HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

What Causes Severe Pain In Abdomen Radiating To Chest Area?

default
Posted on Fri, 31 Jul 2015
Question: My name is XXXXXXX I am 61 years of age. Yesterday I got up to go to work I felt fine for the 1st half hour the suddenly I developed severe pain in my middle abdomen. It lasted all day. When I went to bed it stopped. I got up at 2 am and the pain was worse radiating further into my chest area. I laid down again and it has gone. Have no gall bladder. Have not really used my bowels properly for a few days
doctor
Answered by Dr. Shafi Ullah Khan (1 hour later)
Brief Answer:
Reduced bowel habits sequelae, symptomatic treatment and workup

Detailed Answer:
Thank you for asking

I read your question and i understand your concern. Pain in abdomen with radiation to chest resolving on lying down sudden in onset is likely a gastric discomfort like dyspepsia or a gastritis. With recent insufficient bowel movements make such discomforts more likely. You already are on buscopan. Adding some fiber to the diet ( 14 gram for thousand calories minimum ) and increasing fluids and taking some antispasmodics like phloroglucinols should be taken to see if it helps. Early morning after breakfast bowel movements using a breath holding exercise without straining and spending 5 to 10 minute son the toilet helps train the bowels.

To rule out other etiologies some baseline work up like abdominal ultrasound and blood work up should be done to rule out gallbladder or pancreas involvement.

Talk to your gastroenterologist and let them rule out other concerns .

I hope it helps. Take good care of yourself and dont forget to close the discussion please.

Regards
Khan
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Shafi Ullah Khan (5 hours later)
Than you so much. I have already started doing what you said and the symptoms are starting to alleviate. I am taking 1 day off work to recover. Are you able to write me a certificate? I understand if you cannot. I ate some porridge for fibre. It worked very quickly. Is this a good source of fibre.
Regards XXXXXXX XXXXX
doctor
Answered by Dr. Shafi Ullah Khan (8 hours later)
Brief Answer:
FIber diet explained, Sorry for the certificate.

Detailed Answer:
Thank you for getting back to me

Ita good that your symptoms are improving and you have reconsidered you diet and lifestyle. Regarding the certificate I am afraid no doctor from health care magic can help due to the laws and usage policies. We just guide and counsel and educate. Cant prescribe or offer certificates. I hope you see that in the right perspective.

And the porridge yes it is a good source of fiber. Apart from porridge gere are some other rich sources of fibers.

1) Vegetables
1 cup carrot slices, cooked = 5 grams of fiber
1 cup cooked broccoli = 4.5 grams
1 cup raw carrots = 4 grams
1 sweet potato = 4 grams
1 cup cauliflower, cooked = 3 grams
2 cups raw spinach leaves = 3 grams

2) Ground flax seeds:
Every day, stir a tablespoon of ground flaxseed into your smoothie, soup, casserole, etc.

3) Grains
2 slices of whole-wheat bread = 4 grams of fiber
1 cup of cooked brown rice = 4 grams of fiber
Reduced-Fat Triscuit crackers = 3 grams

4) Breakfast cereals:
½ cup Fiber One = 14 grams of fiber
1 cup Raisin XXXXXXX = 7.5 grams of fiber
1 cup Frosted Shredded Wheat Spoon Size = 5 grams
1 cup Quaker Squares Baked in Cinnamon = 5 grams
¾ cup cooked oatmeal = 3 grams

5) Beans:
1 cup of canned minestrone soup = about 5 grams fiber
1/2 cup vegetarian or fat-free refried beans, used to make microwave nachos = about 6 grams
1/4 cup kidney beans, added to a green salad = 3 grams fiber
Bean burrito at Taco Bell (or made at home) = 8 grams

6) Fruits:
1 large apple = 4 grams of fiber
1 banana = 3 grams
1 pear = 4 grams
1 cup strawberries = 4 grams

I hope it helps. take good care of yourself and dont forget to close the discussion please.

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

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Shafi Ullah Khan

General & Family Physician

Practicing since :2012

Answered : 3613 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
What Causes Severe Pain In Abdomen Radiating To Chest Area?

Brief Answer: Reduced bowel habits sequelae, symptomatic treatment and workup Detailed Answer: Thank you for asking I read your question and i understand your concern. Pain in abdomen with radiation to chest resolving on lying down sudden in onset is likely a gastric discomfort like dyspepsia or a gastritis. With recent insufficient bowel movements make such discomforts more likely. You already are on buscopan. Adding some fiber to the diet ( 14 gram for thousand calories minimum ) and increasing fluids and taking some antispasmodics like phloroglucinols should be taken to see if it helps. Early morning after breakfast bowel movements using a breath holding exercise without straining and spending 5 to 10 minute son the toilet helps train the bowels. To rule out other etiologies some baseline work up like abdominal ultrasound and blood work up should be done to rule out gallbladder or pancreas involvement. Talk to your gastroenterologist and let them rule out other concerns . I hope it helps. Take good care of yourself and dont forget to close the discussion please. Regards Khan