Woke Up 3 Weeks Ago With Pain In Middle Of

Posted on Thu, 16 May 2019

Question: Woke up 3 weeks ago with pain in middle of my upper abdomen where ribs meet. Lots of pain and vomiting. Had a cat scan without contrast and it showed nothing. My blood pressure was very low. Since then, every time I eat I have diarrhea. Very greenish yellow. No pain other than lowest rub I left is very sore to the touch. I’ve now lost about 10 pounds

Answered by Dr. Ornela Ademovi (3 hours later)

Brief Answer:
Infectious disease

Detailed Answer:
Hello,

I can understand your concern. For a more thorough and accurate opinion, a bit more specific detail is needed, such as your age and sex, whether you have traveled abroad in the last six months, do you suffer from any chronic diseases, are you on any kind of medication.

Based on the symptoms you refer, I am inclined to think it is an infection that affects food and nutrient absorption in the intestines. This would be consistent with the pain, diarrhea and weight loss.

Another possibility would be gastritis, which is an inflammatory digestive disorder which may be consistent with your present symptoms and may also present with burning pain and a heavy feeling in the stomach, nausea, vomiting, loss of appetite and weight loss.

First of all, I recommend you do a blood test looking primarily for anemia and high white blood cell count, which would confirm the suspicion of infection. I also recommend you do an endoscopy to look for inflammation of the stomach lining in order to rule out gastritis. If gastritis is ruled out, a biopsy of the small intestine may be necessary, but this is a further step which depends on your test results and your doctor's opinion accordingly.

Please feel free to let me know the details so that I can suggest you further.

Take care

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Above answer was peer-reviewed by : Dr. Arnab Banerjee