
Treated For GERD And Gastritis With No Relief. Cure For Upper Abdominal Pain, Fever, Dizziness And Nausea?

I am Dr. Prasad Akole (Critical Care Expert- http://bit.ly/Dr-Prasad-Akole) and am glad to address to your query here.
The current problem of fever, pain, nausea, dizziness has many differentials.
Since, endoscopy has ruled out gastric ulcer, left upper abdominal pain with fever can be due to:
Infection / inflammation in the spleen, colon, left kidney, muscles, retroperitoneum, distal pancreas etc.
Uncommonly, left lower lung affections or fluid collections around the heart (pericardial effusion) can cause such symptoms.
I would advise you to get evaluated urgently with a good physical examination, hemogram, urine routine, creatinine, EKG, Xray chest and an abdomino-pelvic sonography.
A CT scan may be advised if felt appropriate on exam.
An abdominal aortic aneurysm may cause pulsation, pain etc., but not fever.
Uncommonly, retroperitoneal tumours, collections may present like this.
Do you have any loose stools?
Is there a lumpy feel in the abdomen?
Is there any breathlessness? Or a catch in the breath?
Is there significant weight loss over 2 years? Any nausea, vomiting?
Since you had this pain for 2 years, there has to be a chronic cause to it.
Do not delay and get evaluated fast.
I would be glad to answer any further queries.
Take care and please keep me informed of your progress at http://bit.ly/Dr-Prasad-Akole ( you may upload any reports/ images on this site)
Good Luck! Thank you!!


Lumpy feel with pain at the same spot for many months and now increasing with fever ask for investigations as I advised above.
Ultrasound and SOS a CT scan may pinpoint the problem. A mass / tumour should also be looked for.
follow my suggestions in the first reply.
Please keep me informed at http://bit.ly/Dr-Prasad-Akole
Thanks.

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