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Hi I Have Been Having Pain On The Right Side
Question: Hi I have been having pain on the right side below the breast bone. The inflamation flares up at night. Center chest pain- same thing inflation flares up at night. Last two nights I had a very hard time sleeping because of the inflamation on the right side.
Previously, for a couple weeks I had gas. That seems to have subsided.
Previously, for a couple weeks I had gas. That seems to have subsided.
Previously I had been having bloating. and yesterday I could not each much because of the pain.
Brief Answer:
Peptic ulcer go for Endoscopy
Detailed Answer:
Thanks for choosing "Ask a doctor" service for your query,
I have gone very carefully through your query.
Your problem seems to be due to gastritis or peptic ulcers. 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.Waking up at night and having pain behind ribs and stermun is a very likely tell tale sign of acid peptic disorder.There could be peptic ulcers also.
Test suggested-Endoscopy.
Till then 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).Don't take any ain killer.
* Take omeprazole twice daily (over the counter)
* 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
Peptic ulcer go for Endoscopy
Detailed Answer:
Thanks for choosing "Ask a doctor" service for your query,
I have gone very carefully through your query.
Your problem seems to be due to gastritis or peptic ulcers. 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.Waking up at night and having pain behind ribs and stermun is a very likely tell tale sign of acid peptic disorder.There could be peptic ulcers also.
Test suggested-Endoscopy.
Till then 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).Don't take any ain killer.
* Take omeprazole twice daily (over the counter)
* 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
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Above answer was peer-reviewed by :
Dr. Prasad
Answered by
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