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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Upper Abdominal Pain While Having Bronchitis?

I have had upper abdominal pain for about a week on/off. I had gone to ER on 6/19 and was diagnosed with a acute upper respiratory/Bronchitis. I had never had this acute pain before. I had finished my dinner Sun eve. and noticed that I felt extremely full, although I had not eaten much. Then I had severe pain in the upper end of the abdomen. I know I still have some of the Bronchitis even after taking a Z pak, but what is causing this extreme pain? It has gone away with Motrin, but comes back in a couple of days. Thanks Doc. ps I am a male of 59 yrs.
Thu, 28 Nov 2019
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General Surgeon,  's  Response
Hi.

Noted the history of a 59 years old male having severe pain in abdomen, visited ER, said to have bronchitis and given Z-pack.
The cause of severe upper abdomen pain can be one of the following:
Gastritis by viral infection or by Z-pack itself.
Referred pain from lower lungs or pleura can cause similar pains.
This can be diagnosed and treated by the following :
Get started with a PPI like Pantoprazole and antacid, if the pain is subsided then this may be gastritis, continue these medicines and get an upper GI Endoscopy done to confirm if needed.
Continue treatment for bronchitis as before and get an X-ray of chest to rule out pleurisy or lower lung problems, many of these can be less symptomatic than the real severity as you are already taking medications.
Ultrasound of abdomen may be needed is anything is suspected for gallbladder or liver problems, relevant blood and urine tests to be done.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. T. Chandrakant, General Surgeon
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What Causes Upper Abdominal Pain While Having Bronchitis?

Hi. Noted the history of a 59 years old male having severe pain in abdomen, visited ER, said to have bronchitis and given Z-pack. The cause of severe upper abdomen pain can be one of the following: Gastritis by viral infection or by Z-pack itself. Referred pain from lower lungs or pleura can cause similar pains. This can be diagnosed and treated by the following : Get started with a PPI like Pantoprazole and antacid, if the pain is subsided then this may be gastritis, continue these medicines and get an upper GI Endoscopy done to confirm if needed. Continue treatment for bronchitis as before and get an X-ray of chest to rule out pleurisy or lower lung problems, many of these can be less symptomatic than the real severity as you are already taking medications. Ultrasound of abdomen may be needed is anything is suspected for gallbladder or liver problems, relevant blood and urine tests to be done. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. T. Chandrakant, General Surgeon