Dr. Babu Lal Meena
Medical Gastroenterology
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Patient's Query
Hello doctor,
I have had a gallbladder operation last year and an umbilical hernia, then I ended up with diverticulitis a couple of months ago. That pain has never gone away. So I went and got an upper and lower GI done and it was clear. The pain is centered in the upper part of my belly and feels like a rock it is constant pain and it gets worse when I eat. The other pain comes from both sides about three to four inches above my pelvic bone to the right and left. Then I get a stabbing feeling in both places as well as in between the nurses wanted me to consult a gynecologist. I am just trying to make the pain stop. A year after my operation I gained about 100 lbs, but it is my stomach that is swollen all the time. It looks like I am nine months pregnant. Please help.
Hi,
Welcome to icliniq.com.
Symptoms you have mentioned are indicating towards gastritis or acid peptic disease. Still, I need more information. Why you underwent GB (gallbladder) surgery? You did not mention the GI series report, it was before the onset of pain or after the onset of pain? Is there a regurgitation of food or vomiting? If yes are there blood in vomit?
These kinds of problem is associated with an excess weight. And it is associated with other problems also e.g. NASH (Non-alcoholic fatty liver disease), metabolic syndrome.
Advice.
1. Start on Rabeprazole and Domperidone combination tablet twice a day half an hour before a meal. This will help to alleviate your pain by suppressing acid activity.
2. Take Pepcid (Famotidine) syrup 5 ml along with meals in the initial 10 days of treatment, it will relieve severe pain.
3. Avoid fatty foods.
4. Make a diet chart whatever you are eating in the next seven days, we will modify it.
5. Do exercise to loose weight. Obesity is a known risk factor of these problems and others that I have already mentioned.
6 Get done investigations, CBC (complete blood count), liver function test, lipid profile, fasting and post prandial blood glucose level, and thyroid function tests (T3, T4, TSH).
Review with above-mentioned details and reports.
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Medical Gastroenterology
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