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Am Currently Struggling For The Past Two Years With Upper

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Posted on Tue, 10 Mar 2020
Question: am currently struggling for the past two years with upper stomach problems. I am a 27 year old who%E2%80%99re female with no real history of issues besides headaches. I do take excedrin for migraines. My stomach hurts constantly throughout the day. The pain is right between my lower ribs and sometimes goes over to the left side right near the bottom of my ribs. It does get better at times when I eat. However, if I eat something spicy or drink alcohol it is worse and it%E2%80%99s difficult to sleep. However there is always this constant burning pain that feels like heart burn. I can feel it when I breathe right in the center and it does feel slightly painful going down towards my belly button. I have tried multiple antacids. I have also had an ultrasound that came back negative and a CT scan with contrast of my upper and lower abdomen that was negative. It showed that my pancreas, spleen, and liver were all clear. There was also nothing noted on my lymph nodes. There was also a negative colonoscopy. My current doctor wants to me to get an endoscopy with an eus. I have high anxiety and this test is not for another two weeks. I am very concerned that I have cancer due to that fact that when looking up what an eus is, it is used often for cancer of the pancreas. I was wondering what are the thoughts on this and if I should be concerned that this can be something like pancreatic cancer.
doctor
Answered by Dr. T Chandrakant (55 minutes later)
Brief Answer:
Please give additional information

Detailed Answer:
Hi.
Thanks for your query.
Noted your history well and understood the concerns.
Please give additional information for me to assist you better:
Do you remember the factors that started the pains 2 years ago?
Anything else other than spicy food and alcohol that increase your symptoms?
What are the things that help reduce the pain in abdomen and heartburn?
Are there any days that you remain symptom-free?
Please give details about the medicines tried other than antacid and its effects?

Awaiting for your additional information so that we can discuss fruitfully.

Dr T Chandrakant.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. T Chandrakant (7 hours later)
Two years ago I went out to dinner and the pain started. It’s never stopped and is consistent. Things like eating make it worse but nothing makes it go away fully. Most foods increase the symptoms. Other then anti acids I have tried medication for ibs
doctor
Answered by Dr. T Chandrakant (1 hour later)
Brief Answer:
As detailed.

Detailed Answer:
Noted your additional history.
My thoughts:
You are most probably suffering from Gastritis with GERD.
Started with outside dinner, increases with stress, anxiety, certain foods, heartburn all indicate to the same.
Upper GI Endoscopy is the best diagnostic tool to see for changes in stomach, esophagus and first part of duodenum.
A PPI like Omeprazole should have helped.
Domperidone helps to regulate motility and needs a valid prescription.
Antacid liquid to be taken when on empty stomach.
Control of stress and anxiety are very important.
Make a list of the foods, beverages and factors that increase the symptoms and stop/avoid these altogether.
Small frequent feeds of soft bland diet helps a lot.
Please get all these things done and tell me the results.

EUS is an additional investigations with Upper GI Endoscopy and that does not indicate anything like any cancer and not at all at your age. So not to worry.
I hope this answer helps you.
Please give feedback and ask for further relevant queries if you feel that there is a gap of communication.

Dr T Chandrakant.
Note: For further inquiries on surgery procedure and its risks or complications book an appointment now

Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 19780 Questions

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Am Currently Struggling For The Past Two Years With Upper

Brief Answer: Please give additional information Detailed Answer: Hi. Thanks for your query. Noted your history well and understood the concerns. Please give additional information for me to assist you better: Do you remember the factors that started the pains 2 years ago? Anything else other than spicy food and alcohol that increase your symptoms? What are the things that help reduce the pain in abdomen and heartburn? Are there any days that you remain symptom-free? Please give details about the medicines tried other than antacid and its effects? Awaiting for your additional information so that we can discuss fruitfully. Dr T Chandrakant.