I am having abdominal pain above my belly button, which is like a cramp. Why?

Hello,

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No, the stools look fine. There is no blood in it (attachments removed to protect the patient's identity).

I want to know about your abdominal pain.

1) Where do you feel pain? Is it above the belly button or below the belly button?

2) Is it like a cramp or pinching or stabbing type of pain?

If I ask to score this pain on a scale of 0 to 10, how would you score it? 3) What is the severity? 0 being no pain and 10 being the unbearable type of pain.

4) Is there any change in bowel habits?

5) Are you on any medications?

6) Is there any illicit drug use?

7) Do you have any comorbid illness or recent history of being ill before starting these symptoms?

8) Is there any weight loss or loss of appetite?

9) Do you have any other abdominal symptoms like vomiting, nausea, abdominal distension, low hemoglobin, yellowish eyes?

10) Is there anything you feel is not normal?

Kindly answer the questions so that I can guide you accordingly.

Hi,

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Unconsciousness is strange. Were you able to check your sugar levels at that time and blood pressure? Have you had that event again?

The pain you describe seems likely a gas pain. It may be due to excessive gas production in response to some high carbohydrates meals or energy drinks. What are your weight and height, and body mass index (BMI)?

Kindly answer the questions for proper guidance.

Hi,

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Your weight seems fine, given your height. Your body mass index is 28, which is although bit above the normal. The ideal body mass index is 19 to 25.

I think you should get some testing to understand why you have that pain. that discomfort may be due to enlarged liver and fatty liver.

I suggest you get the following tests:

1) CBC (complete blood count).

2) Liver function tests.

3) TSH (thyroid-stimulating hormone).

4) Urine detail report.

5) Stool detail report.

Please get back with the results for further help.

Hi,

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You can attach them will guide you accordingly.

Hi,

Welcome back to icliniq.com.

Your ultrasound (attachments removed to protect the patient's identity) is normal except for hepatomegaly, which means enlarged liver. The normal diameter of the liver is 11 to 14 cm. your liver is 15 cm. With the laboratory report which I suggested above, I would be able to determine whether you need a treatment for it or need an observation.

Your urine detail report is normal. So you should do the rest of the tests for further guidance. I hope this was helpful.

Hi,

Welcome back to icliniq.com.

LFTs (liver function test) and cholesterol profile seem normal. LDL (low-density lipoprotein), however, is slightly in the upper ranges. So you need not be treated for hepatomegaly. It is better if you can lose some weight. I hope this was helpful.

Hi,

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Avoid a high FODMAPS (fermentable oligosaccharides, disaccharides, monosaccharides, and polyols) diet since they are carbohydrates that make excessive gases and leads to cramps or pain. You can check on the internet for the FODMAP diet. I hope this was helpful.

Hi,

Welcome back to icliniq.com.

Keep losing some weight. This will help you. Please get back if you have further doubts. Take care.