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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?

hi there, i am currently experiencing rather intense stomach pain in the front area, feels like alot of gas but its just constant, sharp pain, i feel nausea, light headed at points and the pain comes in waves of serve to mild. it feels better to be standing then sitting. any help/advice would be great.
Mon, 18 May 2015
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General & Family Physician 's  Response
Hi,
Pain over stomach,bloating or nausea at could have many causes which are acute gastritis,gastric ulcer or Helicobacter pylori infection or food allergy or drug induced.

You must undergo routine blood investigations and H.pylori,liver function tests,urinalysis and stool for blood,abdominal ultrasound and upper gastrointestinal endoscopy(if required) to detect the underlying cause.

Treatment is mainly depend on the cause but you may take symptommatic treatment meanwhile.

Antacids like h2 blockers (ranitidine) or proton pump inhibitors (pantoprazole or rabeprazole) will help to reduce excess acid production in stomach and antiemetic (ondasetron or metoclopramide) to relieve from nausea or vomiting.

You can also take digene gel or liquid or ulcero-protective agents like sucralfate or bismuth subsallicylate to reduce the burning sensation.

Apart from medications you should,

eat plain foods like boiled rice and green leafy vegetables without adding spices or oil.

It will help to neutralise digestive acids and also they are easily digestible means there will be no need of extra stomach acid and no acid reflux.

Consult gastroenterologist for further advise.

Thanks and regards,
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What Causes Severe Stomach Pain?

Hi, Pain over stomach,bloating or nausea at could have many causes which are acute gastritis,gastric ulcer or Helicobacter pylori infection or food allergy or drug induced. You must undergo routine blood investigations and H.pylori,liver function tests,urinalysis and stool for blood,abdominal ultrasound and upper gastrointestinal endoscopy(if required) to detect the underlying cause. Treatment is mainly depend on the cause but you may take symptommatic treatment meanwhile. Antacids like h2 blockers (ranitidine) or proton pump inhibitors (pantoprazole or rabeprazole) will help to reduce excess acid production in stomach and antiemetic (ondasetron or metoclopramide) to relieve from nausea or vomiting. You can also take digene gel or liquid or ulcero-protective agents like sucralfate or bismuth subsallicylate to reduce the burning sensation. Apart from medications you should, eat plain foods like boiled rice and green leafy vegetables without adding spices or oil. It will help to neutralise digestive acids and also they are easily digestible means there will be no need of extra stomach acid and no acid reflux. Consult gastroenterologist for further advise. Thanks and regards,