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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
Answers (18)
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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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Get serum amylase done. If taking alcohol, stop it. Avoid fatty, spicy, meals, heavy meals, excess of tea, coffee.
Take tab pantaprazole 40mg one daily before breakfast.
Tab meftal spas one every 8hours for 3 or 4 days..
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Could be due to gastritis.Take ppi like rabiprazol 20 mg once daily,drotin 40 mg once daily for a few days
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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Ok
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Pancreatitis may be .need evaluation by general surgeon physically nearby hospital.
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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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Proper evaluation and personalised advice are needed for your concern. A detailed consultation would be best to provide accurate guidance.
Feel free to consult me for further assistance.
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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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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. Shaikh Huzaif
General Physician
20 yrs exp
Mumbai
Please consult
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Dr. Rose Johnson
General Physician
9 yrs exp
Pune
This may b due to acute gastritis or even chest related condition
Do consult for the proper medical advice
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Dr. Swayam Prakash Mohanty
General Physician
2 yrs exp
Bhubaneswar
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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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal. Walk
Do connect and consult
Will help you
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Need some more details kindly consult
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Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Mr. Suraj Sarma
General Physician
Barpeta
Detailed history is required to diagnose properly as many medical conditions cause this types of symptoms..Feel free to consult
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.