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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Tightness And Pain In The Upper Abdomen?

My boyfriend has been experiencing upper abdominal pain all day but it has gotten worse since 11pm (it s now 12:30am) he says it feels like his stomach is really tight and it feels like someone just punched him in the stomach. Almost like he s winded, any suggestions? We re going on vacation in two days and I m worried he s getting sick!
Sat, 7 Mar 2020
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General Surgeon,  's  Response
Hello and welcome to Ask A Doctor services.
I have read your query and here is my advise.

* Sudden onset of tightness and pain in upper abdomen can be part of
acute gastritis through some sort of bacterial or viral infection in
usual cases. If it is of recurrent natures, there can be various
possibilities as chronic gastritis, ulcer, gall bladder dyspepsia or
others.

As after 2 days, he is going to vacation, a physician visit at an ER is recommended, though you can try following for next 24 hours as well

- allow him sips of liquids at intervals
- he should consume bland, vegan diet
- avoid all spices, non veg, junk food, dairy fat if consuming
- antacid as Mylanta or Proton pump inhibitor as Pantoprazole with sips
of water on empty stomach
- prescription of anti spasmodic tablet as dicyclomine or drotaverine
after meals
- ginger and lemon juice, butter milk help in natural ways

Wish him best health and vacation to both of you.

Thanks.
Dr Bhagyesh ( MS consultant surgeon )
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What Causes Tightness And Pain In The Upper Abdomen?

Hello and welcome to Ask A Doctor services. I have read your query and here is my advise. * Sudden onset of tightness and pain in upper abdomen can be part of acute gastritis through some sort of bacterial or viral infection in usual cases. If it is of recurrent natures, there can be various possibilities as chronic gastritis, ulcer, gall bladder dyspepsia or others. As after 2 days, he is going to vacation, a physician visit at an ER is recommended, though you can try following for next 24 hours as well - allow him sips of liquids at intervals - he should consume bland, vegan diet - avoid all spices, non veg, junk food, dairy fat if consuming - antacid as Mylanta or Proton pump inhibitor as Pantoprazole with sips of water on empty stomach - prescription of anti spasmodic tablet as dicyclomine or drotaverine after meals - ginger and lemon juice, butter milk help in natural ways Wish him best health and vacation to both of you. Thanks. Dr Bhagyesh ( MS consultant surgeon )