Q. Though I am on regular medicine, my stomach pain is present. Please help.

Answered by
Dr. Happykumar Kagathara
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Jan 27, 2017 and last reviewed on: Mar 31, 2021

Hello doctor,

I have been dealing with a stomach issue for almost four years. It originally was extreme pain and tarry stool once. It was first diagnosed as an ulcer as I was negative for H. pylori. I was given antibiotics just in case, PPIs and H2 blockers. Since then it has gotten worse, gotten better and so forth. I do drink a good amount of alcohol, although I stopped cold turkey two months ago because it was causing pain. I am currently taking Carafate; several PPI's a day and H2 blockers. I eat extremely low-fat diet, I have lost 20 pounds in the past two months. I eat a low acid diet, no caffeine, no alcohol, I take my PPI's on time, as well as Carafate, and as directed. I have no pain during sleep. Once I awake, the pain comes back in flat position. If I get up, it does not or is less pain. The pain is in one point upper abdomen, center, directly below or behind the sternum. It is helped by drinking cold water. Sometimes, it goes away after I eat. Made worse if I eat fatty food, even moderate amounts of fat. The pain is very close to the surface of the abdomen, and it does not go to my back.

I have had sore throats as well. I would imagine that it is from acid reflux. I did have acid reflux for 8 to 10 years, off and on, and I did not do a good job of controlling it at first. I have taken Prilosec, Nexium and recently Dexilant. A year and a half ago, I had a cat scan with fluid drank before hand (I believe it was called a HIDA scan) and an ultrasound. The only thing that was found was a fatty liver, and no other problems were found. Is there any other type of prescription or medication I can pursue?

#

Hello,

Welcome to icliniq.com.

  • I can understand your concern for GI (gastrointestinal) symptoms. All your treatment is appropriate. You might have a hiatus hernia associated GERD (gastroesophageal reflux disease), which is responsible for the appearance of intermittent symptoms.
  • A hiatus hernia can be diagnosed by upper GI endoscopy or in CT scan with oral contrast (lying in a particular position).
  • Do not lie down immediately after dinner. Take minimum amount of liquid along with meals.
  • Another possibility is the development of gallstones, which also cause similar pain. The only difference is that the pain in gallstones will be after food intake.
  • Surgery is ideal for this condition, but you can take analgesic and the anti-spasmodic group of medications to control pain in case of confirmed gallstones.

The Probable causes:

Reflux.

Investigations to be done:

Repeat USG (ultrasonography) abdomen and upper GI endoscopy.

Differential diagnosis:

Gallstones.

Probable diagnosis:

Hiatus hernia related GERD.

Regarding follow up:

Revert with the report to a medical gastroenterologist online.---> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist


Was this answer helpful?

 | 


Related Questions:
Other than acid reflux, what can cause inflammation and irritation of throat?

I have seen an ENT specialist and he said that I had a lot of inflammation in my esophagus, but did not seem to say anything else other than it may be the acid reflux ...   Read full

I feel bloated and breathless. Is this normal?

Zantac (Ranitidine) will help reduce the acidity of the stomach but not immediately ... Take antacids after the meal and at bedtime ...   Read full

What could be the root cause for bloated stomach after having food?

.. reporting to have bloating after eating, especially lunch. These symptoms may be related to stomach issues like gastritis or gall bladder issues like biliary sludge (bile precipitation) or dyskinesia (gall bladder muscle motility disorder). In m...   Read full

Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Also Read


COVID-19 Vaccines
A COVID-19 vaccine provides acquired immunity against the new Coronavirus. Read the article to know everything about the...  Read more»
The Perils of Social Media Addiction
Social media addiction affects both physical and mental health. Read this article to know more.  Read more»
COVID-19 - Second Wave
The second wave of COVID-19 is a red flag. Read more to know about the precautionary measures.  Read more»

Ask your health query to a doctor online?

Ask a Medical Gastroenterologist Now

* 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.