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Stomach pain
Current symptoms:
* Age: 26 years
* Upper middle abdominal (epigastric) pain just below the chest
* Pain started yesterday
* Pain is cramping in nature
* Pain comes and goes
* Pain radiates to the back
* Tender when pressed
* Not related to eating (same whether you eat or not)
* Does not worsen with movement or deep breathing
* Pain severity is about 5/10
* No fever, nausea, vomiting, or vaginal bleeding
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The symptoms suggest acute epigastric pain, and the differential diagnosis includes acute gastritis/peptic ulcer disease, pancreatitis, biliary disease, and less commonly musculoskeletal pain.
Avoid alcohol, smoking, NSAIDs, spicy/fatty foods, and large meals.
• A proton pump inhibitor (e.g., pantoprazole) may help if gastritis or peptic ulcer disease is suspected.
Next Steps
Initial evaluation should include:
• CBC
• Serum amylase and lipase (lipase is more specific for pancreatitis)
• Liver function tests
• Abdominal ultrasound if biliary pathology is suspected
Health Tips
Seek urgent medical care if the pain becomes severe or continuous, is associated with repeated vomiting, fever, black stools, blood in vomit, jaundice, dizziness, or abdominal rigidity, as these may indicate a surgical or pancreatic emergency.
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hi
there can be multiple resons for such pain. most dangerous being heart related issues like myocardial infarction.
other reasons can be
gastritis
peptic ulcer disease
pancreatitis
GB stones
excess alcohol intake etc..etc..
there are plenty number of causes that can cause such kind of pain. we need to rule out one by one based on your symptoms. try to take antacids or PPIs .
Next Steps
if symptoms persist, feel free to consult me on practo
Health Tips
soft diet
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Hot bag to apply locally.
Tab meftal spas ds two times a day after food for 3to5 days.
Nexpro RD40 ONE IN EMPTY STOMACH FOR ten days.
Mucain gel 10ml without water nothing by mouth till 30min can be taken 3to4 times. GASTRITIS
CHANGE LIFE STYLE N DIET PLAN DRASTICALLY FIRST OTHERWISE NO THERAPY GIVES U PROPER RESULT.
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Epigastric pain radiating to the back needs proper evaluation â can be peptic ulcer or early pancreatitis. Get serum amylase/lipase and abdominal ultrasound done today. Avoid fatty and spicy food. Take pantoprazole 40mg before breakfast. If pain worsens, you get fever or start vomiting, go to ER immediately.
Next Steps
Consult me on Practo with your reports urgently.
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Pain in that region can be caused by many reasons like Acute Pancreatitis, peptic ulcer or some other GI issues.
Take Tab.Rabeprazole 20mg one tab before food every morning for 5 days.
Tab Drotin 40mg 1 tab after food when in pain.
If pain persists after this get your serum amylase, cbc and lft done and feel free to connect on practo with reports
Next Steps
Kindly connect on Practo for better assessment
Health Tips
Drink plenty of water
Avoid alcohol
Less oily and spicy food
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