Hi, I've been having gastric pain for a 4 weeks now. My stomach feels quite swollen, the doctor prescribed me omeprazole gasto- resistant 20mg tablets, they seemed to help as I was having trouble with breathing. I have heartburn a lot of the time during the day and pain in my left and right rib cage. I feel very weak, also I can't eat much as when I have a full stomach I'm in tremendous pain. I also suffer with back and lower abdominal pain as well. Recently when lying down I get pains on both arms and pins and needles in my hands and sometimes numbness. My bowel movement is usually regular, but recently has been hurting and I've had to strain, but literally my body is too weak, to do it at times. I also seen to have to force bodily gases out, both back passage and burping. Any advice would be great.
Hi, and thanks for your medical question on eHealth forum!
You could be suffering from an inflammatory bowel condition such as Celiac Disease/Ulcerative Colitis/Irritable Bowel Syndrome/ Crohnâs disease. All these result in tender abdomen, loose stool or loose stools alternating with constipation, abdominal distention, cramps etc. Parasites in the gut like threadworm, tape worm, giardiasis etc can behave this way. Hence a stool test is a must. Problems of gall bladder and liver or that of pancreas too cannot be ignored.
The symptoms could be exacerbation of the GERD. It could also be hiatal hernia. Treatment is a combination of drugs to reduce the acid and lifestyle changes. 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!
"Ask a Doctor" questions are answered by certified physicians and other medical professionals.
For more information about experts participating in the "Ask a Doctor" Network, please visit our
medical experts page.
You may also visit our Stomach, Ulcers, Gastric Bypass , for moderated patient to patient support and information.
The information provided on eHealth Forum is designed to improve, not replace, the relationship between a patient and his/her own physician.
Personal consultation(s) with a qualified medical professional is the proper means for diagnosing any medical condition.