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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Abdominal Cramping, Burning Sensation, Heartburn, Heavy Breathing. Why The Pain?

I have some abdominal cramping and my stomach is burning this has been going on off and on for about 2 maybe three weeks. At first i thought it might be heart burn its in my stomach area, and the cramping is off and on as well . It feels like a menstrual cramp but worse this comes and goes and im just not sure what to do. I would just like some kind of input on what this might be. When this does happen I need to sit down breath heavy and then the pain goes away it seems as though its worse at night i dont know.
Thu, 25 Jul 2013
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General & Family Physician 's  Response
Hello Good Evening,

You might be suffered from gall stone, which cause similar symptoms as you described.

Symptoms commonly begin to appear once the stones reach a certain size (>8 mm).

A characteristic symptom of gallstones is a "gallstone attack", in which a person may experience intense pain in the upper-right side of the abdomen, often accompanied by nausea and vomiting, that steadily increases for approximately 30 minutes to several hours.

These symptoms may resemble those of a "kidney stone attack". Often, attacks occur after a particularly fatty meal and almost always happen at night, and after drink.

But you should also go for Gastric ulcer/duodenal ulcers and cardiac evaluation.

Please get evaluated by following investigation:

-Blood tests
-X-ray Chest PA
-X-ray FPA
-UGI Endoscopy
-USG Whole Abdomen

Once we reach the final diagnosis, management will be easy.

Regards,

Dr. Naresh Jain.
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  User's Response
Welcome to HCM!

This seems like stone related pain, which is cramping,
intermittent & severe.
This is because, if a stone is stuck in the ureter, smooth muscles of the ureter try to propel it out by excessive contractions, which are intermittent & so the intermittent pain.

Kindly do an ultrasound of whole abdomen, X-ray KUB, RFT,
Sr. Uric Acid, Urine R & M.
Further treatment will be decided once reports are done.
Till then, with your doctor's opinion, you may take antispasmodics,
antacids, analgesics, (diuretics if required).
Consult your Physician if breathing difficulty is increased.

Wish you a good health.
With warm regards.
Thanks!
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General & Family Physician Dr. Siddiq Ullah Shah's  Response
hi...
if the pain is in epigastric area ,it is less likely to be menstural in origin.... most probable diagnoses is gastritis,especially if it get better with milk ingestion....
if it often occur in night then duedenal ulceration should be ruled out....
hope you got your answer...
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Abdominal Cramping, Burning Sensation, Heartburn, Heavy Breathing. Why The Pain?

Hello Good Evening, You might be suffered from gall stone, which cause similar symptoms as you described. Symptoms commonly begin to appear once the stones reach a certain size ( 8 mm). A characteristic symptom of gallstones is a gallstone attack , in which a person may experience intense pain in the upper-right side of the abdomen, often accompanied by nausea and vomiting, that steadily increases for approximately 30 minutes to several hours. These symptoms may resemble those of a kidney stone attack . Often, attacks occur after a particularly fatty meal and almost always happen at night, and after drink. But you should also go for Gastric ulcer/duodenal ulcers and cardiac evaluation. Please get evaluated by following investigation: -Blood tests -X-ray Chest PA -X-ray FPA -UGI Endoscopy -USG Whole Abdomen Once we reach the final diagnosis, management will be easy. Regards, Dr. Naresh Jain.