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stomach ulers pain is high up between the ribs

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My daughter has been having stomach pains (sharp)
but not gasy, mainly after eating. She can be extremely hungry...but when she eats the pain is excruciating. the pain is high up between the ribs, not into the gut area. She has been very tired, but working alot and a uni student away from home.
She has also been experiencing quite a few nose bleeds. She went to emergency last night from the pain. Any suggestions?
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replied December 10th, 2012
Hello, and thanks for your medical question on eHealth forum!

Based on the symptoms provided by you, your daughter could be suffering from a stomach/gastric ulcer. 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: Drink cold milk. 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.

If these tips do not help, then liver function test, pancreatic enzymes, and HIDA scan for gall bladder should be done. Food intolerance and inflammatory bowel conditions such as IBS, Crohn’s, celiac etc should be considered. Since a confirmed diagnosis cannot be given on net please consult your family doctor regarding this and get a referral for a GI doctor. Hope this helps. Take care!



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