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Hey Doc I Have This Painful Symptom 3 Times In

Posted on Wed, 9 Oct 2019

Question: Hey Doc I have this painful symptom 3 times in the past year. A sharp pain right below my breastbone ( Solar Plexus ) and it lasts for sometimes a couple of hours then disapears. Usually after I eat and it isn't Gerd even though I have that. The pain is VERY painful and hard to breath as well. Opinion? Thinking of going to the ER ( I am generally healthy ) Thanks

Answered by Dr. Hari Charan Perigela (56 minutes later)

Brief Answer:
You should be investigated

Detailed Answer:
Hi
Pain in that area can be due to Gallbladder disease,Acid peptic disease, Appendicular dyspepsia etc.
Upper GI endoscopy will confirm Acid peptic disease.
Ultrasound abdomen and CT scan Abdomen will confirm Gallbladder disease, Appendicular pathology.
I prescribe Proton pump inhibitor like Rabeprazole along with Domperidone to my patients with similar complaints till investigations.
Please consult a Doctor/ER and proceed further.
Nothing to worry.
Hope I answered your query.If you have any questions,I will clarify further.
Wish you good health and speedy recovery
Regards

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Hari Charan Perigela (3 hours later)

Hey Doc Thanks for the advice. I went to the ER and did a full stomach ultrasound. Tbey found several small stones around 5mm ( Gallstones ). Liver enzymes were a little high and a mild enlarged spleen. The kidneys were fine and the bladder. They could only see the Head and tail of the Pancraess which seemed normal. The Gallbladder was slightly distended but otherwise normal. That was the full answer from the ultrasound. I think the liver enzymes were a little up because of the Gallbladder no? Please tell me what u think. Thanks

Answered by Dr. Hari Charan Perigela (5 hours later)

Brief Answer:
I need some more information.

Detailed Answer:
Hi
I would like to have some more information.
Whether Stones are confined only to Gallbladder or slipped into Common bile duct
In case of Stone in the Common Bile duct,the Liver enzymes will be hugely elevated.If Stones are confined only to Gallbladder, enzymes will be slightly elevated.
Nothing to worry.Enzyme levels will come down.
For Gallstones, you can discuss with a Surgeon and proceed with Laparoscopic Cholecystectomy.
Hope I answered your question.
Please come back with answer to my question.
Regards

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Hari Charan Perigela (1 hour later)

Hi Doctor XXXXXXX I have attached a screenshot of the result. Please let me know if this answers your question and what's your advice. Thanks again

Answered by Dr. Hari Charan Perigela (1 hour later)

Brief Answer:
There are stones only in Gallbladder

Detailed Answer:
Hi
Stones are confined only to Gallbladder.It is common in females. Gallbladder has to be removed surgically
It can be done by Laparoscopic approach.
Nothing to worry
Regards

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Hari Charan Perigela (15 minutes later)

Hi doc Thanks for your vote of confidence. You seem to be a real professional. How does someone get stones in the first place???

Answered by Dr. Hari Charan Perigela (1 hour later)

Brief Answer:
Thanks for your response

Detailed Answer:
Hi
Female above 40years with Upper Abdominal pain may have Gallstones.So,we get an Ultrasound abdomen to exclude them.
There are many causes for Gallstones.Cholesterol stones are one type.
Plan for Laparoscopic approach soon.
Regards

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Hari Charan Perigela (18 hours later)

Hi Doc Thanks for all of your professional advice and much appreciated. My last question is ( sorry for this) My Stool is a clay type colour also green as well. Not the normal brown colour. Does this have anything to do with the Gallstones?/ Gallbladder? Just asking as some came out normal and one was hard in the beginning. Need some advice here. Thanks doc

Answered by Dr. Hari Charan Perigela (6 hours later)

Brief Answer:
It could be due to Obstruction of Common bile duct

Detailed Answer:
Hi
Color of the stool depends on the Food that you have taken
Jaundice associated with clay coloured stool could be due to Obstruction of Common bile duct.It can be obstructed due to Stone in Common bile duct,Sludge etc.
You should get Liver function tests.If they are abnormal,get an MRCP(Magnetic Resonance Cholangio Pancreatography).These will confirm the diagnosis.
Please consult a Gastroenterologist and proceed further.
Nothing to worry.
Regards

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Hari Charan Perigela (9 hours later)

Hi Doc You seem to direct and professional. Tha bus for this. When I did my Liver tests due to the Gallstones the enzymes were a little high as I sent you the paperwork here. Now I am just sick:( Runny nose, coughing , temperature changes etc...:( The stool issue I assume isn't a big deal like you said so that's comforting. Thanks again BR Aryeh

Answered by Dr. Hari Charan Perigela (1 hour later)

Brief Answer:
It could be due to Viral Infection

Detailed Answer:
Hi
Runny nose,Cough,fever suggests Viral infection.
I prescribe Anti allergic tablet containing Levocetrizine, Tablet Paracetamol for fever to my patients with similar complaints.
If Cough is associated with Sputum, Antibiotic like Amoxicillin will be helpful.
Nothing to worry.
Regards

Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.

Above answer was peer-reviewed by : Dr. Prasad