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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Stomach Pain?

Hi Im 24 and 5' 1" and weigh 200 lbs and I have been getting pain in my upper stomach that radiates in the middle of my back. I have no family illness and I recently been working out because I think my weight could be the problem and I have been taking advil everyday that helps make the pain go away.
Thu, 18 Sep 2014
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General Surgeon,  's  Response
Hi.
The most important for you is to reduce your weight to the normal. Most of the problems will be solved on its own. You can consult a Team of dietitian, physiotherapist and bariatric surgeon who are dealing with obesity.
This will help you the most.
Your problem of pain in upper abdomen looks to be due to Acid Peptic Disease / Ulcer in stomach. I would advise in such a patient the following:
I would advise the following in such a patient:
Continue Zantac 12 hourly.
Pepcid every 3 to 4 hours when on empty stomach.
Add Domperidone or such motility regulators.
Soft bland diet.
No aerated colas / soda/ drinks.
Early dinner. No late nights.
Treatment for anxiety (as prescribed / needs a prescription by your Doctor)
Lying in a reclining position
Walk around after dinner.
Think of the factors which increased the present problem, GERD, anxiety and try to avoid.
If no relief, get Upper GI endoscopy done and get prescription for added Medicines.
EKG for the heart n a safer side to rule out cardiac problems.
This helps all my patients and should help you hopefully.
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What Causes Stomach Pain?

Hi. The most important for you is to reduce your weight to the normal. Most of the problems will be solved on its own. You can consult a Team of dietitian, physiotherapist and bariatric surgeon who are dealing with obesity. This will help you the most. Your problem of pain in upper abdomen looks to be due to Acid Peptic Disease / Ulcer in stomach. I would advise in such a patient the following: I would advise the following in such a patient: Continue Zantac 12 hourly. Pepcid every 3 to 4 hours when on empty stomach. Add Domperidone or such motility regulators. Soft bland diet. No aerated colas / soda/ drinks. Early dinner. No late nights. Treatment for anxiety (as prescribed / needs a prescription by your Doctor) Lying in a reclining position Walk around after dinner. Think of the factors which increased the present problem, GERD, anxiety and try to avoid. If no relief, get Upper GI endoscopy done and get prescription for added Medicines. EKG for the heart n a safer side to rule out cardiac problems. This helps all my patients and should help you hopefully.