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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Tightness And Discomfort Below The Ribs?

Sir, can you tell me why I feel this tightness, discomfort and bulging at the front side of my upper stomach just below ribs in the centre? It is related to alcohol, but the feeling is after the intoxication is gone, while I'm not drunk. It feels very hot when I touch that area and my breath is hot too. Before at rare occasions when too over-drunk I noticed bit of blood in my stool and today I threw up all that I drank and noticed it is mixed with blood, dark red. Could you please advice me.
Mon, 23 Feb 2015
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General Surgeon,  's  Response
Hi.
Thanks for your query. Read the history and understood the problems.
You have a tightness, discomfort, bulging upper abdomen just below the ribs; increased feeling after the intoxication is gone, feels hot when touched and the breath too is hot. Have history of blood in the stool and vomit.

The most probable causes are:
Gastric ulcer or cancer.
Associated colitis of the transverse colon.

I would advise you to visit the ER at once; get the investigations:
Upper GI endoscopy
Colonoscopy.
CT scan of the lower chest and upper abdomen
Start PPI, Antacids, Domperidone.
Further treatment will depend upon the investigations
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What Causes Tightness And Discomfort Below The Ribs?

Hi. Thanks for your query. Read the history and understood the problems. You have a tightness, discomfort, bulging upper abdomen just below the ribs; increased feeling after the intoxication is gone, feels hot when touched and the breath too is hot. Have history of blood in the stool and vomit. The most probable causes are: Gastric ulcer or cancer. Associated colitis of the transverse colon. I would advise you to visit the ER at once; get the investigations: Upper GI endoscopy Colonoscopy. CT scan of the lower chest and upper abdomen Start PPI, Antacids, Domperidone. Further treatment will depend upon the investigations