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Gastroenterology (Expert Forum)
Any Ideas?
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD
Boston - MA
This forum is for questions regarding Gastroenterology issues such as Acid Reflux (GERD), Barretts Esophagus, Colitis, Colon/Bowel Disorders, Crohn's Disease, Diverticulitis/ Diverticulosis, Digestive Disorders, IBS, Stomach Pain.
Any Ideas?
by mikenfaith, Oct 25, 2006 12:00AM
I am a 29 year old male, 6' tall, 200lbs (overweight I know). For the past year I have been having stomach problems after I eat. After eating I normally get sick to my stomach and end up vomiting. If I eat greasy or fried foods the problems are noticably worse. For the past couple of months I have had several "attacks" where I get severe cramping in my upper chest. It normally begins on my right side and will radiate through my entire chest (left side to)into my back. The pain is very intense and has lasted up to a couple of hours but normally subsides withing 15-20 minutes. I had an endoscopy, ultrasound, and hydascan performed a month ago and was found to have a non functioning gall bladder. The gall bladder was removed a few weeks ago with no issues to speak off but I have started having the "attacks" again.
I am concerned the pain that I am having could be related to my heart. I have PVC's and I am taking 25mg of Atenolol twice daily. I have had a multitude of tests performed in the past year, EKG's, Stress Test, ect and have been told that my heart is normal. What should I do? Something is wrong for me to be having this kind of pain! Is there anything else that would explain my symptoms? Should I go back to the Cardiologist or could it still be a gastro problem.
Please help!!!!
I am concerned the pain that I am having could be related to my heart. I have PVC's and I am taking 25mg of Atenolol twice daily. I have had a multitude of tests performed in the past year, EKG's, Stress Test, ect and have been told that my heart is normal. What should I do? Something is wrong for me to be having this kind of pain! Is there anything else that would explain my symptoms? Should I go back to the Cardiologist or could it still be a gastro problem.
Please help!!!!
Doctor's Answer
by Kevin Pho, MD, Oct 26, 2006 12:00AM
, Oct 26, 2006 12:00AM
You have had several tests on the heart. I would also consider an echocardiogram. If negative, the heart being the cause is unlikely.
Regarding the GI system - again, a comprehensive evaluation has been performed. The endoscopy would comprehensively rule out many of the upper GI disorders. I would consider more specialized testing - such as a gastric emptying scan, or esophageal motility studies.
An ERCP with Sphincter of Oddi manometry can also be considered. Sphincter of Oddi dysfunction sometimes can lead to your symptoms.
These options can be discussed with your personal physician.
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_
Regarding the GI system - again, a comprehensive evaluation has been performed. The endoscopy would comprehensively rule out many of the upper GI disorders. I would consider more specialized testing - such as a gastric emptying scan, or esophageal motility studies.
An ERCP with Sphincter of Oddi manometry can also be considered. Sphincter of Oddi dysfunction sometimes can lead to your symptoms.
These options can be discussed with your personal physician.
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_
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