What causes persistent severe abdominal pain?

Hi,

Welcome to icliniq.com.

I read your query and understand your concern.

Kindly share your CT (computed tomography) scan report and blood workup.

Kindly answer a few important questions for me to guide you better.

1. Where exactly are you having the pain? Specify whether in the upper or lower abdomen, left or right side.

2. Is the pain diffuse?

3. Do you have any nausea, vomiting, or diarrhea?

4. Do you have the habit of eating out?

5. Did you have any recent alcohol intake?

6. Were you on any medications or painkillers recently?

7. Did they prescribe any medications in the ER (emergency room) and are you taking them?

Thank you.

Hi,

Welcome back to icliniq.com.

Thanks for providing detailed clinical information.

Mid-upper abdominal pain, more towards the left is the area of the stomach. Other supporting points are nausea and unable to tolerate a normal oral diet, which increases the pain after eating. The possible diagnosis is severe gastritis, acid peptic disease, ulcer, or gastric spasm. This would be due to eating out, alcohol consumption if any, eating reheated meals, or any medicine especially painkillers. There are certain other causes as well but the above are more common.

I would suggest you continue with Paracetamol and Dicyclomine, but can switch Pepcid (Famotidine) to some better acid suppression medicine like tablet Pantoprazole 40 mg half an hour before breakfast for seven to ten days. You can also add a regular antacid syrup like Gaviscon (Aluminium hydroxide and Magnesium carbonate) 10 ml after every meal.

Consult your doctor, talk to them, and take the medications as per their advice.

I would also suggest you add probiotics or yogurt to your diet. Eat home-cooked soft meals and avoid eating out or alcohol consumption if any.

Your normal CT scan and blood workup are reassuring, but if you have persistent symptoms, you should be checked for Helicobacter pylori bacteria which causes stomach infection or gastritis.

Thank you.