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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Pain In The Upper Abdomen Indicate?

I am a 66-year old female. I have coronary heart disease and had a 4 heart bypass five years ago at Duke. I also have diabetes, uncontrolled currently. I am legally blind from my retina's detaching associated with the diabetes. I am falling quite often due to the eye issues. I am currently concerned about some pain in the upper belly region and back area. I really don't have a medical doctor here in my area. I only go to Duke for my eyes, although my cardiologist is there also. I am just wondering what these symptoms could be or if they could be related to my heart. They have been going on for about 3 months. The pain is pretty severe, no nausea or vomiting with the episodes, only pain like soreness that radiates from the front to the back....please give me your thoughts. thank you....
Fri, 15 Sep 2017
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Ayurveda Specialist 's  Response
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Thanks for contacting with your health concern

1. Since the symptoms are there for the last 3 months and still no physician or specialist opinion is taken thus presently the case for me is 'unexplained abdominal pain' since upper abdomen too has right quadrant, left quadrant and central which consists of different abdominal organs with different pathologies like biliary colic, pancreatitis, aortic aneurysm, reflux disease, gastritis, dyspepsia, splenic infarction [the pain radiates from front to back]

PS. have an appointment with a general surgeon or with your Cardiologist to exclude any surgical or heart issue with detailed history, clinical examination and relevant investigations

2. since diabetes is uncontrolled, it could be diabetic gastroparesis or chronic mesenteric ischemia [since atherosclerosis is 2-4 times more common with diabetes and affect all major arteries including aorta] and if there is atherosclerotic obstruction of the celiac artery and its branches it might result in constant intestinal hypoperfusion causing abdominal angina.

PS. one has to exclude diabetic ketoacidosis or hyperglycemic hyperosmolar state for any metabolic disturbances
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What Does Pain In The Upper Abdomen Indicate?

** Thanks for contacting with your health concern 1. Since the symptoms are there for the last 3 months and still no physician or specialist opinion is taken thus presently the case for me is unexplained abdominal pain since upper abdomen too has right quadrant, left quadrant and central which consists of different abdominal organs with different pathologies like biliary colic, pancreatitis, aortic aneurysm, reflux disease, gastritis, dyspepsia, splenic infarction [the pain radiates from front to back] PS. have an appointment with a general surgeon or with your Cardiologist to exclude any surgical or heart issue with detailed history, clinical examination and relevant investigations 2. since diabetes is uncontrolled, it could be diabetic gastroparesis or chronic mesenteric ischemia [since atherosclerosis is 2-4 times more common with diabetes and affect all major arteries including aorta] and if there is atherosclerotic obstruction of the celiac artery and its branches it might result in constant intestinal hypoperfusion causing abdominal angina. PS. one has to exclude diabetic ketoacidosis or hyperglycemic hyperosmolar state for any metabolic disturbances