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Q. I had a severe stabbing pain in my stomach. Is that something I should be worried about?

Answered by
Dr. Chandra Prakash Tanwar
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Aug 16, 2017

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 taking any medication. I never had any medical issue in the past. It is just these two episodes hurt so bad, it got me worried.

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#

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:
  1. A gastric or a duodenal ulcer.
  2. Biliary colic.
  3. Pancreatic pain.
  • I suggest you consult a gastrointestinal physician and undergo the following tests:
  1. USG (ultrasonography) abdomen.
  2. UGI (upper gastrointestinal) endoscopy.
  • Until then, presuming it to be an ulcer related pain, the management will be with:
  1. Tablet Pantoprazole 40 mg twice a day before meals.
  2. Tablet Drotaverine SOS for pain in the abdomen.

For more information consult a general medicine physician online --> https://icliniq.com./ask-a-doctor-online/general-medicine-physician

Thank you doctor,

My stools are never hard. Is that something I should be worried about?

#

Hello,

Welcome back to icliniq.com.

  • Since you have had two such episodes of a severe pain in the epigastrium, I suggest you do not ignore any symptom.
  • As I mentioned earlier, it could be an ulcer-related pain, which can be seen only on an endoscopy. The treatment of an ulcer depends upon its appearance.
  • At least go for an ultrasound of the abdomen. We might get some more information.

For more information consult a general medicine physician online --> https://icliniq.com./ask-a-doctor-online/general-medicine-physician


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