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Abdominal pain
My father is 63 years old and has recurrent incidents of severe abdominal pain starting near the navel and moving toward the chest, associated with inability to move or speak and which resolve on their own in 30–60 minutes. Similar incident occurred 10 years ago and resolved on its own within 1 hr without any medication.
What should we do now
Answers (18)
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He needs proper examination and evaluation by a physician. Consult in-person with a physician
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he needs evaluation
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Usg whole abdomen advisable
Consult superspecialist like gastroenterologist.
Till than,
Nexpro RD40 ONE IN EMPTY STOMACH FOR 5 days.
Meftal spas ds two times a day after food for five days. Mucain gel10 ml without water nothing by mouth till 30min can be taken 3to4 times.
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Recurrent episodes of severe abdominal pain starting near the navel and moving upward toward the chest, lasting 30–60 minutes, severe enough that he cannot move or speak, and then resolving completely on their own, are NOT normal and should not be ignored, especially at 63 years of age.
The pattern raises concern for episodic serious conditions, such as:
• Abdominal angina / mesenteric ischemia (reduced blood flow to intestines)
• Gallbladder-related colic (even if pain is central)
• Pancreatic pain
• Atypical cardiac pain (heart pain can present as upper abdominal pain in older adults)
• Intermittent bowel obstruction or spasm
• Vascular causes (e.g., abdominal aortic issues)
The fact that:
• Pain is very intense
• He is unable to speak or move
• Episodes recur years apart
• Pain radiates upward
means this cannot be dismissed as simple gas or acidity without proper evaluation.
Next Steps
1. Do not wait for the next episode to pass — evaluation should be done now, even if he is currently pain-free
2. He should see a physician or gastroenterologist urgently, and a cardiology opinion may also be required
3. Tests that are commonly needed include:
• ECG + cardiac enzymes (to rule out cardiac cause)
• Ultrasound abdomen
• CT abdomen (contrast if advised)
• Blood tests: CBC, liver enzymes, amylase/lipase, electrolytes
4. If another episode occurs with:
• Chest tightness
• Sweating
• Breathlessness
• Confusion
→ Go to the emergency room immediately
Health Tips
• Do not self-treat these episodes with painkillers alone
• Note exact timing, duration, food relation, radiation of pain, and associated symptoms
• Avoid heavy, fatty meals until evaluation is complete
• Keep records of previous reports if any exist
⚠️ At his age, intermittent severe pain that stops on its own can still signal a serious underlying issue that may worsen suddenly.
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You should consult a gastroenterologist for proper diagnosis of the cause behind it, various investigation like LFT RFT, USG Abdomen may be done
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Your father needs to evaluate properly better if you go nearby hospital because its need physician /surgeon examination to evaluate this properly.
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Do the following,
1. Blood tests: CBP, ESR, LFT, Amylase, KFT and Calcium
2. Ultrasound scan of abdomen
3. Anti-spasmodic medication: Mebeverine 135mg once a day regularly for pains
All the best.
J G S R clinic
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He needs to be examined by a physician.
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Sajid Ali
General Practitioner
4 yrs exp
Kanpur
Consult gastroenterologist
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Do connect and consult
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Himanshu Sankhala
General Physician
6 yrs exp
Ahmedabad
UsG whole abdomen
Consult physician or gastroenterologist via video or physical
Don’t wait .. and don’t treat on your own .
Get a regular health check up done
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Need some more details kindly consult
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Dr. Nazia Begum M.G
General Physician
15 yrs exp
Belgaum
Consult online
Need proper history and evaluation for further management
Start tab drotein m
Mucaine gel
Consult online will guide you further
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Dr. Keshavi Mehta
General Physician
4 yrs exp
Mumbai
Has he undergone any surgeries in the past?
Does he have episodes of vomiting with the pain?
This looks like an intestinal colic which might be because of subacute intestinal obstruction due to causes like previous surgery leading to adhesions or a gall stone causing it or electrolyte disturbances or chronic diseases.
Does he have any history of diabetes, tuberculosis?
The next step is getting a sonography of the abdomen done.
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