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How Can Chronic Abdominal Bloating And Pain Be Treated?
Question: 3 months ago physically active && healthy 56 yr. old female, resting pulse 60, B/p 90/60. Has chronic abdominal bloating & Pain, managed with 15/20 mmHg compression tights. No other problems.
2 months hx 20 lb unexplained weight loss, Chronic Diarrhea, high B/p 156/59, resting pulse 98, SOB on walking short distance, with O2 sat drop to 91 at 15 slow steps. B/p 168//60 , pulse=114. C/O heart pounding out of chest, sob, palor and fatigue noted. No stimulants on board. Cold all the time, however perspiring.
Admitted to ER chief complaint- Sob, chest pressure
Test, thyroid screen- neg. ekg- normal, cat scan -normal, All test normal. . Released from ER
Symptoms persist 24hrs a day. Unless at rest prone, Diarrhea daily
2 months hx 20 lb unexplained weight loss, Chronic Diarrhea, high B/p 156/59, resting pulse 98, SOB on walking short distance, with O2 sat drop to 91 at 15 slow steps. B/p 168//60 , pulse=114. C/O heart pounding out of chest, sob, palor and fatigue noted. No stimulants on board. Cold all the time, however perspiring.
Admitted to ER chief complaint- Sob, chest pressure
Test, thyroid screen- neg. ekg- normal, cat scan -normal, All test normal. . Released from ER
Symptoms persist 24hrs a day. Unless at rest prone, Diarrhea daily
Brief Answer:
Cardiac and Gastrointestinal evaluation required
Detailed Answer:
Hello Ma'am
After going through the medical details provided by you I would like to tell you that your symptoms are quite vague and are not pointing towards any specific cause. So I would like to suggest you that you need a through cardiac evaluation especially I want you to go through Echocardiography as that will help sort the reason of your sudden onset breathlessness, reason of sudden rise in bp, palpitations, chest discomfort and heart function.
Gastroenterologist consultation as in my opinion you should undergo upper and lower GI endoscopy to evaluate the cause of pallor, bloating and abdominal discomfort.
If you have already underwent these tests then kindly upload the report files for evaluation and proper advice.
You can upload the reports from your dashboard. You can also send them at YYYY@YYYY and address it to my name Dr Bhanu Partap.
I'll be happy to help
Kind Regards
Dr Bhanu partap
Cardiac and Gastrointestinal evaluation required
Detailed Answer:
Hello Ma'am
After going through the medical details provided by you I would like to tell you that your symptoms are quite vague and are not pointing towards any specific cause. So I would like to suggest you that you need a through cardiac evaluation especially I want you to go through Echocardiography as that will help sort the reason of your sudden onset breathlessness, reason of sudden rise in bp, palpitations, chest discomfort and heart function.
Gastroenterologist consultation as in my opinion you should undergo upper and lower GI endoscopy to evaluate the cause of pallor, bloating and abdominal discomfort.
If you have already underwent these tests then kindly upload the report files for evaluation and proper advice.
You can upload the reports from your dashboard. You can also send them at YYYY@YYYY and address it to my name Dr Bhanu Partap.
I'll be happy to help
Kind Regards
Dr Bhanu partap
Above answer was peer-reviewed by :
Dr. Raju A.T
I neglected to mention two episodes of fainting, knocking out a tooth, the last time.The Dr. Stated since Cat scan, and EKG were normal , just elevated Bp, and pulse, I was normal. Never ordered echo, or Gi series.
Brief Answer:
You need complete evaluation
Detailed Answer:
Hello Again
Sorry to hear that, as you had fainting episodes so it becomes even more important to get Echocardiogram done to find out any valvular stenotic lesion that could be the reason of your fainting or even palpitations. So better get it done.
Abdominal discomfort, pallor and fatigue and even weight loss needs Gi evaluation.
Kind Regards
Dr Bhanu partap
You need complete evaluation
Detailed Answer:
Hello Again
Sorry to hear that, as you had fainting episodes so it becomes even more important to get Echocardiogram done to find out any valvular stenotic lesion that could be the reason of your fainting or even palpitations. So better get it done.
Abdominal discomfort, pallor and fatigue and even weight loss needs Gi evaluation.
Kind Regards
Dr Bhanu partap
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Raju A.T
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