The sore that develops in the lining of the stomach, lower esophagus, or duodenum (upper part of the intestine) is called a peptic ulcer. It can result from infection with H.pylori bacteria, indiscriminate use of painkillers, smoking, alcoholism, and radiation therapy. The symptoms include nausea, stomach pain, blood in stools, chest pain, and vomiting.
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What is the reason for the severe stabbing pain in my stomach?
Query: Hello doctor, This has happened to me twice now. This feeling usually lasts for about five to 10 minutes. It felt like a knife was pushed into my stomach and was being twisted. The pain is at the center of my upper stomach. Other than frequent heart burn, I am or at least I feel, healthy. I am not ... Read Full »
Answer: Hello, Welcome to icliniq.com. As you mentioned, you have a stabbing pain in the upper abdomen, that lasts for five to 10 minutes. From your description as well as a history of frequent heart burn, the probable reason could be: A gastric or a duodenal ulcer. Biliary colic. Pancreatic ... Read Full »
What can cause extreme pain in the upper right abdominal area on breathing?
Query: Hi doctor, My boyfriend is having pain in his right upper abdominal area while breathing. This is the third time and it started around 7 pm in the night and so he went to the hospital yesterday. They told me that they are unable to find anything on X-ray or blood work. He waked up in the morning an... Read Full »
Answer: Hi, Welcome to icliniq.com. Pain in the abdominal area can occur due to gall bladder stones and bile duct stones, ulcers in the stomach, and pancreatitis. You can take capsule Esomeprazole 40 mg half an hour before meals. He can take Tramadol 100 mg for pain. If it is not available, he can take ca... Read Full »
I have been suffering from nausea, peptic ulcer, and pain in the chest and upper abdomen. Please help.
Query: Hi doctor, I have a peptic ulcer. Sometimes I experienced pain in the upper abdomen or chest and feeling like nausea. I have halitosis too, which I think comes from my gut. I changed my lifestyle by avoiding gluten and sugar as well. I tried home remedies like cabbage juice, and drink apple cider vi... Read Full »
Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
Answer: Hi, Welcome to icliniq.com. I understand your concern. A peptic ulcer is a common gastric issue that causes severe pain and could be painful if not treated properly. Gluten and sugar have no relation with treating peptic ulcers, and probiotics could be helpful, but not that much. Alcohol, smoking, s... Read Full »
Why does my mom repeatedly have pain under the breastbone?
Query: Hello doctor, My mom is 63 years of age. She is getting pain under her right breastbone followed by acid reflux and burning in her stomach with a sour taste in her mouth. They did an ultrasound, which showed three gallstones. She had her gallbladder removed three months ago. Now, she is getting the ... Read Full »
Answer: Hello, Welcome to icliniq.com. The initial presentation of your mom was consistent with dyspepsia and I am not surprised that her symptoms are back. The issue that needs further investigation is the fact that she is not responding to the conventional therapy with Omeprazole.I have a few questions; i... Read Full »
Why am I getting chest pain while having food?
Query: Hi doctor,I am having chest pain or esophagus pain while having food for the last two days. The pain is repeated for every 5 to 10 minutes. Please help. Read Full »
Answer: Hi, Welcome to icliniq.com. There are many causes of chest pain. Pain while eating food is related to esophageal disorders like esophagitis, esophageal erosions, gastroesophageal reflux disease, esophageal spasm or peptic ulcer disease. The serious causes of chest pain like heart related problem... Read Full »
I have a suspected peptic ulcer, and my dull stomach pain has worsened despite medication. Please help.
Query: Hi doctor, I have a suspected peptic ulcer and will have a live gastroenterology appointment. In the meantime, I started feeling weird yesterday (around 24 hours ago). The pain in my abdomen worsened and woke me up during the night. It is a dull pain, and I feel like my upper abdomen is being strain... Read Full »
Answer: Hi, Welcome to icliniq.com. I suggest taking acid suppression medicine like Pantoprazole 30 milligrams half an hour before breakfast and some antacid syrup like Gaviscon 10 milliliters (Sodium alginate 500 mg, Sodium bicarbonate 213 mg, and Calcium carbonate 325 mg) after every meal. There are tw... Read Full »
Can a combination of Aleve and Goody's induce stomach upset?
Query: Hi doctor, I recently had a migraine, so I took two tablets of Aleve. It did not work, so I took Goody's powder, but the pain was still there, so I took another one. The migraine pain has gone, but my stomach seems to be upset. Read Full »
Answer: Hi, Welcome to icliniq.com. Sorry to hear about your headache. Aleve (Naproxen) and Goody's powder (combination of Aspirin, Acetaminophen, and Caffeine) both contain NSAIDs (non-steroidal anti-inflammatory drugs) like Aspirin, Ibuprofen, Naproxen, Piroxicam, Diclofenac, etc. Although NSAIDs ... Read Full »
Is tablet Pansec increasing my father's creatinine levels?
Query: Hello doctor, My father is being treated for peptic ulcer, from the past 15 days. So, he is taking a medicine called as Pansec 40 mg, in the morning and evening. He has also developed slight kidney problems, and his creatinine has raised to 1.6. To rule out renal cancer, the doctor will perform ... Read Full »
Answer: Hi, Welcome to icliniq.com. Pantoprazole belongs to a group of drugs called as proton pump inhibitors, and they are known to cause interstitial nephritis. However, they are not strongly blamed for causing so, but if you want to be on the safer side, it is advisable to switch from Pantoprazo... Read Full »
I am taking medication for rheumatoid arthritis, and I have severe stomach pain. Please help.
Query: Hello doctor, I am a 75-year-old male with rheumatoid arthritis. I have had bad stomach pain for six to seven months. The pain is intermittent during the day and wakes me at night. This is happening almost every day and night. I get bloated sometimes, and I have nausea and decreased appetite. I weig... Read Full »
Answer: Hello, Welcome to icliniq.com. The symptoms you describe fit into the description of the acid peptic disease and peptic ulcers. The culprits for this are Aspirin and Methotrexate. So the first step to treating this will be switching from Aspirin and Methotrexate to a better alternative drug like C... Read Full »
Can cold and sinus problem aggravate my peptic ulcer symptoms?
Query: Hello doctor,I have been diagnosed with peptic ulcer four months back, and I was put on Omeprazole. I took it for three and a half weeks, but then due to horrendous side effects and the need for an H.pylori test, I stopped taking it for around 10 days. The H.pylori test came back negative. I was th... Read Full »
Answer: Hi, Welcome to icliniq.com. Most likely, your symptoms are aggravated by the sinus infection. As H.pylori is negative and you are responding to Lansoprazole, I do not think an urgent endoscopy is required. I would suggest you switch over to Nexium (Esomeprazole), initially take it 40 mg twice... Read Full »