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Aching pain in top of stomach

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U have an aching pain in the top of my stomach where it meets the esophagus. It wont go away and has been hurting for days. I am nausea when eating and after eating. Sometimes the pain is unbareable, i am worried and dont know what to do


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replied October 20th, 2010
Abdominal Pain Answer A16788
Hi, and thanks for your medical question on eHealth forum!

If you had periods on 5th of this month, then you are not yet pregnant. The pain can be due to severe acidity with or without gastric reflux and H pylori infection. 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 for complete relief. Possibility of H pylori infection too should be looked into by a carbon urea breath test and a combination antibiotic tried. Many a times a persisting H pylori infection can be the cause behind acidity not responding to treatment.

Life style changes that will help include: Avoid heavy meals and eat frequent small meals. Avoid too much of caffeine, tea, smoking, fried food and drinks both alcoholic and non alcoholic fuzzy ones. Avoid heavy exercises within 4 hours of a heavy meal. Raise the head end of the bed by pillows to 30 degrees. Avoid lying down for least 2 hours after food. Maybe these tips will help you.

You should consult a gastroenterologist (a specialist who looks after the diseases of our digestive system) or a physician for this if these tips reduce your symptoms. You may need upper GI endoscopy for confirmation and to know the degree of damage. Hope this helps. Take care!



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