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What Causes Pain In The Upper Right Abdomen?

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Posted on Sat, 11 Feb 2017
Question: Had a pain in right upper abdomen. The pain was from last 1 year but it was occasional and not sharp. From mid of November the pain increased and so consulted general physician. He prescribed following medicine and said you might have chronic / colitis / IBS ; Omeprazole- 1-1 for 10 days Metronidazole 400MG- 1-1-1 for 5 days Unienzyme 1-1 for 7 days. Completed the full course of metronidazole 400MG and consulted another physician as pain was relived but not completely cured. Further, I started feeling excessive gas, burning in stomach. On my visit to another doctor he prescribed following medicine for 5 days & then to undergo test; Orni-O (Ornidazole 500mg & Ofloxacin 200 mg) 1-1 for 5 days Famtac 40 MG (Famotidine)- 1-1 for 5 days Colospa 135 MG (Mebeverine)- 1-1 for 5 days Thereafter I conducted test of blood, stool, USG; result of all the parameter was normal within range except few which is given below, Stool Test-: Mucous : Present + pH : Acidic Pus Cells : 2-3 /hpf Blood test: Erythrocyte Sedimentation Rate (Westergreen Method) 1st Hour 22 mm. Peripheral Blood smear comment / RBC Morphology: RBC shows normocytic normochromic USG report was normal After seeing the report doctor said everything is normal and you are having pain due to excess gas. He asked me to continue the Fantac 40 MG tab & Colospa135 Mg for 1 months and eat light food and do lot of travelling. My current situation is; Pain in right abdomen is occasional and not hard as I was experiencing earlier. Pain in the chest & heart is still there. I am having daily coconut water and food which is very low in oil,spice or ghee.


I consulted gastroenterlogist and the detail of all the report and prescription is attached for your review.

As suggested by the local Doctor I have undergone few tests including Upper GI Endoscopy. Please find attached below given documents and co-relate the same with earlier attached reports.

• Prescription first part.

• Prescription second part.

• USG Report.

• Hepatic Fibrosis Assessment.

• Upper GI Endoscopy report.

Vitamin B12 & D3 report.
Doctor has advised following medicine

• 2 months long medicine for because of high SGPT, SGOT (refer blood report) and impression of Hepatomegaly.-URSOKEM 300 MG twice after meal .

• 2 month empty stomach once in a day Rabonik Plus

• Antifungal capsule- Syscan 150 Mg for 7 days because during endoscopy they have seen infection in my throat & food pipe.

• Vitamin B12 Injection & Vitamin D3 Calcirol Granules.

Kindly note that the above written querry was posted and replied by some other doctor but since the question is closed now I cannot raise my followup question & test report which now I have written here.

My current query or followup question was that I had already taken medicine for 1 month but still I am having excess gas. How long this excess gas would continue? Moreover for last 1 week I am experiencing that after I take meal some of my food return back to my mouth during blurp.
Further as per endoscopy apart from Gastritis, I was also diagnosed with LAX Lower Esophageal Sphincter and Esophageal candidiasis.

I am not aware about what the last two problem is (other than Gastritis).

Kindly advise me the food/beverages which I should avoid so that it is completely cured.
Can I eat pomegranate, or other fruits or I still need to have only boiled food?
Also the medicine which is prescribed by Dr is sufficient for all the problems identified.
doctor
Answered by Dr. Hari Charan Perigela (58 minutes later)
Brief Answer:
Your medication should be changed.

Detailed Answer:
Hi

There will be sphincter in the lower esophagus at the junction with the stomach which doesn't allow the food go back again into esophagus. If it is lax,food enters into esophagus causing Esophagitis leading to heart burn.As there is no response with Rabonik plus ,you should shift to Tablet Esmoprazole 40mg along with Domperidone before food. I also recommend you to take Syrup Sucralfate 10ml thrice daily.

Cadida is a fungus .Esophageal infection with this fungus is called Esophageal candidasis. The prescription given by your doctor for this is sufficient.

Regarding diet, you should take frequent small feeds.Avoid spicy, masala foods. Carbonated drinks, caffeine products should be avoided. You should completely stop Alcohol and smoking if you are taking them. You should avoid Citric acid containing fruits.You can take pomegranate.
There is no need to take only boiled food.
Nothing to worry.
It will come down.

Hope I answered your query. If you have any questions, I will clarify further.
Wish you good health.
Regards
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Hari Charan Perigela (54 minutes later)
Thanks for your reply.
Regarding change of medicine from Rabonik Plus- I have experienced relief in pain but not completely cured. I ensure to take small meal after every 2-3 hrs but if any small meal is skipped then slight pain and discomfort is noticed.
Further, I am worried of excess gas which I am passing. Is there any underlying reason for such excess gas because until this gas is released I feel discomfort in by stomach and also slight pain anywhere in the abdomen but after I go for a walk gas is passed and relief in the pain is also observed.
So need your suggestion now if I should switch medicine. Also the current Dr has not prescribed any probiotic so should I drink any probiotic with current prescribed medicine(Rabonik Plus, Ursokem). If yes kindly name any probiotic and also is there any side effect of pro biotic?

Thanks
doctor
Answered by Dr. Hari Charan Perigela (25 minutes later)
Brief Answer:
You can take Prepro HS.

Detailed Answer:
Hi

I prescribe Prepro HS or ILAC or Darolac Capsule (Pre and Probiotic) to my patients. I have prescribed these drugs to my patients and didn't notice any side effects.
Gas enters the stomach through mouth and some amount of gas is accumulated depending on the food you take. Please take green leafy vegetables.
Inspire of Probiotic if the problem continues, you can take Esmoprazole 40 mg and Levosulpiride 150 mg daily. Levosulpiride is a prokinetic medicine which propels the food and gas distally.

Wish you good health.
Regards
Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Hari Charan Perigela

General Surgeon

Practicing since :1995

Answered : 2716 Questions

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What Causes Pain In The Upper Right Abdomen?

Brief Answer: Your medication should be changed. Detailed Answer: Hi There will be sphincter in the lower esophagus at the junction with the stomach which doesn't allow the food go back again into esophagus. If it is lax,food enters into esophagus causing Esophagitis leading to heart burn.As there is no response with Rabonik plus ,you should shift to Tablet Esmoprazole 40mg along with Domperidone before food. I also recommend you to take Syrup Sucralfate 10ml thrice daily. Cadida is a fungus .Esophageal infection with this fungus is called Esophageal candidasis. The prescription given by your doctor for this is sufficient. Regarding diet, you should take frequent small feeds.Avoid spicy, masala foods. Carbonated drinks, caffeine products should be avoided. You should completely stop Alcohol and smoking if you are taking them. You should avoid Citric acid containing fruits.You can take pomegranate. There is no need to take only boiled food. Nothing to worry. It will come down. Hope I answered your query. If you have any questions, I will clarify further. Wish you good health. Regards