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Avatar universal

Trying to figure out my abdominal pain/general sickness...

About a month ago I went to a gastro doctor for an exam because I had left lower pain in my abdomen and he assumed it might be colitis, I got a CT scan and the only thing that showed was a small pseudocyst at the head of the pancreas which he has not thought much of and a few lymph nodes near the mesentery, also they were not worried about either symptom of the CT scan, everything else showed up as normal.

Next I got a Colonoscopy for the pain and everything came out fine.  Well about 1 week ago the pain returned but much worse. The abdominal pain is in various areas throughout the abdomen, cannot pin-point one area since it moves, it is a dull/ache type of pain,  

There has been no vomiting or diarrhea during these episodes, one normal bowel movement each morning when I get up. I have also been getting headaches, chills and general weakness in my right arm on and off throughout the days.  I have been extremely thirsty and drinking a lot of water with normal urine output although going very often.  After I eat I generally just feel a mucus backup in my throat but no burning sensation etc.

A few times I also felt very dizzy like I was going to pass out and needed to lie down to feel better, luckily I did not pass out.My docs did all blood tests which came back perfectly normal, they also checked for the ulcer type of bacteria, a test for celiac and lymes disease all negative at this point. I had four different bowel sample tests all normal as well.

Earlier this evening I had a salad for dinner and about 10 minutes after I had horrible stomach cramps/pains, they suddenly went away and my sinuses became clogged and right arm weakness, these all subsided after about 20 minutes.I have an endoscopy scheduled for 2 weeks from now but at this point it seems whenever I eat anything I feel sick,  I was thinking possibly an ulcer but I don't have the typical burning type of pain and also I get the pain often when eating and also when not eating.  
2 Responses
351246 tn?1379682132

I can understand your concerns and would try my best to address them.

Generally stomach pain and a gag kind of reflex in the throat comes due to reflux gastritis and gastric ulcer. This pain is most prominent after or during eating and may also come when your stomach is empty. Often this is accompanied by gas in the gut and hence, you feel shifting pain.

Gas can also be due to excess consumption of food rich in sulfites like juices, molasses, yellow dye in ready made food stuffs, and red wine. Sulfites are present in lesser amounts in mashed potatoes made from dry powder, pickles, tinned shrimp, cookies, crackers, and readymade pie dough. So, check and see if you consume too much of these.

Endoscopy is the right approach to diagnosis and the doctor may spot inflammation or ulcer of the gastric mucosa. This is usually caused by H pylori infection, and in your case you are tested negative for it. However, the possibility of H pylori infection increases since you have enlarged mesenteric lymph nodes usually caused by Helicobacter jejunitis, This is also often the cause of abdominal pain. So, you should be re-tested for H pylori infection. Generally treatment with antibiotics and probiotics are enough to take care of this.

You will need to take a combination of medications (under medical supervision) like a proton pump inhibitor such as omeprazole, lansoprazole or pantoprazole empty stomach in the morning and an antacid gel after meals or H-2 blocker such as ranitidine for complete relief.

Also you need to make some life style changes such as taking a late night snack, drinking cold milk, avoiding heavy meals and eating frequent small meals, avoiding too much of caffeine, tea, smoking, fried food and drinks both alcoholic and non alcoholic fuzzy ones, avoiding heavy exercises within 4 hours of a heavy meal, raising the head end of the bed by pillows to 30 degrees, and avoiding lying down for least 2 hours after food.

If these tips do not help, then liver function test, pancreatic enzymes, and HIDA scan for gall bladder should be done. Food intolerance and inflammatory bowel conditions such as IBS, Crohn’s, etc should be considered (celiac is ruled out in your case). Log in what you eat and see if there is a correlation between a certain food type and the symptoms.

The weakness in right arm that comes after food can be a vaso-vagal attack. It can also be a nerve pinched in the neck due to a bad reflux.

I sincerely hope you will find this information useful in your journey towards better health.

Hope you get well soon! Good Luck and take care!
Avatar universal
Sounds very similar to what my husband had experienced, abdominal pain, gas, bloat but no nausea, are you on any NSAIDs, or painkillers? Some can irritate the stomach, in his case he did have h pylori gastritis though, which has supposedly been eradicated, just waiting on biopsy results now due this week, I have always said you only have one body so always err on the side of caution, if your symptoms are not normal for you always get it checked
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