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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Stomach Pain In Upper Part?

My father is having severe stomach pain in the upper part. He has had 2 endoscopies, his gall bladder removed, an mri and they can t find anything. When the pain is severe it lasts 1-2 minutes and comes about every 8-10 minutes. It only gets better if he does not eat at all. He has also had severe constipation.
Mon, 1 Aug 2016
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General Surgeon,  's  Response
Hi.
Thanks for your query.
Noted the history about your Father having severe stomach pain in the upper part, had 2 endoscopies, MRI reveal nothing, gall was removed in past, The pain is severe, lasts for 1-2 minutes and comes on every 8-10 minutes, gets ok if he does not eat at all. Also has severe constipation.
THe most probable cause can be gastritis or pancreatitis and needs ruling out the cardiac cause.

I would ask him the following:
Clinical evaluation by the Doctor and also to have the following investigations:
EKG, X-ray of the chest, ultrasonography of the whole abdomen.
Tests of blood, urine and stool.
These will get him the diagnosis and a plan for further management.
Until then give him a PPI like Omeprazole, Antacid and see the results.
In chest there may be the cause like pleurisy or lower lung infection which can cause the similar problems.
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What Causes Severe Stomach Pain In Upper Part?

Hi. Thanks for your query. Noted the history about your Father having severe stomach pain in the upper part, had 2 endoscopies, MRI reveal nothing, gall was removed in past, The pain is severe, lasts for 1-2 minutes and comes on every 8-10 minutes, gets ok if he does not eat at all. Also has severe constipation. THe most probable cause can be gastritis or pancreatitis and needs ruling out the cardiac cause. I would ask him the following: Clinical evaluation by the Doctor and also to have the following investigations: EKG, X-ray of the chest, ultrasonography of the whole abdomen. Tests of blood, urine and stool. These will get him the diagnosis and a plan for further management. Until then give him a PPI like Omeprazole, Antacid and see the results. In chest there may be the cause like pleurisy or lower lung infection which can cause the similar problems.