What Causes Persistent Epigastric Pain, Loss Of Appetite And Constipation?

Posted on Mon, 16 Nov 2015

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

Mon, 16 Nov 2015 Answered on

Mon, 7 Dec 2015 Last reviewed on

Question : Epigastric pain lasting 2 days,suddenly stops and starts again in 3 or 4 days, nausea, loss of appetite, Pain can be 6/10 and radiates to whole of stomach. Nil vomiting but periods of constipation and diaherroea, lost 7 kg in 5 weeks, when pain at worst cant eat and even water aggrevates. Hx of alcohol abuse and smoking. Ultra sound revealed fatty liver . Age 52. Pain keeps from sleeping. Tried Mylanta and gaviscon with nil relief. No hx of reflux.

Answered by Dr. Amit Jain (1 hour later)

Brief Answer:
take a proton pump inhibitor like rabeprazole

Detailed Answer:
Hello. Thanks for putting your query in hcm. Pain in stomach area may be due to peptic ulcer disease which can be confirmed with endoscopy examination. Ultrasound showed fatty liver which may be due to alcohol intake. I also suggest here to get blood tests like s.amylase to rule out pancreatitis , also SGOT and SGPT to aee for liver injury. So you shoukd quit taking alcohol. For pain you should take a proton pump inhibitor like rabeprazole. You should also stop smoking as it aggravates acid peptic disease. Weight loss may be due to decrease intake as it leads to pain. Avoid spicy and fatty meals, citrus fruits as all these lead to increase in acid production. I hope I have answered your query. And this will help you. Wish you a good health

Above answer was peer-reviewed by : Dr. Prasad