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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: HIV- AIDS Specialist
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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


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. Jaydeep Tripathy
Category: HIV- AIDS Specialist
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

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