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abdominal pain, either diarrhoea or constipation, burping up

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Hi my sympotms are when i eat anything i end up with slight abdominal pain and running either diarrhoea or constipation and when i eat normal or large sized meals i also get a pain on my right lower abdominals that ten extends over the front to the left and around the back and eventually ends up at the top of my abdominals. I also always feel full and keep burping up sick into my mouth that burns my throat, this keeps me up at night so im also under slept at the moment too. I get a raise in temperature with it too. The Dr's suggested possible crohns, ulcerative colitis or just IBS. I was wondering what you though... there is more information on this post that i put up last night... -possible-crohns-possible-ulcerative-colit is-what-t333995.html


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replied March 10th, 2012
Abdominal Pain Answer A32653
Hi, and thanks for your medical question on eHealth forum!

The symptoms could be exacerbation of the GERD or gastric reflux. 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: 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. Log in what you eat and see if there is a correlation between a certain food type and the symptoms.

You should consult a gastroenterologist (a specialist who looks after the diseases of our digestive system) or a physician for this. Hope this helps. Take care!

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