Suggest Remedies For Persistent Pain In The Navel Area

Posted on Fri, 13 May 2016

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Fri, 13 May 2016 Answered on

Thu, 23 Jun 2016 Last reviewed on

Question : Hi my name is XXXXXXX I am concern I have lost 40lbs since December I am having a lot of stomach pain right above my belly button right in the middle were I had my gall bladder out sometimes it hurts when I breathe and it hurts when I barely touch it at times it feels like someone is punching it

Answered by Dr. T Chandrakant (1 hour later)

Brief Answer:
Please give additional information and post clear photographs

Detailed Answer:
Hi.
Thank for your query.
To recapitulate:Female/40 - lost 40 lbs since Dec - pain above belly button in mid line - where you had gall bladder out - sometimes tender - sometimes pain like punching - sometimes pains when you are breathing ...
The most probable reason I can think about is hernia either supra-umbilical or incisional due to a port through which instruments were put in.
Please give a few more points for me to assist you further:
- Since when have you got this pain?
- Is there a small or large bulge at the place of pain that increases on coughing or straining an reduces on lying down or on pressure?
- is the appetite normal?
- Any problem with sleep, bowel or bladder habits?
- Any other medical problems that you have?
- Please give any other history/information that you may feel relevant or irrelevant. Also if possible post the photographs of the area of pain on bulging/reducing o otherwise.
For the weight loss I need further information and post any tests if you already done them.
Awaiting for your feedback.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. T Chandrakant (20 minutes later)

Hi there I had my gall bladder out for about 10yrs. I had double pneumonia in December I started losing weight then and it is still coming off my stomach is hurting all the time at times I get nauseous and diarrhea I have recently started coughing and sometimes short of breath the last few months I have been having cramps in my legs my med. History is that I am a diabetic I have high blood pressure acid reflux disease and hypothyroidism I am short of breath right just sitting here

Answered by Dr. T Chandrakant (1 hour later)

Brief Answer:
Investigations ASAP, clinical evaluation, multidisciplinary approach.

Detailed Answer:
Hi.
Thanks for your query.
Noted your feedback.
Lap Choley 10 years ago - *double pneumonia in Dec > started loosing weight - 40 lbs almost 5 months - recently started coughing and sometimes shortness of breath - even on just sitting - known diabetic- high BP - acid reflux - hypothyroidism - cramps in legs - stomach hurting all the time and at times get nausea and diarrhea.

The combination of the pneumonia, weight loss, coughing and breathlessness even at rest indicate a though clinical evaluation and appropriate investigations like:
- CT scan of the chest to see what exactly is the problem that the symptoms have continued on.
- Pulmonary function tests
- Review blood tests like CBC, serum proteins, thyroid function tests, HbA1c and gucose, cardiac evaluation by a Cardiologist to see for cardiac functioning and review of the treatment, Upper GI Endoscopy if the Gastroenterologist allows and as per the findings of the clinical examination.
- Ultrasonography of the abdomen to start with and CT scan if required/indicated.
- tests of stool for 3 consecutive days and tests of urine.

These will give a collective picture and clear the complexity of the varied symptoms to give the probable diagnosis which will guide for the proper multi-disciplinary approach for proper management.

I hope this answer helps you to get an early diagnosis and proper treatment.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar