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Gastro-oesophageal Reflux Disease.

Resolved Question:

I am 55 years old male and having discomfort on the right side just below the rib cage I feel as if my stomach is full all the time and like there is a int there.


Category: Internal Medicine Specialist

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Category: Sexually Transmitted Diseases(STD)Specialist
Dr. Deepu Sebin Sebastian is online now

Expert:  Dr. Deepu Sebin Sebastian replied 4 Days.

Hello,

Thank you for choosing DoctorSpring.

I understand your concern. I will require some additional information form you so that I can give you a more solid and learned opinion.

1. Is the pain anyway related to food intake ? Like pain increases after food intake / gets relived after a meal ?

2. Do you feel pain if you press the area ?

3. Do you have any heartburn

4. Do you have a history of weightloss

5. Do you have a normal bowel movement ? Is there a history of loose dark stools ?

You can reply as a followup
Thank you


Patient replied :

pain increases after meal
yes there is pain if i apply pressure
i do get heartburn and i am on nexium
no weight loss
no dark stool
the pressure is pushing on the ribcage upper right side
i have high blood pressure and drink daily


Expert:  Dr. Deepu Sebin Sebastian replied 3 Days.

Hello,

Thank you for the reply.

There are two strong possibilities here :

1. A worsening peptic ulcer
2. An infection or inflammation of the gallbladder.

Both have overlapping symptoms and you seem to have these symptoms. The locations is also characteristic. For now I would recommend you to avoid alcohol, spicy and irritant foods. DO NOT take pain medications. Take Nexium without food regularly. If the pain persists you will require additional investigation like a complete blood count, ultrasound abdomen and a Upper GI endoscopy.

I will keep this consult open, so that you can get back to me at a later stage.

Hope this helps
Feel free to ask followups
Thank you


Dr. Deepu Sebin Sebastian
Category: Sexually Transmitted Diseases(STD)Specialist
Experience: 
MD, Internal Medicine - Stanley Medical School
Medical School - MBBS - Govt. Medical College, Kottyaam

Diagnostic Prediction - Stanford School of Medicine
Received Specialty training in Critical Care, Cardiology, Neurology, Gastroenterology, Nephrology from Stanley Medical College and in Endocrinology, Rheumatology.

Hematology and Geriatrics from Madras Medical College.
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