Q. Why do I have nausea, cramping in upper groin area and burping?

Answered by
Dr. Rajesh Kumar Padhan
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Apr 17, 2016 and last reviewed on: Jan 25, 2020

Hello doctor,

I had nausea a year and a half ago. At that time, I could not eat and was given IV therapy along with antacid. Immediately felt better and I left the ER. I had a colonoscopy about a year ago and it was fine. Doctor did not do any other test and said I had gastritis from alcohol. He gave me some nausea medicine. Recently, I went to my doctor with symptoms of bloating gas, belching, lower abdominal cramping and nausea. I had been drinking pretty heavily for the past five months. I have not been vomiting nor had any blood in my stools. It has been two weeks since I consulted him and I am still belching, having cramps in upper groin area, and burping. My appetite is fine. I have not drunk for17 days now. I am taking Zoloft. What is your suggestion? Please help.

Dr. Rajesh Kumar Padhan

Medical Gastroenterology


Welcome to icliniq.com.

Investigations to be done:

1. Complete blood count (CBC).
2. Liver function test (LFT).
3. Upper gastrointestinal (UGI) endoscopies and amylase and lipase test.

Probable diagnosis:

Dyspepsia (impaired digestion).

Treatment plan:

1. Take tablet Pantocid DSR (combination of Pantoprazole sodium and Domperidone) one tablet once daily before food for a month.
2. Tablet Normaxin (Chlordiazepoxide and Clidinium bromide) one tablet twice daily after food for a month.
3. Tablet Rifagut (Rifaximin) 200 mg one tablet twice daily after food for 15 days.

Preventive measures:

1. Avoid alcohol, fasting and spicy food.
2. Take small and frequent meals.
3. Avoid cabbage, cauliflower, milk and tea.

Regarding follow up:

Revert back after the investigation to a medical gastroenterologist online.---> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist

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