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belching burning funny sensation when swallowing

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Since 29th december have suffered from symptoms that point to a stomach ulcer belching burning funny sensation when swallowing feel full quite easy even though I still have a healthy appetite and can eat and drink quite normally, Also suffered bowel problems constipated then loose motions not really diarreoah plus stomach cramps on and off, have doubled up on my nexium tablets to 40mg a day seemed to ease a bit then I Irritated it again by drinking alcohol. Recently in the last week have had a dull aching pain which is now constant under my left ribcage on my side and going round my back very tender when the doctor touches it but the pain moves from top left hand side of stomach around to the side then to the back very tender to touch it is not muscle related. Also have a feeling of a lump when i swallow and at the top of my stomach although i cant feel anything i am aware of it. have just had bloods done and am booked in for a scan but a bit baffled on where the pain is coming from?

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replied March 10th, 2011
Stomach, Ulcers, Gastric Bypass Answer A20659
Hello and welcome to eHealth forum!

You could be suffering from an inflammatory bowel condition such as Celiac Disease/Ulcerative Colitis/Irritable Bowel Syndrome/ Crohn’s 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. Possibility of H pylori infection should be looked into by carbon urea breath test.

I would strongly recommend you to see a gastroenterologist (a specialist who looks after the diseases of our digestive system). Maybe your physician can recommend someone. Also keep a stress diary. Log in the food intake and the symptoms as they appear. See if there is a correlation between a particular food item and symptoms.
A number of times a gastroenterologist is able to diagnose these conditions by clinical examination and detailed medical history. At other times a few tests are conducted. Blood tests to rule out anemia, stool test to look for white blood cells, sigmoidoscopy, colonoscopy etc are used to diagnose ulcerative colitis. Braium meal and follow through, endoscopy etc are done to rule out GERD, Crohn’s disease etc. Irritable bowel syndrome is diagnosed by elimination of other causes.

Gluten is a complex protein present in four main grains---wheat, rye, barley and oats. If you have gluten intolerance, then you probably have celiac disease or Non Celiac gluten sensitivity. There are blood tests called celiac test to detect gluten intolerance.

Crohn’s disease is a difficult entity to diagnose. Along with gut symptoms skin disorders and arthritis too are commonly seen with Crohn’s. An upper GI series using barium dye is done to see the condition of small intestines. The degree of involvement of the large and small intestine may vary from person to person. A biopsy is the most confirmatory. An elevated ESR, low protein, minerals and iron in blood are the other findings in Crohn’s which may or may not be present. A recent advancement in Crohn’s diagnosis is video capsule endoscopy. Hope this helps. Take care!

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