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Suggest Treatment For Severe Abdominal Pain

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Posted on Tue, 25 Apr 2017
Question: hi. im having pain that is in the middle upper stomach and radiates to the back and up between the shoulder blades. i have had my gallbladder out 5yrs ago but it feels like the same pain. worried its heart attack but have been to a cardiologist and had a ecg and ultrasound of the heart and he said it was perfect. that was one month ago. not sure if its trapped gas but worried its heart. any help would be great.
doctor
Answered by Dr. Ilir Sharka (33 minutes later)
Brief Answer:
Your symptoms are not cardiac related.

Detailed Answer:
Hello!

Welcome and thank you for asking on HCM!

I passed carefully through your question and would explain that your symptoms do not seem to be related to any cardiac disorders.

Your symptoms seem to be related to a gastro-intestinal tract disorder, including some possible causes:

- indigestion and gas formation
- gastritis
- gastro-esophageal reflux
- pancreatis.

Are your symptoms triggered by eating or spicy food? This would be another argument in favor of the above mentioned possible causes.

That is why, I would recommend you consulting with your attending physician for a careful physical exam and some tests:

- a chest X ray study
- a new resting ECG
- an abdominal ultrasound
- complete blood count, PCR, ESR for inflammation
- kidney and liver function tests
- amylase and lipase plasma levels for possible pancreatitis
- blood lipid profile
- blood electrolytes.

Meanwhile, I recommend taking an antiacid, Zantac or Omeprazole to relieve your symptoms.

If your situation does not improve after half an hour from taking one of the above drugs, I would recommend going to the ER for the above mentioned tests. Otherwise, the situation can wait until consulting with your doctor.

Hope you will find this answer helpful!

Feel free to ask me again whenever you need!

Kind regards,

Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ilir Sharka (14 hours later)
can gas pain cause symptoms like what i was having? i really thought i was having a heart attack.
doctor
Answered by Dr. Ilir Sharka (4 hours later)
Brief Answer:
My answer as follows:

Detailed Answer:
Hello!

Yes, gas can mimic this clinical scenario.

But, if the problem persists, I would recommend consulting with your doctor for the above mentioned tests.

Hope to have been helpful!

Let me know about everything!

Kind regards,

Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ilir Sharka (14 minutes later)
not heart related?
doctor
Answered by Dr. Ilir Sharka (35 minutes later)
Brief Answer:
My opinion as follows:

Detailed Answer:
Hello again!

Yes, your symptoms are not typical of a cardiac disorder.

So, relax and do not worry about it!

I would recommend performing the above mentioned tests to investigate for the possible causes.

If your symptoms are relieved by an antiacid or Zantac, it means that it could be just indigestion or gastroesophageal reflux.

If the chest pain is triggered by deep breathing or body movements, it would be indicative of a musculo-skeletal pain. In such case ibuprofen could be helpful.

Hope you will find this answer helpful!

Regards,

Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ilir Sharka (12 minutes later)
thank you dr
doctor
Answered by Dr. Ilir Sharka (4 minutes later)
Brief Answer:
You are welcome!

Detailed Answer:
I am glad to have been helpful to you!

If you have any other uncertainties, feel free to ask me again directly at any time!

I would be happy to answer to all of your questions!

Wishing all the best,

Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.

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

Cardiologist

Practicing since :2001

Answered : 9534 Questions

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Suggest Treatment For Severe Abdominal Pain

Brief Answer: Your symptoms are not cardiac related. Detailed Answer: Hello! Welcome and thank you for asking on HCM! I passed carefully through your question and would explain that your symptoms do not seem to be related to any cardiac disorders. Your symptoms seem to be related to a gastro-intestinal tract disorder, including some possible causes: - indigestion and gas formation - gastritis - gastro-esophageal reflux - pancreatis. Are your symptoms triggered by eating or spicy food? This would be another argument in favor of the above mentioned possible causes. That is why, I would recommend you consulting with your attending physician for a careful physical exam and some tests: - a chest X ray study - a new resting ECG - an abdominal ultrasound - complete blood count, PCR, ESR for inflammation - kidney and liver function tests - amylase and lipase plasma levels for possible pancreatitis - blood lipid profile - blood electrolytes. Meanwhile, I recommend taking an antiacid, Zantac or Omeprazole to relieve your symptoms. If your situation does not improve after half an hour from taking one of the above drugs, I would recommend going to the ER for the above mentioned tests. Otherwise, the situation can wait until consulting with your doctor. Hope you will find this answer helpful! Feel free to ask me again whenever you need! Kind regards, Dr. Iliri