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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain In The Upper Abdomen Along With Acid Reflux?

I have a dull pain in my upper stomach frequently, right below my ribs in the middle. I have also had some acid reflux/heartburn issues. Today, I had an upper and lower scope, and they say I am normal - the picture of health. No redness, irritation, inflammation - nothing. I expected them to find an ulcer, which would explain the problem. The acid reflux/heartburn started suddenly around the first of February under an extremely stressful time. With medication, it is better. And that is what I was advised to do today - stay on omeprazole twice a day. However, I believe this dull stomach ache evolved around that same time or slightly after. If feels like a gnawing hunger pain, only in the wrong place. And it usually helps to eat a little something. Coffee, tea, spicy food - all make things worse. I don t know if I am dealing with a separate problem, or a side effect of my body just making too much acid?
Tue, 14 Nov 2017
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  User's Response
Hi, I have read your question and understand your concern.

Your pain is most probably because of the hyper-acidity and the reflux. As you have mentioned that medications help with your pain, so I would recommend that you keep taking them. In addition to medications, the following changes in your lifestyle and diet habit are advised;

1. Lose weight if you are overweight.
2. Stop smoking and reduce alcohol intake to the minimum if you smoke or drink.
3. Avoid heavy meals at a time, small meals at frequent intervals are better
4. Avoid junk foods and drink plenty of water
5. Avoid carbonated drinks, coffee, too much tea and spices
6. Start regular exercise which would also help with weight loss and stress.
7. Find ways to reduce stress in life or deal with it in effective ways, by counselling and seeing a psychologist.

All of the above issues are directly or indirectly associated with hyper-acidity and acid reflux. I would have considered a treatment course for H.Pylori (stomach bug) but your endoscopy revealed no ulcer or inflammation suggestive of H.Pylori infection.

Hope I have helped you, please contact me if things are not clear.

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What Causes Pain In The Upper Abdomen Along With Acid Reflux?

Hi, I have read your question and understand your concern. Your pain is most probably because of the hyper-acidity and the reflux. As you have mentioned that medications help with your pain, so I would recommend that you keep taking them. In addition to medications, the following changes in your lifestyle and diet habit are advised; 1. Lose weight if you are overweight. 2. Stop smoking and reduce alcohol intake to the minimum if you smoke or drink. 3. Avoid heavy meals at a time, small meals at frequent intervals are better 4. Avoid junk foods and drink plenty of water 5. Avoid carbonated drinks, coffee, too much tea and spices 6. Start regular exercise which would also help with weight loss and stress. 7. Find ways to reduce stress in life or deal with it in effective ways, by counselling and seeing a psychologist. All of the above issues are directly or indirectly associated with hyper-acidity and acid reflux. I would have considered a treatment course for H.Pylori (stomach bug) but your endoscopy revealed no ulcer or inflammation suggestive of H.Pylori infection. Hope I have helped you, please contact me if things are not clear.