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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Treatment To Be Taken For Experiencing Abdominal Pain Right Under My Ribs And Breast Bone?

hello
24 year old male. Experiencing pain in the upper left abdomen for the past month or so. the pain is right under my ribs, on the left side and under my breast bone too. It some time radiates to the back and lower parts of the left side of my abdomen. My apetite is fine. My bowels are also fine but they happen only 3 to 4 times a week.

The pain is not constant it is on and off. There is also a lot of gurgling sound when i go to bed in the night.
Would like to know what i should do next. Please give me your advice
Mon, 30 Dec 2013
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General & Family Physician 's  Response
Hello dear,

The symptoms as mentioned in your post can be attributed to production & accumulation of gas in the stomach, which can be secondary to increased acid formation.

Symptomatic relief can be obtained with intake of:
1. Proton pump inhibitors like Omeprazole, Pantoprazole,etc. to be taken half an hour before meals.
2. Antispasmodics like Dicyclomine preparations (to be taken twice a day after meals).
3. Antacid gel can also be taken after meals for the same.

It is also needed that you take certain precautions regarding your diet & lifestyle, such as:
1. Take soft, plain, non-spicy foods
2. Drink lots of water to maintain adequate hydration
3. Avoid smoking & consuming irritating substances such as acidic & rich foods, caffeine, nicotine, and alcohol.
4. Have your meals regularly and at appropriate time of the day. Do not skip breakfast & never stay hungry.
5. Keep away stress, think positive.
6. Exercise regularly & practice meditation.
7. Avoid medicines like Ibuprofen, Diclofenac, etc for pain relief. They may further aggravate the condition.
8. Avoid staying awake late at nights. Get sufficient sleep.

If symptoms still persist, kindly get certain investigations like Ultrasound scan of abdomen & Upper GI endoscopy to rule out any pathological cause for your symptoms.

There is no need to worry, you will be fine.
Wishing a good health.
Take care.
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What Treatment To Be Taken For Experiencing Abdominal Pain Right Under My Ribs And Breast Bone?

Hello dear, The symptoms as mentioned in your post can be attributed to production & accumulation of gas in the stomach, which can be secondary to increased acid formation. Symptomatic relief can be obtained with intake of: 1. Proton pump inhibitors like Omeprazole, Pantoprazole,etc. to be taken half an hour before meals. 2. Antispasmodics like Dicyclomine preparations (to be taken twice a day after meals). 3. Antacid gel can also be taken after meals for the same. It is also needed that you take certain precautions regarding your diet & lifestyle, such as: 1. Take soft, plain, non-spicy foods 2. Drink lots of water to maintain adequate hydration 3. Avoid smoking & consuming irritating substances such as acidic & rich foods, caffeine, nicotine, and alcohol. 4. Have your meals regularly and at appropriate time of the day. Do not skip breakfast & never stay hungry. 5. Keep away stress, think positive. 6. Exercise regularly & practice meditation. 7. Avoid medicines like Ibuprofen, Diclofenac, etc for pain relief. They may further aggravate the condition. 8. Avoid staying awake late at nights. Get sufficient sleep. If symptoms still persist, kindly get certain investigations like Ultrasound scan of abdomen & Upper GI endoscopy to rule out any pathological cause for your symptoms. There is no need to worry, you will be fine. Wishing a good health. Take care.