HomeAnswersMedical GastroenterologygastritisWhy is there pain and swelling in the stomach?

My stomach is swollen, and it pains when I stand and sit. What is the cause?

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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.

Answered by

Dr. Ajeet Kumar

Medically reviewed by

Dr. Preetha. J

Published At September 30, 2020
Reviewed AtAugust 23, 2023

Patient's Query

Hi doctor,

I am a 35-year-old male with a weight of 198.4 lbs and a height of 5.10 feet. I have an issue with swelling in the stomach for the past two days and have pain on the sides. I am not able to breathe smoothly. I also get pain while pressing it so that I cannot stand and sit properly. I currently take Nexpro Fast 40.

Answered by Dr. Ajeet Kumar

Hello,

Welcome to icliniq.com.

Well, it seems to be due to gastritis. Given your weight and use of Nexpro (Esomeprazole), a proton pump inhibitor tends to cause bacterial overgrowth in the small bowel and gaseous symptoms.

You can try,

Tablet Itopride SR 150 mg (gastro prokinetic) half an hour before meals. And try to reduce weight.

Secondarily,

  • How long have you been using this Nexpro?
  • Do you have chest burning or acid brash in the mouth?
  • Do you have this pain before as well? And if yes, for how long?
  • Do you feel relieved in this pain immediately after Nexpro?

This above information would help me establish whether it is ulcer disease in the stomach or gastroesophageal reflux disease GERD. And use the above medication for two weeks and follow-up. If you have any concerns now, you can ask me.

The management is a bit different between both. However, weight loss would help you in both these conditions.

Best regards.

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

Dr. Ajeet Kumar
Dr. Ajeet Kumar

Medical Gastroenterology

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