I have a burning pain under my ribcage where my diaphragm is. I have chronic nausea and diarrhea. I feel full quickly after eating or drinking anything. Even after drinking small amounts of water. I feel my breaths are short because it hurts my diaphragm to take deep breaths. Even the slightest amount of pressure causes major discomfort.
I have stumped my gastroenterologist. He has no idea what this pain could be caused by since all of my tests have come back negative.
All of my blood work has come back normal (basic blood count, etc.)
Celiac came back negative
H pylori came back negative
Gastroscopy and colonoscopy both came back normal - biopsies were normal
Gastric empty study came back normal
Spirometry and chest Xray came back normal
Ultrasounds showed nothing abnormal
CT scan showed right ovarian cyst and dilated liver valves but normal liver function - doctor said that this wouldnt explain my upper pain
No known allergies
A important but less common cause of upper gastrointestinal pain, is Diffuse esophageal spasm. Esophageal spasms are abnormal contractions of the muscles in the esophagus (the tube that carries food from the mouth to the stomach). These spasms do not move food effectively to the stomach. If not done tests like a Esophageal manometry or a esophagogram can help to diagnose the condition. Treatment with medications that relax the esophageal muscles helps to relieve the symptoms.
In case all your tests done so far have been normal, it is likely that either your pain is of functional nature (chronic functional abdominal pain).
Medications like antispasmodics (peptobismol, dicyclomine) can help to a certain extent in such cases. If other measures have failed, you can consult with your doctor and he can prescribe you low doses of the antidepressent medications, which will help to control the symptoms.
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