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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes A Constant "pit" Like Feeling, Bordering Nausea Just Above The Navel?

I have this constant "pit" like feeling, bordering on nausea just above my navel. (makes me feel anxious constantly) Don't always select the best food options and am aware it comprimises my well being/health.
I am 61 year old obese by 20 kg female. Had a high sugar reading (13)also had a high cholestrol reading, a few months ago, daily take alternate meds Diabecinn(cinnamon extract)
(self diagnosed) 9 strain probiotic (Probiflora) daily for IBS like symtoms and dairy intolerance(lactose).
currently I use Flomist for hayfever/rinitis problem.
Have normal blood pressure reading.
Mon, 9 Oct 2017
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General Surgeon 's  Response
Hi.
Thanks for your query.
Noted the history and understood your concerns.
The commonest cause of pit like feeling above the naval and nausea can most probably be due to acidity, gastritis related issues.
Since you are 61 year old obese female, cancer of the stomach should always be ruled out by appropriate upper GI Endoscopy and biopsy. This is very important at your age as it also helps to see for any acidity related problems so that a proper management in the form of a PPI like Omeprazole, antacid and Domperidone can be done.
If there is a surgical cause further management can be done under the guidance of a General Surgeon.
You have also to take care about diet as you have high blood sugar and cholesterol levels as these act to enhance the symptoms of other problems.
Also go for the tests of blood, urine and stool, CT scan of the abdomen and colonoscopy to see if there is any specific reasons for the other symptoms and get treated properly.
If all the investigations are within normal limits then the probable diagnosis is IBS that is irritable bowel syndrome and hence should be treated by control of anxiety and stress.
Stop the milk and milk products as you have intolerance to dairy products indefinitely.
Continue Flomist as and whenever required, you can also try oral antihistamines of there is a overload of the allergens.
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What Causes A Constant "pit" Like Feeling, Bordering Nausea Just Above The Navel?

Hi. Thanks for your query. Noted the history and understood your concerns. The commonest cause of pit like feeling above the naval and nausea can most probably be due to acidity, gastritis related issues. Since you are 61 year old obese female, cancer of the stomach should always be ruled out by appropriate upper GI Endoscopy and biopsy. This is very important at your age as it also helps to see for any acidity related problems so that a proper management in the form of a PPI like Omeprazole, antacid and Domperidone can be done. If there is a surgical cause further management can be done under the guidance of a General Surgeon. You have also to take care about diet as you have high blood sugar and cholesterol levels as these act to enhance the symptoms of other problems. Also go for the tests of blood, urine and stool, CT scan of the abdomen and colonoscopy to see if there is any specific reasons for the other symptoms and get treated properly. If all the investigations are within normal limits then the probable diagnosis is IBS that is irritable bowel syndrome and hence should be treated by control of anxiety and stress. Stop the milk and milk products as you have intolerance to dairy products indefinitely. Continue Flomist as and whenever required, you can also try oral antihistamines of there is a overload of the allergens.