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What Causes Pain In Upper Abdomen And Spasms In Left Arm After Taking Aspirin?

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Posted on Mon, 14 Sep 2015
Question: Had a knee replacement surgery 6 weeks ago. The doctor prescribed aspirin 325 mg twice daily as blood thinner instead of other medications to prevent clots. After 4 weeks started noticing paid in the upper abdomen, sort of spasms in left arm and lower back and initially thought it was cardiac related and went to see cardiologist but everything checked out OK.
But have severe upper abdominal cramps especially after eating which is causing jitteriness and anxiety attacks. But not sure if it is gastritis or something dto do with aspirin or some other problem
doctor
Answered by Dr. Hari Charan Perigela (42 minutes later)
Brief Answer:
It could be due to drug induced gastritis.

Detailed Answer:
Hi
As per your description,it looks like drug Aspirin induced gastritis .
Please consult your doctor who prescribed it and ask for an alternative medicine.
I prescribe Proton pump inhibitor like Rabeprazole along with Levosulpiride to my patients with similar complaints.The response is good if it is taken before food.Spicy food,caffeine products,carbonated drinks have to be avoided.If there is no response,I will get an Upper GI endoscopy for exact diagnosis.
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 (1 hour later)
Dr. Perigela:

Thank you for the answer. After eating the stomach pain and irritation is there but there is also pain radiating to left arm with spasmsack and get very anxious. My primary care physician has subscribed anxiety edication at 5mg (Lorazepam 5mg) but not taken yet. Is it ok to take it?
Why I am having paid in my arms and lower back.
doctor
Answered by Dr. Hari Charan Perigela (11 minutes later)
Brief Answer:
You can take Lorazepam.

Detailed Answer:
Hi
You can take Lorazepam as prescribed by your doctor.
Pain due to Gastritis may radiate to back and in some it may cause pain in ears too.Pain can be due to musculoskeletal cause also which respond to skeletal muscle relaxant tablet .
Anxiety can also add to Gastritis and cause spasms in the gut.I request you to be relaxed.
In my opinion,you should take Proton pump inhibitor like Rabeprazole after consulting your doctor.
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. Neel Kudchadkar
doctor
Answered by
Dr.
Dr. Hari Charan Perigela

General Surgeon

Practicing since :1995

Answered : 2716 Questions

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What Causes Pain In Upper Abdomen And Spasms In Left Arm After Taking Aspirin?

Brief Answer: It could be due to drug induced gastritis. Detailed Answer: Hi As per your description,it looks like drug Aspirin induced gastritis . Please consult your doctor who prescribed it and ask for an alternative medicine. I prescribe Proton pump inhibitor like Rabeprazole along with Levosulpiride to my patients with similar complaints.The response is good if it is taken before food.Spicy food,caffeine products,carbonated drinks have to be avoided.If there is no response,I will get an Upper GI endoscopy for exact diagnosis. 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