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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can stomach Pain Along With Upper Back Pain Be Treated?

EHi I have a question. I been having on and off stomach pains for bout two weeks now. An middle back pain. My stomach hurts above my belly button. When I take ivy profin it relieves it but keeps coming back. And sometimes ivy profin does not work. It s more at night but also I noticed every time I eat. A couple hours later it bothers me. I m not constipated& I m also not having cramps. It s like a sharp pain that most nights I can barely sleep. I tried getting a bath didn t help, I tried Zantac ( which always helps with stomach pain that I had in past ) didn t help. An sometimes it hurts so bad I cry. Do you think you know what is causing this?
Thu, 13 Apr 2017
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Diabetologist,  's  Response
Hello, Thanks for the query.
I have gone through the details given, and understand your concern.
Based on your description the "stomach pain" appears to associated with acid peptic disease. If earlier Ranitidine has been helpful, does point to that origin. However, if you have been taking IBUPROFEN for reducing this pain, then it is unlikely to go. In fact it will be aggravated as ibuprofen being a NSAID, will remove all the protection to stomach mucosa and expose it excess acid attack. So please avoid taking that compound.
I have following suggestions : You may try drugs like RABEPRAZOLE 20 or 40 mg tablet early morning on empty stomach for about 10 to 15 days. Plus a bland diet, avoid hot beverages, alcohol and smoking. You may also take certain anti-spasmodics along with above mentioned drug.
If still pain persists then further investigations may be needed to rule out presence of peptic ulcer, like an endoscopic examination. Then treatment can be devised. There is also a possibility of H.pylori infection along with acid peptic disease. That may be treated with a combination of three drugs like TINIDAZOLE, AMOXYCILLIN & OMEPRAZOLE for one week (H P KIT). Thanks.
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How Can stomach Pain Along With Upper Back Pain Be Treated?

Hello, Thanks for the query. I have gone through the details given, and understand your concern. Based on your description the stomach pain appears to associated with acid peptic disease. If earlier Ranitidine has been helpful, does point to that origin. However, if you have been taking IBUPROFEN for reducing this pain, then it is unlikely to go. In fact it will be aggravated as ibuprofen being a NSAID, will remove all the protection to stomach mucosa and expose it excess acid attack. So please avoid taking that compound. I have following suggestions : You may try drugs like RABEPRAZOLE 20 or 40 mg tablet early morning on empty stomach for about 10 to 15 days. Plus a bland diet, avoid hot beverages, alcohol and smoking. You may also take certain anti-spasmodics along with above mentioned drug. If still pain persists then further investigations may be needed to rule out presence of peptic ulcer, like an endoscopic examination. Then treatment can be devised. There is also a possibility of H.pylori infection along with acid peptic disease. That may be treated with a combination of three drugs like TINIDAZOLE, AMOXYCILLIN & OMEPRAZOLE for one week (H P KIT). Thanks.