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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pressure/pain On Upper Left Abdomen?

For the past 3 or 4 days I have had slight pressure on my upper left abdomen right under my rib cage. It is starting to clear up but at first when I would swallow it was as if I could feel the food moving down my throat and into my stomach and when it entered my stomach it hurt. The next day it was just pressure and pain on my upper left side but still hurt when I swallowed. What is going on and how can I fix it?
Mon, 29 Dec 2014
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General Surgeon,  's  Response
Hi.
Thanks for your query and an elucidate history.

The cause of your symptoms look to be Hyper-acidity , increased acid production in the stomach with reflux into esophagus.
GERD as it is called is severe at the moment causing you the pain while swallowing, moving in esophagus and entering the stomach.


The pressure on your left upper abdomen is due to severe gastritis.
I would advise you the following :
Cold liquids only
Ranitidine and PPI together as the condition is severe
Antacid gel 3 tsf 3 hourly
Domperidone 8 hourly

Upper GI Endoscopy
Anti-anxiety medicines
If required admission to the hospital as intra-venous fluids can be given.
Complete the courses till you are recovered completely.

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What Causes Pressure/pain On Upper Left Abdomen?

Hi. Thanks for your query and an elucidate history. The cause of your symptoms look to be Hyper-acidity , increased acid production in the stomach with reflux into esophagus. GERD as it is called is severe at the moment causing you the pain while swallowing, moving in esophagus and entering the stomach. The pressure on your left upper abdomen is due to severe gastritis. I would advise you the following : Cold liquids only Ranitidine and PPI together as the condition is severe Antacid gel 3 tsf 3 hourly Domperidone 8 hourly Upper GI Endoscopy Anti-anxiety medicines If required admission to the hospital as intra-venous fluids can be given. Complete the courses till you are recovered completely.