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What Causes Pain And Discomfort In Upper Abdomen?

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Posted on Fri, 30 Jan 2015
Question: Last night I woke up laying on my side and feeling an upper abdominal rush that led to feeling like I was going to die, then I felt cold and the need to have a bowel movement. It lasted for about 30 minutes and then I was able to go back to sleep. Feel slightly uncomfortable in upper abdomen this morning. Had normal echocardiogram 2 months ago with trace mitral valve regurgitation.
doctor
Answered by Dr. Muhammad Ali Rauf (1 hour later)
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. I would be in a better position to guide you if you answer following questions please:
1. can you explain "rush"? like pain or what
2. any previous history of similar complaint?
3. is pain persistent or settled now?
4. any history of fever, diarrhea, constipation or other symptom?
5. does pain occur specifically after fatty meal?
6. are you diabetic or hypertensive?
7. are you on any medication?

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. Vaishalee Punj
doctor
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Follow up: Dr. Muhammad Ali Rauf (2 hours later)
the rush feeling was like a sudden strong warm feeling that started in upper abdomen below breast bone and radiated toward the left side of my body. It lasted for about 2-5 minutes and then I felt cold, some heart racing and kind of fuzzy on the inside of my body, not my head. then I needed to have a bowel movement. this all took place in about 30 minutes. after that I was able to sleep. This morning at 6:30 I felt slightly uncomfortable in my upper abdomen and had one more bowel movement. At about 8:15 and 9:00 I felt another feeling of warm rushing starting in my abdomen again, but only mildly. It went away after about 30 seconds to a minute. there was some dizziness with that feeling. i have some tension in my upper mid back right now. There is no fever and no diarrhea. I am not on any medications and am not diabetic. I have had some history with similar symptoms, but in the past there were definite heart palpitations. these happened about 5 years ago. I had many heart tests: EKG, echo, stress-echo, halter monitor. All were normal, so it was diagnosed as anxiety. I am wheat sensitive so have been on a gluten/wheat free diet for about 4 years. Yesterday I did have a diet cola which is not my normal routine. We had ring bologna (gluten free), asparagus cooked in olive oil and raw cucumbers and carrots for dinner. I had a small glass of red wine and water, cup of decaf coffee with cream. Thank you for your help!
doctor
Answered by Dr. Muhammad Ali Rauf (1 hour later)
Brief Answer:
Most probably gluten containing food has causes discomfort

Detailed Answer:
Hello

Thank you for getting back with the detailed response. I have gone through it. There is high possibility that you took certain diet which contained gluten derivative resulting in abdominal discomfort and bowel urgency. This was probably aggravated by stress/anxiety. If i were your treating doctor then i would have advised following things:

- First & most important; do NOT take stress. Stress only aggravates problem. You'll be fine in few days. Your cardiac labs came back normal which is a good sign.
- metronidazole thrice a day for 3 days
- drotaverine twice a day for 3 days
- if you have chronic stress/anxiety problem then you can visit a psychiatrist to get a prescription of anxiolytics, with which you will observe huge improvement regarding anxiety.

* certain medicines are prescription drugs so you'll have to visit a local doctor to get it.

-> I have compiled some gluten free diet plan which can help you <-


Gluten Free Food:
•     Fresh fruits               * Scrambled Egg
•     Beef chicken          * Yogurt
•     Fresh eggs               * Baked Potato
•     Fresh plain milk          * Honey
•     Plain white rice
•     Sugar

Nutrient Dense Gluten Free Food:

Ca++:     Milk, Yogurt, Broccoli, almond
Iron:      Milk, fish, chicken, beans, eggs
Vit. B:     Egg, milk, fish, orange juice
Vit. D:     Egg yolk, salmon
Fiber:      vegetables, fruits & beans

AVOID:
•     Wheat                    *Chocolate
•     Barley ( flakes, flour)          *Artificial Colors          
•     Chapatti                    * French Fries
•     Oats                      * Gravy
•     Rye                         * Ice Cream
•     Soya sauce                    * Pudding
•     Candy                    * Sauces
•     Baked beans               *Soups
•     Breading

Gluten free shopping list:

Sr.     Category     Food Item
1.     Vegetables:     Tomatoes, cabbage, carrot, potatoes, broccoli
2.     Fruits:      Apple, orange, banana, grapes
3.     Meat/Proteins:     Beef, chicken, fish, egg
4.     Dairy:      Milk, cheese, butter, yogurt
5.     Gluten Free grain:     Rice, soya beans, sorghum (Jawar), Corn, Suji
6.     Snacks:      Popcorn, rice, cake, corn chip
7.     Drinks:      Fruit juices, coffee, tea


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. Raju A.T
doctor
Answered by
Dr.
Dr. Muhammad Ali Rauf

General & Family Physician

Practicing since :2013

Answered : 1312 Questions

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What Causes Pain And Discomfort In Upper Abdomen?

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. I would be in a better position to guide you if you answer following questions please: 1. can you explain "rush"? like pain or what 2. any previous history of similar complaint? 3. is pain persistent or settled now? 4. any history of fever, diarrhea, constipation or other symptom? 5. does pain occur specifically after fatty meal? 6. are you diabetic or hypertensive? 7. are you on any medication? I will be looking forward for the answers to conclude the discussion in the best interest of yours. Thank You