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What Causes Lower And Upper Abdominal Pain Along With Nausea And Dizziness?

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Posted on Fri, 13 Mar 2015
Question: Hi, I have had upper and lower abdominal pain like cramps and a general uncomfortable feeling, sharp pain on either sides, including nausea, light headed and dizziness, diarrhea, constipation, lethergy, heartburn & integestion for the last cple of months almost every day, the pain is worse after I eat and also when I wake up in the morning before I do a wee, I have been tested for UTI, upper abdominal scan with all normal results.. I really want answers but I am lost and over feeling unwell and uncomfortable... I need help please
doctor
Answered by Dr. T Chandrakant (55 minutes later)
Brief Answer:
Few more investigations- Gastroenterologist and treatment as outlined below

Detailed Answer:
Hi.
Thanks for your query.
Read the history and understood your problem.
To Recapitulate: Female / 28 - cramp like pain and uncomfortable feeling in lower and upper abdomen - sharps pains either side - nausea, light headed, dizziness, heartburn, lethargy, indigestion - diarrhea / constipation (is it alternating ?)- daily for couple of months -
-worse after eating and on waking up and before doing wee -
-tested for UTI - upper abdominal scan ( Ultrasonography or CT scan ?) - normal
-Wants answer - unwell and uncomfortable...

I would advise the following in such a young patient with so many problems at the same time:
Few more investigations:
Blood: CBC, Sugar, Thyroid function tests - very important,
Urine : already been done I suppose.
Stool: routine and microscopy
Upper GI Endoscopy and Colonoscopy.

If these investigations find the cause, to get treated accordingly.
If all the investigations are normal, then probably you may be suffering from Irritable Bowel Syndrome, the IBS.

I hope you had already consulted a Gastroenterologist for an expert opinion as you are suffering for a long time., if not please get an appointment.

Till then the probable course of treatment would be:
PPI and Domperidone for heartburn and nausea.
Antacid gel whenever you are empty stomach.
Probiotic and activated charcoal tablets.

The mainstay would be avoidance of any foods and beverages that instigate or increase your problem.
Control of the stress and / or anxiety as this is the causative or enhancing factor in many of the cases.

Some medicines are prescription based, hence you will need one and I am sure your Doctor and preferably the Gastroenterologist would certainly give you one.

I hope this answer helps you to get a proper diagnosis and get a plan of management for the relief and permanent cure.

Please feel free to ask for further relevant questions or if you feel that there is a gap-of-communication.
Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.

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

General Surgeon

Practicing since :1984

Answered : 19778 Questions

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What Causes Lower And Upper Abdominal Pain Along With Nausea And Dizziness?

Brief Answer: Few more investigations- Gastroenterologist and treatment as outlined below Detailed Answer: Hi. Thanks for your query. Read the history and understood your problem. To Recapitulate: Female / 28 - cramp like pain and uncomfortable feeling in lower and upper abdomen - sharps pains either side - nausea, light headed, dizziness, heartburn, lethargy, indigestion - diarrhea / constipation (is it alternating ?)- daily for couple of months - -worse after eating and on waking up and before doing wee - -tested for UTI - upper abdominal scan ( Ultrasonography or CT scan ?) - normal -Wants answer - unwell and uncomfortable... I would advise the following in such a young patient with so many problems at the same time: Few more investigations: Blood: CBC, Sugar, Thyroid function tests - very important, Urine : already been done I suppose. Stool: routine and microscopy Upper GI Endoscopy and Colonoscopy. If these investigations find the cause, to get treated accordingly. If all the investigations are normal, then probably you may be suffering from Irritable Bowel Syndrome, the IBS. I hope you had already consulted a Gastroenterologist for an expert opinion as you are suffering for a long time., if not please get an appointment. Till then the probable course of treatment would be: PPI and Domperidone for heartburn and nausea. Antacid gel whenever you are empty stomach. Probiotic and activated charcoal tablets. The mainstay would be avoidance of any foods and beverages that instigate or increase your problem. Control of the stress and / or anxiety as this is the causative or enhancing factor in many of the cases. Some medicines are prescription based, hence you will need one and I am sure your Doctor and preferably the Gastroenterologist would certainly give you one. I hope this answer helps you to get a proper diagnosis and get a plan of management for the relief and permanent cure. Please feel free to ask for further relevant questions or if you feel that there is a gap-of-communication.