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What Causes Severe Pain In Left Epigastric Area?
Posted on
Sat, 31 Jan 2015
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Sat, 31 Jan 2015
Answered on
Mon, 2 Mar 2015
Last reviewed on
Question : My son (53) all his life has suffered from this condition. Every 6-8 weeks he has severe pain in the left epi-gastric area; vomiting; hot and cold sweats; curls into a fetal position until the episode abates which is about 12 hour. He then sleeps. He says his stomach and throat burns.
He's been to doctors over the years and had heaps of tests but there seems to be no answer to this problem. It is now telling on him in that he is loosing lots of weight and seems not to recover before the next bout. He looks terrible. It's breaking my heart seeing this truly wonderful person suffer like this.
He's been to doctors over the years and had heaps of tests but there seems to be no answer to this problem. It is now telling on him in that he is loosing lots of weight and seems not to recover before the next bout. He looks terrible. It's breaking my heart seeing this truly wonderful person suffer like this.
Brief Answer:
Further data is requested....
Detailed Answer:
Hi XXXX
I am sorry for the situation your son is in.
As he is have severe pain the left epigastric area associated with vomiting, hot and cold sweat and curing into fetal position associated with stomach and throat burns for such long period, I need to know if he also ran:
- abdominal ultrasound?
- upper endoscopy?
- colonoscopy?
- liver/pancreas/kidney function test?
- stool examinations?
I need to know what tests he did and the results, in order to give a more specific advice.
I also want to know if he is having changes in bowel movements?
Looking forward to have the requested data in!
Dr.Albana
Further data is requested....
Detailed Answer:
Hi XXXX
I am sorry for the situation your son is in.
As he is have severe pain the left epigastric area associated with vomiting, hot and cold sweat and curing into fetal position associated with stomach and throat burns for such long period, I need to know if he also ran:
- abdominal ultrasound?
- upper endoscopy?
- colonoscopy?
- liver/pancreas/kidney function test?
- stool examinations?
I need to know what tests he did and the results, in order to give a more specific advice.
I also want to know if he is having changes in bowel movements?
Looking forward to have the requested data in!
Dr.Albana
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
-abdominal ultrasound; No.
-upper endoscopy; Yes. nothing found.
-colonoscopy; Yes. small polyp found.
- liver/pancreas/kidney function test. Yes. nothing found.
He normally has regular bowel movements but during an attack he does have diarrhea and he vomits excessively for about 12 hours. It seems the body has other things to worry about and doesn't want to contend with anything to do with. digestion.
-upper endoscopy; Yes. nothing found.
-colonoscopy; Yes. small polyp found.
- liver/pancreas/kidney function test. Yes. nothing found.
He normally has regular bowel movements but during an attack he does have diarrhea and he vomits excessively for about 12 hours. It seems the body has other things to worry about and doesn't want to contend with anything to do with. digestion.
Brief Answer:
Gallbladder problems to rule out through abdominal ultrasound...
Detailed Answer:
Hi back,
Thank you for providing more details on your son's health condition.
Ok, taking into account your additional data, I advise to run abdominal ultrasound to rule out gallbladder issues.
Next, as small polyps were found during colonoscopy, I highly advise to keep following up with GI specialist, colonoscopy and upper encoscopy.
Next, throat swab testing is needed to exclude candida infection. I also advise to:
- start taking PPIs to ease heartburn
- keep good oral hygiene
- avoid foods that would trigger burning sensation such as: chilly, spicy, oily, etc.
- advise him to eat often and small portions and not to skip any meal
- give him probiotics to optimize intestinal flora
Hope it was of help! Let me know if I can be of further assistance!
Gallbladder problems to rule out through abdominal ultrasound...
Detailed Answer:
Hi back,
Thank you for providing more details on your son's health condition.
Ok, taking into account your additional data, I advise to run abdominal ultrasound to rule out gallbladder issues.
Next, as small polyps were found during colonoscopy, I highly advise to keep following up with GI specialist, colonoscopy and upper encoscopy.
Next, throat swab testing is needed to exclude candida infection. I also advise to:
- start taking PPIs to ease heartburn
- keep good oral hygiene
- avoid foods that would trigger burning sensation such as: chilly, spicy, oily, etc.
- advise him to eat often and small portions and not to skip any meal
- give him probiotics to optimize intestinal flora
Hope it was of help! Let me know if I can be of further assistance!
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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