Suggest Treatment For Abdominal Pain While Having Acid Reflux

Posted on Mon, 26 Dec 2016

Question: Dr. I am a 61 yr. old FE. last night after i went to bed.. an hour, I had a sudden attack of pain in my mid abdomen. Not under under the breast . I have acid reflux and the pain was in a different areas
Woke me up suddenly from a sleep. I paced, tried to use the BR. passed one small stool. The pain incraease within minutes. Was so bad we had to call an ambulance becuase I didn't think I could make it by car. Diaphoretic and slightly pale. Laid on the couch waiting for the ambulance. Within 5 minutes the pain went away a suddenly as it came on. Ambulance said VS Normal. EKG normal. I have HX of Reflux. did have a Mc Donalds burger an hour before i went to bed which i never do. Today I am much better. functional but I am afraid to eat even though I feel hungry

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

Brief Answer:
It could be due to Acid peptic disease.

Detailed Answer:
Hi,

As per your description, you had spasmodic pain. It could be due to Acid peptic disease.
I prefer a Proton pump inhibitor like Rabeprazole along with Levosulpiride instead of Rantac.
You can eat normally.
You should have your dinner before 8 pm and maintain some time gap before you sleep.
Eat frequent small meals.
Avoid spicy food.

Hope I answered your query. If you have any questions, I will clarify further.
Wish you good health.
Regards

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Hari Charan Perigela (8 hours later)

Thank you Doctor.
I worry that it may be a gall bladder attack/ stones even though I have been diagnosed with Acid Refux Disease.

But I have minimal discomfort all day today. Just feels like there is some inflammtion type discomfort right now but much better

I will and have been eating very minimal dry food no spices, bland today and tomorrow.

Will take you advice and if pain returns like last night will see someone /ER.

Thanks much

Answered by Dr. Hari Charan Perigela (11 minutes later)

Brief Answer:
You can ask for an Ultrasound abdomen.

Detailed Answer:
Hi
Pain due to Gallbladder disease will be in the right upper quadrant of the abdomen usually.
Ultrasound abdomen will give a clue.
Please consult your doctor, get an Ultrasound abdomen and exclude Gallbladder disease.
Wish you good health.
Regards

Note: For further inquiries on surgery procedure and its risks or complications book an appointment now

Above answer was peer-reviewed by : Dr. Raju A.T