awake till I fall asleep. I can feel something wrong with a range of pain levels. I have been avoiding food for almost three days now and only consuming water. Antacids do not seem to work, and change of food does not appear to make a difference on the pain level. I am extremely concerned. My research has lead me to three possibilities such as ulcer, pancreatitis and H. pylori infection.

Hello,

Welcome to icliniq.com. Most likely it is acidity and reflux disease. You will beed endoscopy to confirm the diagnosis and rule out ulcer. The common cause for this is Helicobacter pylori and for which you should have urease breath test, which if positive or even otherwise empirically you can have medicine for Helicobacter pylori. So, you can get this prescribed. It's important to consider an ultrasound of the abdomen to assess the pancreas and amylase levels, which can help rule out pancreatitis. To manage your condition, avoid fatty, oily, and high-calorie foods. Opt for short walks after meals rather than resting and consume multiple small meals throughout the day. Maintain regular sleep patterns, minimize stress, and prioritize the intake of green leafy vegetables and fruits. If applicable, refrain from smoking and alcohol. Engaging in regular exercise will be beneficial.

For your concerns, a prolonged antacid regimen is recommended. I suggest taking tablet Pan DSR (Pantoprazole and Domperidone) 40 mg before breakfast daily. Additionally, consider syrup Sucral O (Sucralfate) two teaspoons three times a day. For pain relief, an antispasmodic like Dicyclomine 20 mg or Hyoscyamine 10-20 mg can be taken as needed, according to prescribed guidelines. However, it's vital to consult your specialist doctor, have a discussion about your condition, and proceed with medication under their guidance and consent.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sagar Ramesh Makode
Dr. Sagar Ramesh Makode

Cardiology

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