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What Causes Intermittent Upper Abdominal Pain?
Question: My son of 33 y/o complains infrequent (6-12 mos apart) upper abdominal pain that lasts for 12-24 hrs and goes away without intervention; s/p cholesystectomy @ 16 y/o and appendectomy @ 14 y/o.
Brief Answer:
need some details to guide you better
Detailed Answer:
Hello
My name is Dr Muhammad Ali Rauf & i will look into your problem.
I have gone through your query and would try to help you in the best possible way. There could be a number of causes for abdominal pain. I would be in a better position to guide you anything if you answer following questions please:
1. Does pain settle/improve after taking food?
2. does pain radiate to chest?
3. any history of nausea, vomiting or fever?
4. any history of constipation or diarrhea?
5. has he undergone any test like CBC, ultrasound abdomen, etc? if yes then please share results
6. is he on any medication?
7. any history of diabetes, hypertension or other illness?
8. any family history of chronic illness?
9. any other symptom that you would like to share?
I will be looking forward for the answers to conclude the discussion in the best interest of yours.
Thank You
need some details to guide you better
Detailed Answer:
Hello
My name is Dr Muhammad Ali Rauf & i will look into your problem.
I have gone through your query and would try to help you in the best possible way. There could be a number of causes for abdominal pain. I would be in a better position to guide you anything if you answer following questions please:
1. Does pain settle/improve after taking food?
2. does pain radiate to chest?
3. any history of nausea, vomiting or fever?
4. any history of constipation or diarrhea?
5. has he undergone any test like CBC, ultrasound abdomen, etc? if yes then please share results
6. is he on any medication?
7. any history of diabetes, hypertension or other illness?
8. any family history of chronic illness?
9. any other symptom that you would like to share?
I will be looking forward for the answers to conclude the discussion in the best interest of yours.
Thank You
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
!. pain is not affected by food. .
2. with pain, tightness of upper abdomen sometimes present for 12 to 24 hrs
3. some mild nausea that goes away
4. history of diarrhea but not sever
5. no tests like CBC; no results to share
6. no meds
7. no history of DM, HTN or other illness
8. Maternal history of DM - great Aunt
9. Pain travels to the back
2. with pain, tightness of upper abdomen sometimes present for 12 to 24 hrs
3. some mild nausea that goes away
4. history of diarrhea but not sever
5. no tests like CBC; no results to share
6. no meds
7. no history of DM, HTN or other illness
8. Maternal history of DM - great Aunt
9. Pain travels to the back
Brief Answer:
Please see description
Detailed Answer:
Hello
Thank you for getting back with the answers. I have gone through them. Most common differential in this case could be gastritis. Second common cause includes muscular spasm. If i were his treating doctor then i would have advised following things:
- Drotaverine thrice a day (incase of pain)
- take small frequent meals.
- take 30-45mins walk/exercise daily in the evening. It will make you fresh, healthy and is good for digestion.
- Don't lie down immediately after taking meal
- raise head end of your bed slightly(by an inch)
- Eat a diet rich in fiber, especially fruits and vegetables
> AVOID:
fatty & oily food.
spices
heavy meals at night
carbonated & caffine drinks
chocolates
Hopefully no further management after this would be required BUT Incase the pain persists then we can go further for some lab workup to rule out any pathological cause.
Hope I have answered your query. If you have any further questions I will be happy to help if not then don't forget to close the discussion and rate it.
Wishing you good health !!
Please see description
Detailed Answer:
Hello
Thank you for getting back with the answers. I have gone through them. Most common differential in this case could be gastritis. Second common cause includes muscular spasm. If i were his treating doctor then i would have advised following things:
- Drotaverine thrice a day (incase of pain)
- take small frequent meals.
- take 30-45mins walk/exercise daily in the evening. It will make you fresh, healthy and is good for digestion.
- Don't lie down immediately after taking meal
- raise head end of your bed slightly(by an inch)
- Eat a diet rich in fiber, especially fruits and vegetables
> AVOID:
fatty & oily food.
spices
heavy meals at night
carbonated & caffine drinks
chocolates
Hopefully no further management after this would be required BUT Incase the pain persists then we can go further for some lab workup to rule out any pathological cause.
Hope I have answered your query. If you have any further questions I will be happy to help if not then don't forget to close the discussion and rate it.
Wishing you good health !!
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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