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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Constant Upper Abdominal Pain?

i have had abdominal pain in the upper middle part of my abdomen. it is constantly hurting at a four on the pain scale but escalates to a ten for hours. the only thing that helps the pain is percocets and vicodin. i have tried advil and tylenol but nothing seemed to help. i have had cat scans, ultrasounds, blood tests, urine tests, colonoscopy, endoscopy, m.r.i.s. eating doesnt make it worse or better. but it gets worse when i pick up something twenty pounds or more and when someone pushes on it. i have tried antacids, birth control, antidepressants, antidepressants for chronic pain, anxiety medication, muscle relaxers, but nothing seemed to help at all. im a female and i am nineteen years old.
Thu, 19 Feb 2015
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General Surgeon,  's  Response
Hi.
Thanks for your query and an elucidate history.
The cause of pain in the upper middle part where the ultrasonography, CT scan endoscopy and MRI, colonoscopy is normal, not responding to advil or tylenol , but only to percocet and vicodin can be due to :
Neurological problem or an IBS.
The IBS, Irritable Bowel Syndrome is characterized by all normal reports. And try to get medicines against IBS.
Neurological causes can be due to compressed disc at the thoracic level or an actual problem at the spinal cord level.
MRI of the spine and thoracic spine level should help to get a diagnosis.

Once the diagnosis is made it is easy to take a proper treatment.
IT is wonderful to know why there is no effect of anti-depressant.

In selected cases I would like to go for Diagnostic Laparoscopy and try to get a diagnosis and plan a treatment if feasible.

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What Causes Constant Upper Abdominal Pain?

Hi. Thanks for your query and an elucidate history. The cause of pain in the upper middle part where the ultrasonography, CT scan endoscopy and MRI, colonoscopy is normal, not responding to advil or tylenol , but only to percocet and vicodin can be due to : Neurological problem or an IBS. The IBS, Irritable Bowel Syndrome is characterized by all normal reports. And try to get medicines against IBS. Neurological causes can be due to compressed disc at the thoracic level or an actual problem at the spinal cord level. MRI of the spine and thoracic spine level should help to get a diagnosis. Once the diagnosis is made it is easy to take a proper treatment. IT is wonderful to know why there is no effect of anti-depressant. In selected cases I would like to go for Diagnostic Laparoscopy and try to get a diagnosis and plan a treatment if feasible.