Suggest Treatment For Upper Abdominal Pain

Posted on Mon, 16 Nov 2015

Question: I have had a very sick type of tummy for the past four days..and pain at the top..below the breast area..very tender..my doctor put me on gastro tablets today..i feel like I want to get sick..do you think he should have put me for any further tests.. I do not have much of an apetite..

Answered by Dr. Dr.P.Ratnakar Kini (53 minutes later)

Brief Answer:
Increased acidity

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

The pain in the upper abdomen could be probably be due to increased acidity. You can take Nexium for relief. I presume your doctor must have said the same and would have prescribed similar medications.

But if the pain is continuous, not relieved by Nexium and is radiating to back or shoulder, then you may have to undergo more tests to rule out conditions like cholecystitis or pancreatitis. You may need tests like ultrasound scan of the abdomen and serum amylase and lipase tests.

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 (2 days later)

hi
could this be an ulcer.i still feel tenderness and sick.. what would be the treatment for such a procedure thanks

Answered by Dr. Dr.P.Ratnakar Kini (9 hours later)

Brief Answer:
Yes

Detailed Answer:
Hi,
When I said due to increased acidity, that included ulcer also.
If it is an ulcer, you have to take Nexium.
You need to get tested for H.pylori infection which is an important cause for ulcer. If positive, it has to be eradicated with two weeks of antibiotics.

Regards,
Dr.R.K.

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

Follow up: Dr. Dr.P.Ratnakar Kini (29 minutes later)

he has me on Pregabalin Krka..is this ok..should I go back to my doctor asap.thanks..it has been four days and I do not want this problem to progress
apologies.. I gave you the name of the wrong tablet.. it is pantoflux..gastro-resistant..i gave you the name of the incorrect tablet..i am not this also..could this be causing the problem

Answered by Dr. Dr.P.Ratnakar Kini (12 hours later)

Brief Answer:
Yes you can take pantoflux

Detailed Answer:
Hi,
Yes you can take pantoflux for the acidity related upper abdominal pain.

If there is no relief, you may require tests which I have mentioned in my first post.

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 (22 hours later)

it is worth tryijng motlitium.. how long into these other drugs I mentioned that I was taking should I pursue.thanks

Answered by Dr. Dr.P.Ratnakar Kini (6 hours later)

Brief Answer:
Motilium alone may not be beneficial

Detailed Answer:
Hi,
Motilium may not be beneficial.
You may have to continue taking pantoflux for 4-8 weeks.

Regards,
Dr.R.K.

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