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Suggest Treatment For Bloating, Migraines, Abdominal Pain And Spasms

Posted on Thu, 12 Nov 2015

Question: Hi doctor,

I suffer from anxiety, take many pain killers for my migraine. Always had colon spasm episodes every 3 months or so and they eventually disppear...

Now my stomach is always bloated, feel so much gases trapped inside and starting yesterday im suffering from upper middle abdominal pain and stomach discomfort...

A sip of water discomforts the area.
I dont have heartburn or acid reflux and dont have pain around my back or chest or kidneys. Made a sonar
Results were normal on kidneys, gallblader,prostate,spleen

Only some fats on liver and gases around the pancreas.

Please help, what could this be and whatever it is could it be dangerous ?
How could it be cured?

Answered by Dr. Dr.P.Ratnakar Kini (3 hours later)

Brief Answer:
Painkiller related dyspepsia

Detailed Answer:
Hi,
Thanks for posting your query.
I am Dr.R.K and I am pleased to assist you.

You are having dyspeptic symptoms probably painkiller related. You may get benefited by the following medications.
1. T.Iladac 10 mg 1-0-0 before food for 4 weeks
2. T.Lesuride 25 mg 1-1-1 before food for 4 weeks

H .pylori infection should be ruled out which can be done with a blood test.
Painkiller are to be avoided as much as possible.

An upper GI endoscopy may be done.

Let me know if you have any more questions.
Regards,
Dr.R.K.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr.P.Ratnakar Kini (11 hours later)

Thank you for your reply.

Aside from the abdominal pain and h pylori.

Im asking about the mild enlarged liver-fatty liver.

I got tested for virus a,b,c, hiv and diabeties ,cholestrol, cancers, liver function and kidney

Results were all normal and negative.

Note: i dont drink alchohol.

Question: what could cause the mildly enlarged faty liver if all above were ruled out?

And what are their treatment?

Thank you

Answered by Dr. Dr.P.Ratnakar Kini (5 hours later)

Brief Answer:
Need more information

Detailed Answer:
Hi,
What is your weight and height?
Are you on any medications?

Regards,
Dr.R.K.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Dr.P.Ratnakar Kini (21 minutes later)

175cm height

74kg

22% fat

24.5 bmi

34 muscles

Age 27

Medication- for anxiety ( lustral 100mg+ .5mg xanax)

For migraines
Pain killers ( panadol extra)

Answered by Dr. Dr.P.Ratnakar Kini (19 hours later)

Brief Answer:
Metabolic causes

Detailed Answer:
Hi,
Thanks for the additional information.
Most of the causes have been ruled out.

You can get tested for other metabolic causes that include XXXXXXX Disease, celiac sprue etc.

You can discuss with your doctor about these possibilities.

Regards,
Dr.R.K

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