HomeAnswersMedical Gastroenterologyabdomen painWhat are the common causes for stomach upset?

I am suffering from stomach upset for about one month with mild stomach pain. Please help.

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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.

Medically reviewed by

Dr. Sneha Kannan

Published At May 13, 2021
Reviewed AtFebruary 2, 2024

Patient's Query

Hi doctor,

I am suffering from stomach upset for about one month. My stomach feels full and tight all day. My belly looks larger than usual. When I start to eat or drink stomach feels full, but I am still hungry. I have on and off mild stomach pain. I have throat irritation and a burning sensation on my tongue. I took capsule Omeprazole 20 mg once a day, but it did not work for me. Can you please help me with this issue?

Answered by Dr. Babu Lal Meena

Hi,

Welcome to icliniq.com.

The most common causes of stomach upset are gastritis, constipation, IBS (irritable bowel syndrome), infection, accumulation of fluid in the abdominal cavity. Other uncommon causes are tumors of the GI (gastrointestinal) tract.

Out of these, gastritis should improve with PPIs (proton-pump inhibitors); constipation has episodic symptoms, fluid accumulation (ascites) may have persistent symptoms if not treated.

To delineate the etiology, we should go for the detailed history and investigations. Can you please give me the following details:

  1. Do you consume alcohol? Kindly elaborate on duration, quantity, type of beverages.
  2. Do you smoke? Kindly elaborate.
  3. Do you feel pain in the abdomen?
  4. Is there any pain while swallowing food or liquids?
  5. Any related symptoms with intake of food?
  6. Do you feel regurgitation of the food?
  7. Do you have constipation? Also, tell about the stool frequency and consistency.
  8. Do you feel episodic abdomen distension?
  9. Is there any relieving factor?
  10. Do you have any swelling in the feet?
  11. Do you have any investigation done for this ailment?

Please get back to me with the above-asked details. Feel free to ask anytime in case of any doubts.

The Probable causes

GERD (gastroesophageal reflux disease).

Investigations to be done

Ultrasound abdomen. Stool H. Pylori antigen. Blood Investigations: 1.Complete blood count. 2. liver biochemical tests. 3. Kidney function tests. 4. Thyroid function tests. 5.Lipid profile. 6.Fasting blood glucose. 7.HbA1c (glycated hemoglobin test).

Differential diagnosis

GERD, gastritis, IBS, Ascites.

Treatment plan

Tablet Dexlansoprazole 60 mg once a day in an empty stomach. Psyllium husk two scoops in 200 ml water or milk in the morning. Avoid junk foods. Avoid carbonated drinks, alcohol, or smoking, if any. Drink plenty of water.

Regarding follow up

Review with reports and details.

Patient's Query

Hi doctor,

Please see below my comments: Do you consume alcohol? (kindly elaborate duration, quantity, type of beverages, and duration). Once a week, Beer 1 ltr or whiskey 3 pegs. Do you smoke? (elaborate). No (I stopped smoking 3 years ago). Do you feel pain abdomen? No. Any pain while swallowing food or liquids? No. Any relation of symptoms with intake of food? No. Do you feel regurgitation of the food? No. Do you have constipation? Also, tell about the stool frequency and consistency. No, daily morning and soft (normal). Do you feel abdomen distention is episodic? Yes. Is there any relieving factor? No. Any swelling over the feet? No. Do you have any investigation done for this ailment? I just did a blood test. Please see attached report.

Answered by Dr. Babu Lal Meena

Hi,

Welcome back to icliniq.

We checked your query and found that investigations are incomplete. We also read your reply regarding various leading questions, and after analysis, I found that there is no reflux disease. However, we need more reports, as advised to you in the last visit, to rule out other disorders. As of now, we are at the same status and unable to comment on your ailment causing these symptoms. Hence I request you to follow the investigative measures. Kindly do the rest of the investigations and review with reports. Till then, continue the same medicine and follow the advice.

Treatment plan

Follow as advised previously.

Regarding follow up

With reports.

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

Dr. Babu Lal Meena
Dr. Babu Lal Meena

Medical Gastroenterology

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