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My Wife Aged 33 Getting Severe Pain Below The Chest Full Front Portion From Day Before Night
Question: my wife aged 33 years started getting severe pain below the chest full front portion from day before night. she is vomiting what ever she took. she is not able to sleep any side other than straight. even that also for short time. she feels only comfortable while sitting with whole body bent down. mornings until 12pm no pain, pain starts after that and it stays until early morning. doctor diagnosed as ulcer in stomach and given two injections of esomeprazole yesterday night with fluids.. and medicine for infection and vomtings.. ZIMIGUT 200 and EME OD. but still pain is not coming down. need your advice on this.
Brief Answer:
This may be an emergency. Please take her to a Hospital.
Detailed Answer:
Hi,
Thanks for your query.
Noted the history well.
As per the history that you have given following are the possibilities , proper investigations and management:
Vomiting usually occurs as a reflex mechanism hence the cause has to be found out.
Such a severe pain in upper abdomen wherein the patient feels better only on sitting in a bending position, can be due to the following reasons:
Problem with liver or gall bladder, pancreas, pleurisy etc.
Gastritis can be the cause or associated problem.
Perforation of stomach or duodenal ulcer causes severe pain.
Pancreatitis.
Cardiac rarely
Hence I would suggest you the following:
Continue symptomatic treatment as is advised by your Doctor, may need some painkiller.
If there is no relief then it is better to get her admitted for intravenous fluids as persistent vomiting can cause dehydration.
Additional treatment for pain and specific treatment on finding a proper cause.
Ultrasound and X-rays of abdomen in sitting and lying down position
Better to get CT scan of abdomen as it covers lower chest too and gives better diagnosis.
Relevant tests of blood, urine, stool all add on for a proper diagnosis so that a specific treatment can be done.
Any other tests as would be advised, like ECG or so.
Since this may be an emergency it is better to be examined by a Surgeon and get admitted if advised, so that a proper diagnosis will lead to a proper treatment.
I hope this answer helps your wife to get an early diagnosis, proper management and cure.
Please give feedback and feel free to ask for relevant queries if you feel that there is a gap of communication.
Dr T Chandrakant.
General Surgeon.
This may be an emergency. Please take her to a Hospital.
Detailed Answer:
Hi,
Thanks for your query.
Noted the history well.
As per the history that you have given following are the possibilities , proper investigations and management:
Vomiting usually occurs as a reflex mechanism hence the cause has to be found out.
Such a severe pain in upper abdomen wherein the patient feels better only on sitting in a bending position, can be due to the following reasons:
Problem with liver or gall bladder, pancreas, pleurisy etc.
Gastritis can be the cause or associated problem.
Perforation of stomach or duodenal ulcer causes severe pain.
Pancreatitis.
Cardiac rarely
Hence I would suggest you the following:
Continue symptomatic treatment as is advised by your Doctor, may need some painkiller.
If there is no relief then it is better to get her admitted for intravenous fluids as persistent vomiting can cause dehydration.
Additional treatment for pain and specific treatment on finding a proper cause.
Ultrasound and X-rays of abdomen in sitting and lying down position
Better to get CT scan of abdomen as it covers lower chest too and gives better diagnosis.
Relevant tests of blood, urine, stool all add on for a proper diagnosis so that a specific treatment can be done.
Any other tests as would be advised, like ECG or so.
Since this may be an emergency it is better to be examined by a Surgeon and get admitted if advised, so that a proper diagnosis will lead to a proper treatment.
I hope this answer helps your wife to get an early diagnosis, proper management and cure.
Please give feedback and feel free to ask for relevant queries if you feel that there is a gap of communication.
Dr T Chandrakant.
General Surgeon.
Above answer was peer-reviewed by :
Dr. Dr. Yogesh D
hi sir, we did ultrasound scan as per the doctors request and scans found stones in gladbladder and doctor is saying to go for a procedure to remove the stone as well as removal Of glad bladder.. am attaching the report please need your suggestion asap.
Brief Answer:
Please go ahead with surgery as there are no medicines for gallstones.
Detailed Answer:
Thanks for your feedback.
Gallstones can not removed by any medicines.
Gallstones can cause further complications of infection, surgical jaundice, increases acidity, can cause cause pancreatitis.
The only and the best way is to get it removed.
Please consult a General/laparoscopy Surgeon in your area and get it operated after proper medical evaluation and fitness as would be advised.
Please go ahead with surgery.
I hope this answer helps you further.
Please give feedback.
Take care.
Dr T Chandrakant.
Please go ahead with surgery as there are no medicines for gallstones.
Detailed Answer:
Thanks for your feedback.
Gallstones can not removed by any medicines.
Gallstones can cause further complications of infection, surgical jaundice, increases acidity, can cause cause pancreatitis.
The only and the best way is to get it removed.
Please consult a General/laparoscopy Surgeon in your area and get it operated after proper medical evaluation and fitness as would be advised.
Please go ahead with surgery.
I hope this answer helps you further.
Please give feedback.
Take care.
Dr T Chandrakant.
Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
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