Hello Doctor, I'm A 32 Year Male My Problem Is

Posted on Tue, 14 Jul 2020

Question: hello doctor, I'm a 32 year male my problem is I have stomach pain since two days and feels bloated. The pain is mainly on the upper side of the stomach can feel a sharp pain when I press. I'm taking pan 40 before food which is really not working and there are lot of burps coming out. stool movement is fine and no loose stools. sometimes feel pain at the back and chest. please suggest.. Thank you

Answered by Dr. Bhagyesh V. Patel (14 hours later)

Brief Answer:
gall bladder dysfunction, acute gastritis or else. need further details.

Detailed Answer:
Hello and welcome to Ask A Doctor services.
I have read your query and here is my advise.

* As per my clinical experience, the sharp pain upper abdomen, not
responding to proton pump inhibitor may be in relation with gall bladder
dysfunction, acute gastritis or else likely.

Kindly provide me further details so that I can answer your query more precisely.

1. Relation of pain with food intake if any ?
2. Any change in food habit within last 3 days, to cover the day before the
onset of pain ?
3. Any past history of similar episodes ?

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Bhagyesh V. Patel (2 days later)

actually I was suffering from appendicitis for which I was operated and got it removed. My food intake has remained same a usual but only change is I'm having my breakfast late and I have started to drink home made herbal tea. Having even little masala food makes my stomach upset and feels bloated which continues for many days after which I get pain at the back and in the chest and this keeps happening on a regular basis. please suggest.

Answered by Dr. Bhagyesh V. Patel (16 minutes later)

Brief Answer:
follow up.

Detailed Answer:
Hi
Thanks for the details.

* The issue sounds to be in concern with chronic gastritis with or without
digestive enzyme disturbances.

Guidelines at present

- consume small, frequent meals at intervals
- do not over eat or do not remain fasting for long period of times
- drink more liquids in sessions
- avoid all spices, non veg, junk foods, dairy fat
- chew your food thoroughly

- avoid going to bed for 2 hours after lungh or dinner
- regular walking , exercises
- meditations and YOGA
- control of body weight, blood sugar, cholesterol and blood pressure

- avoid stress and anxiety
- manage to have sound regular uninterupted sleep of 7 hours
- avoid smoking or alcohol if consuming

- add intake of tablet ondancetron ( 4 mg ) with sips of water on empty
stomach twice a day along with Pan tablet
- ayurvedic enzyme preparations, bulk forming laxatives as Ispaghula husk
or Psyllium do help great

* Would like to know previous reports if available in terms of ultrasound of
the abdomen & pelvis, upper GI endoscopy, CT scan of the abdomen &
pelvis or others to study and discuss further accordingly.

Wish you best health and recovery.
Regards.

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Above answer was peer-reviewed by : Dr. Prasad