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Hello, I've Been Having Been Abdominal Pain For A While
Question: Hello, I've been having been abdominal pain for a while now. I have bloating, spasms, and cramping. It also hurts when I sit down. I feel the pain all over. I also feel nausa sometimes after eating or taking my blood pressure medication. I've been taking Pantoprazole 80mg. everyday. Even with that, I still can feel the gas in throat sometimes. I had a CT Scan on my stomach, which came back clear. I also took a breath test for bacteria that came back clear. I have a history of diverticulitis, even with taking the meds, still seems to hurt. No bloody or black stools. Thoughts?
Brief Answer:
Dyspepsia.
Detailed Answer:
Thanks for asking on HealthcareMagic.
I have gone very carefully through your query. Your problem seems to be due to gastritis or gastroesophageal reflux and mild indigestion. Our gastrointestinal tract has a forward propulsive movement (peristalsis) that moves the food material forward as it is digested, absorbed and finally expelled as feces. If somehow this movement gets hampered, food along with the digestive juices would stagnate, stomach acid will reflux into the food pipe and on the other hand the bowel habits would not be proper. Degradation of undigested food in the intestines by the intestinal bacteria would lead to the excess gas formation causing inflammation of intestine pain and spasms.
In order to relieve yourself, you need to do the following:
* Avoid spicy food. Take small but frequent meals. Avoid long gaps between meals.
* Avoid alcohol intake (if it a part of your habit).
* Continue to take Pantoprazole once daily before breakfast add tablets of activated charcoal to help absrb gases.
* Take plenty of green leafy vegetables as well as other sources of dietary fibers. Take fiber supplements like isabgol/psyllium husk or senna. I would insist you to increase your dietary fiber intake.
* Regular morning walk and exercise to keep the bowel movements proper.
* If I had a patient like you I would perhaps have suggested Prodep (fluoxetine) 20 mg tablet (long term anxiolytic and a prescription drug) once daily for at least 2 months (it may take time for the action to set in). Discuss about this with your treating physician.
* Take curd or yogurt on daily basis. It contains beneficial bacteria and should help.
* Stress reduction has a very important role to play. Yoga and meditation should help.
Hopefully that should help.
Let me know if I could help further.
Regards
Dyspepsia.
Detailed Answer:
Thanks for asking on HealthcareMagic.
I have gone very carefully through your query. Your problem seems to be due to gastritis or gastroesophageal reflux and mild indigestion. Our gastrointestinal tract has a forward propulsive movement (peristalsis) that moves the food material forward as it is digested, absorbed and finally expelled as feces. If somehow this movement gets hampered, food along with the digestive juices would stagnate, stomach acid will reflux into the food pipe and on the other hand the bowel habits would not be proper. Degradation of undigested food in the intestines by the intestinal bacteria would lead to the excess gas formation causing inflammation of intestine pain and spasms.
In order to relieve yourself, you need to do the following:
* Avoid spicy food. Take small but frequent meals. Avoid long gaps between meals.
* Avoid alcohol intake (if it a part of your habit).
* Continue to take Pantoprazole once daily before breakfast add tablets of activated charcoal to help absrb gases.
* Take plenty of green leafy vegetables as well as other sources of dietary fibers. Take fiber supplements like isabgol/psyllium husk or senna. I would insist you to increase your dietary fiber intake.
* Regular morning walk and exercise to keep the bowel movements proper.
* If I had a patient like you I would perhaps have suggested Prodep (fluoxetine) 20 mg tablet (long term anxiolytic and a prescription drug) once daily for at least 2 months (it may take time for the action to set in). Discuss about this with your treating physician.
* Take curd or yogurt on daily basis. It contains beneficial bacteria and should help.
* Stress reduction has a very important role to play. Yoga and meditation should help.
Hopefully that should help.
Let me know if I could help further.
Regards
Above answer was peer-reviewed by :
Dr. Raju A.T
thanks for the information. My doctor mentioned cancer, due to having the breath test and it coming back clear. he was also mentioned it, due to me losing weight. However, I changed my eating habits and excersing due to having an evelvated alt level of 42.
As I mentioned I had a ct scan that came back clear. he instructed me to take probiotics, which I'm doing. I will purchase some ative charcoal and try that.
As I mentioned I had a ct scan that came back clear. he instructed me to take probiotics, which I'm doing. I will purchase some ative charcoal and try that.
Brief Answer:
Follow up.
Detailed Answer:
Hello my dear patient,
Thank you for follow up,
Just because a person loses some weight does not make us think that it's cancer.Golden rule of medical science is to to "Rule out common things first"
Rare things do occur but they are rare.
As said by you CT was normal again ruling out cancer.
Secondly cancer involves drastic weight loss in a very short span of time.
Just follow what I said for 21 days and follow up after that.
Hope I was helpful,
Any suggestions to make answer better are welcome.
Do rate the answer.
Thanks you.
Follow up.
Detailed Answer:
Hello my dear patient,
Thank you for follow up,
Just because a person loses some weight does not make us think that it's cancer.Golden rule of medical science is to to "Rule out common things first"
Rare things do occur but they are rare.
As said by you CT was normal again ruling out cancer.
Secondly cancer involves drastic weight loss in a very short span of time.
Just follow what I said for 21 days and follow up after that.
Hope I was helpful,
Any suggestions to make answer better are welcome.
Do rate the answer.
Thanks you.
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Raju A.T
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