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Suggest Treatment For Severe Stomach Pain
Question: I have been having some terrible pain in my stomach . feels like something twisted, then after a few minutes, after leaning and stretching it goes away. has happened 3 times this week and leaves a soreness in that area. what could it be.
Brief Answer:
Please give details.
Detailed Answer:
Hi.
Thanks for your query.
To recapitulate: Female/67 - terrible pain in the stomach - feels like something has *twisted - goes away after a few minutes of leaning and stretching - happened 3 times this week - leaves soreness in that area - wants to know what could it be...
Please provide me a few more details to make me understand the problem better and assist you further:
- Was there nausea or vomiting at that time?
- Was there a local or generalized bloating?
- Was it relieved after eructation or passing of gases per-anus?
- For how much time the soreness remains?
- Any other information you would like to provide?
- Any investigations done?
-Any past history of any medical disorder?
Answers to these question have in-built answer.
Hence please give these details.
Please give details.
Detailed Answer:
Hi.
Thanks for your query.
To recapitulate: Female/67 - terrible pain in the stomach - feels like something has *twisted - goes away after a few minutes of leaning and stretching - happened 3 times this week - leaves soreness in that area - wants to know what could it be...
Please provide me a few more details to make me understand the problem better and assist you further:
- Was there nausea or vomiting at that time?
- Was there a local or generalized bloating?
- Was it relieved after eructation or passing of gases per-anus?
- For how much time the soreness remains?
- Any other information you would like to provide?
- Any investigations done?
-Any past history of any medical disorder?
Answers to these question have in-built answer.
Hence please give these details.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
no investigations done yet. No vomiting. Stomach does bloat. Do have Hiatal Hernia and gerd, acid reflux. Pain comes on with the feeling of instant twisting in stomach like a Charley horse would be in leg. Very painful . I try to stretch backwards and it seems like it becomes untwisted. It feels like a knot it that area when it happens. Soreness feels like it was bruised .
Brief Answer:
Investigations are needed as well as an opinion of a General Surgeon.
Detailed Answer:
Sincere thanks for your feedback.
Read it carefully to understand your history well.
From the information you have given the possible causes look to be:
- Intestinal obstruction which get relieved as it may be partial or sub-acute, which in turn can be due to intestinal blockage,
- Intestinal spasms in response to something that the intestines do not tolerate.
- I hope you must have been taking treatment of GERD, acid reflux and hiatal hernia.
Such a problem can be diagnosed by:
Clinical evaluation and examination by a General Surgeon.
Enteroclysis under fluoroscopy control to see the bowel movements and pathology in real time is the best investigation in such a case. (considering the past history when I reviewed your other questions).
MRI of hte spine to be sure about any pathology in the spine causing pain in abdomen.
EKG to rule out any Heart related problem as this can present in such a way that you have explained.
Continue treatment for GERD, Hiatal Hernia and acid reflux in the form of PPI like Omeprazole, Domperidone and antacid to have these under control.
Get investigated and diagnosed at the earliest to get a proper treatment.
Your symptom complex needs to be properly investigated as advised.
Please give feedback of the investigations reports.
Investigations are needed as well as an opinion of a General Surgeon.
Detailed Answer:
Sincere thanks for your feedback.
Read it carefully to understand your history well.
From the information you have given the possible causes look to be:
- Intestinal obstruction which get relieved as it may be partial or sub-acute, which in turn can be due to intestinal blockage,
- Intestinal spasms in response to something that the intestines do not tolerate.
- I hope you must have been taking treatment of GERD, acid reflux and hiatal hernia.
Such a problem can be diagnosed by:
Clinical evaluation and examination by a General Surgeon.
Enteroclysis under fluoroscopy control to see the bowel movements and pathology in real time is the best investigation in such a case. (considering the past history when I reviewed your other questions).
MRI of hte spine to be sure about any pathology in the spine causing pain in abdomen.
EKG to rule out any Heart related problem as this can present in such a way that you have explained.
Continue treatment for GERD, Hiatal Hernia and acid reflux in the form of PPI like Omeprazole, Domperidone and antacid to have these under control.
Get investigated and diagnosed at the earliest to get a proper treatment.
Your symptom complex needs to be properly investigated as advised.
Please give feedback of the investigations reports.
Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.
Above answer was peer-reviewed by :
Dr. Yogesh D
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