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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Abdominal Pain Radiating To Chest Be Treated?

Hi there ,, I m a 25 year old women.. I have had very bad Adominal pain going right across my stomach feels like it s going up in my chest . Iam also burbing up sulfur stuff Iam in a lot of pain also I am passing dark tarry stooles is this anything serious ?
Mon, 3 Nov 2014
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General Surgeon,  's  Response
Hi.
your history is suggestive of an ulcer or cancer of the stomach and the reflux causing burping. The black tarry stools are indicating that there is an active bleeding and you need to get admitted and undergo urgent upper GI Endoscopy to get an appropriate diagnosis and biopsy and treatment.
Till then take the following:
Zantac 12 hourly.
Pepcid every 3 to 4 hours when on empty stomach.
Add Domperidone or such motility regulators.
Soft bland diet.
No aerated colas / soda/ drinks.
Early dinner. No late nights.
Treatment for anxiety (as prescribed / needs a prescription by your Doctor)
Lying in a reclining position
Walk around after dinner.
Think of the factors which increased the present problem, GERD, anxiety and try to avoid.
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How Can Abdominal Pain Radiating To Chest Be Treated?

Hi. your history is suggestive of an ulcer or cancer of the stomach and the reflux causing burping. The black tarry stools are indicating that there is an active bleeding and you need to get admitted and undergo urgent upper GI Endoscopy to get an appropriate diagnosis and biopsy and treatment. Till then take the following: Zantac 12 hourly. Pepcid every 3 to 4 hours when on empty stomach. Add Domperidone or such motility regulators. Soft bland diet. No aerated colas / soda/ drinks. Early dinner. No late nights. Treatment for anxiety (as prescribed / needs a prescription by your Doctor) Lying in a reclining position Walk around after dinner. Think of the factors which increased the present problem, GERD, anxiety and try to avoid.