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Family Medicine (Expert Forum)
Abdomen pain since 3 months
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD
Boston - MA
Questions in the Family Medicine forum are answered by Dr. J.M. Keyes. Topics covered include general health issues, adolescence, babies, child health, eating disorders, fitness, immunizations and vaccines, infectious diseases, medical tests and procedures, and senior health.
Abdomen pain since 3 months
by abdpain1, Jun 07, 2006 12:00AM
Dear Doctor,
I have been having mild pain in front upper central/right quadrant of my abdomen for the past 3 months. The pain is mild and usually comes and goes. Here is my history.
March'2006 - blood work Performed 3 times over span 3 weeks showed mildly elevated pancreatic enzymes amylase and lipase.
April'2006 - Abdomen ultrasound normal results shown.
April'2006 - Abdomen Catscan IV contrast. Normal results shown.
May'2006 - Was on Prilosec OTC for 3 weeks. I felt the pain reduced when I was taking prilosec.
June'2006 - Scheduled for EGD with my Gastroenterologist.
I do NOT have have bloody stools, vomiting, constipation or diarahhea.
My GI said intially(back in march/april) that it could be pancreatitis or gallstones. But later after ultrasound and
CTScan came normal he thinks the pain may be related to an ulcer. I still have some mild pain/discomfort that comes and goes but intensity is lot less compared to what I had back in March. Some times the pain radiates to the back. Could this be ulcer pain or something else, does it take so long for an ulcer to heal.
Please help
Thank you.
I have been having mild pain in front upper central/right quadrant of my abdomen for the past 3 months. The pain is mild and usually comes and goes. Here is my history.
March'2006 - blood work Performed 3 times over span 3 weeks showed mildly elevated pancreatic enzymes amylase and lipase.
April'2006 - Abdomen ultrasound normal results shown.
April'2006 - Abdomen Catscan IV contrast. Normal results shown.
May'2006 - Was on Prilosec OTC for 3 weeks. I felt the pain reduced when I was taking prilosec.
June'2006 - Scheduled for EGD with my Gastroenterologist.
I do NOT have have bloody stools, vomiting, constipation or diarahhea.
My GI said intially(back in march/april) that it could be pancreatitis or gallstones. But later after ultrasound and
CTScan came normal he thinks the pain may be related to an ulcer. I still have some mild pain/discomfort that comes and goes but intensity is lot less compared to what I had back in March. Some times the pain radiates to the back. Could this be ulcer pain or something else, does it take so long for an ulcer to heal.
Please help
Thank you.
Doctor's Answer
by Kevin Pho, MD, Jun 08, 2006 12:00AM
, Jun 08, 2006 12:00AM
I agree with the possibility of an ulcer. Inflammation of the upper digestive tract as well as GERD remain possibilities. The negative CT scan and ultrasound would indeed make gallstones on pancreatitis less likely.
The EGD is the most comprehensive test to evaluate for this possibility. An upper GI series can be considered if the EGD is too far out (normally this can be more easily scheduled).
I would also consider tests for H Pylori - a bacteria that is associated with ulcers or inflammation.
The time for an ulcer to heal would depend on the severity - it can range from weeks to months.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
The EGD is the most comprehensive test to evaluate for this possibility. An upper GI series can be considered if the EGD is too far out (normally this can be more easily scheduled).
I would also consider tests for H Pylori - a bacteria that is associated with ulcers or inflammation.
The time for an ulcer to heal would depend on the severity - it can range from weeks to months.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
DIAGNOSES that I was informed by my physician:
*STRESS
*DEPRESSION
*CHRONIC PELVIC PAIN
*INTESTINAL PROBLEMS
*HEART PROBLEMS
*ANXIETY
My NEW syptoms that I am Having on a daily bases are:
*Major Headaches
*Body Weakness
*Hard time Breathing
*Ringing in my Ear
*Worst pelvic pain from the front going towards my back area lik someone is stabbing me.
* shaky fingers for no reason
I don't know what to do anymore. What could be ym problem? What can I do to get to the bottom of my illness? Its hard when I can't work because all the above syptoms hit me daily, then its sad because I can't join my family in gatherings because I am afraid of feeling the pain while I am out. PLEASE HELP ME I would take any advice you have to give.
I am a Pacific Islander
there is CANCER, HEART PROBLEMS and DIABETES that runs in my Family.