HomeAnswersMedical Gastroenterologyepigastric pain

Why do I feel bloated in my upper abdomen?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I had upper abdominal swelling for months, along with tight chest or asthma-like symptoms, which is more difficult to breathe out. Ventolin does not make much of a difference. I am taking Pantoprazole for GERD, which does not make a difference if I take it or not. Small meals seem to make me feel overly bloated as if I have had a large meal. This problem is getting worse now. I have changed my diet a few times, and nothing has changed. I have had an endoscopy which has shown no problems. I had a lung function test which did not show any issues. I also wore a 24-hour heart monitor and had a full heart echo test and 12-lead ECGs, which did not show any issues.

Answered by Dr. Arbab Muhammad Kashif Khan

Education:

MBBS

Professional Bio:

Dr. Arbab Muhammad Kashif Khan is a skilled Medical Gastroenterologist specializing in the diagnosis and treatment of digestive and liver disorders. His expertise includes managing conditions such as acid reflux, hepatitis, inflammatory bowel disease, irritable bowel syndrome, and pancreatitis. With a patient-centered and evidence-based approach, Dr. Khan is dedicated to improving gastrointestinal health and enhancing the overall well-being of his patients.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

How is your sleep, and at what time do you feel such symptoms? Do you have any symptoms of anxiety-like increased heartbeat, headache, dryness of mouth? Do you have any pain in the epigastrium? Have you tried any other medication with Pantoprazole (Pronotix)? Please start the following medication and do 24-hour pH monitoring if you have not done it.

  1. Capsule Dexlansoprazole (Dexilant) 30 mg twice daily on empty stomach.
  2. Tablet Levosulpiride (Dislep) 25 mg thrice a day before meals.

Patient's Query

Thank you doctor,

I sleep well, but I do not know minimal snoring, if any. As for pain in the epigastrium, some discomfort and reflux pain is noticeable when I have stopped my Pantoprazole for a week. I have not tried any other medication other than Pantoprazole.

Answered by Dr. Arbab Muhammad Kashif Khan

Education:

MBBS

Professional Bio:

Dr. Arbab Muhammad Kashif Khan is a skilled Medical Gastroenterologist specializing in the diagnosis and treatment of digestive and liver disorders. His expertise includes managing conditions such as acid reflux, hepatitis, inflammatory bowel disease, irritable bowel syndrome, and pancreatitis. With a patient-centered and evidence-based approach, Dr. Khan is dedicated to improving gastrointestinal health and enhancing the overall well-being of his patients.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome back to icliniq.com.

It will be good if you start the prescribed treatment. Follow the same lifestyle modifications as you already do and avoid spicy and fatty meals. If you still suffer such symptoms, then you will have to do 24-hour pH monitoring.

Medically reviewed by iCliniq medical review team
Published At April 6, 2021
Reviewed At August 31, 2023

Education:

MBBS

Professional Bio:

Dr. Arbab Muhammad Kashif Khan is a skilled Medical Gastroenterologist specializing in the diagnosis and treatment of digestive and liver disorders. His expertise includes managing conditions such as acid reflux, hepatitis, inflammatory bowel disease, irritable bowel syndrome, and pancreatitis. With a patient-centered and evidence-based approach, Dr. Khan is dedicated to improving gastrointestinal health and enhancing the overall well-being of his patients.

This doctor is not available for online consultations on the platform anymore.

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

Education:

MBBS

Professional Bio:

Dr. Arbab Muhammad Kashif Khan is a skilled Medical Gastroenterologist specializing in the diagnosis and treatment of digestive and liver disorders. His expertise includes managing conditions such as acid reflux, hepatitis, inflammatory bowel disease, irritable bowel syndrome, and pancreatitis. With a patient-centered and evidence-based approach, Dr. Khan is dedicated to improving gastrointestinal health and enhancing the overall well-being of his patients.

This doctor is not available for online consultations on the platform anymore.

Listen to related tracks in our music library
Comprehensive Second Opinion

Ask your health query to a doctor online

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.