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Suggest Treatment For Extreme Epigastric And Abdominal Pain

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Posted on Wed, 13 Apr 2016
Twitter Wed, 13 Apr 2016 Answered on
Twitter Wed, 8 Jun 2016 Last reviewed on
Question : Yes, please. I'm 61 yrs old, female and having extreme epigastric and abdominal pain unchecked by antacids (both Pepto and Gaviscon, or CarafateOnset about 4 was ago but thought it was esophagitis following high dose NSAIDs for knee problem. Previous history of XXXXXXX gastric bypass approx 10 yrs ago with no problems except a short bout of pancreatitis about 5 yrs ago. Good health otherwise . No smoking, maybe a drink 1-3 x per month. Currently 5 9" about 163 lbs. Miserable pain With mid and lower abdominal tenderness
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Answered by Dr. Bonnie Berger-Durnbaugh (35 minutes later)
Brief Answer:
I advise going to ER:

Detailed Answer:
Hello and welcome,

If the pain is extreme and unremitting for several hours, and you have a history of past surgery, I advise that you be seen in the ER. It may be stomach or esophageal irritation from the NSAIDs but it would be prudent to go in where the doctor can do an abdominal exam and get imaging studies likely starting with an abdominal X-ray.

The reason I mention that your having had surgery increases my caution is that surgery can leave adhesions and increase the chance of obstruction or other complications. But given the time relationship with taking the NSAIDs, it is more likely due to that.

So do go in to get this sorted out.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Bonnie Berger-Durnbaugh

General & Family Physician

Practicing since :1991

Answered : 3133 Questions

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Suggest Treatment For Extreme Epigastric And Abdominal Pain

Brief Answer: I advise going to ER: Detailed Answer: Hello and welcome, If the pain is extreme and unremitting for several hours, and you have a history of past surgery, I advise that you be seen in the ER. It may be stomach or esophageal irritation from the NSAIDs but it would be prudent to go in where the doctor can do an abdominal exam and get imaging studies likely starting with an abdominal X-ray. The reason I mention that your having had surgery increases my caution is that surgery can leave adhesions and increase the chance of obstruction or other complications. But given the time relationship with taking the NSAIDs, it is more likely due to that. So do go in to get this sorted out.