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Dr. Thomas, MD
Dr. Thomas, MD, Board Certified Physician
Category: Medical
Satisfied Customers: 63757
Experience:  Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
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upper left abdominal pain under ribs when sitting - also pain

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upper left abdominal pain under ribs when sitting - also pain in xiphoid process - had endoscopy and everything was fine - also upper abdomen feels very bloated and tight - lower abdomen seems bloated - get uncomfortably full when eating medium-size meals - have also been experiencing rib cage /shoulder blade pain in left back
What is your height and weight
Customer: replied 4 years ago.
6'3" 220 lbs.
Any diarrhea or other symptoms
What is your doc calling this?
Customer: replied 4 years ago.
no other symptoms - the gastro said he didn't know - maybe a pulled muscle or pinched nerve.
Customer: replied 4 years ago.
I should add one other symptom is small pain points between belly button and sternum.
the pain is too diffuse to be a pinched nerve as it is all over

I think you have irritable bowel syndrome with splenic flexure syndrome..which is where gas also gets trapped in the colon at the are of the spleen.

Treatment is ultimately sticking to the correct diet.

Tell me what you eat
meal to meal
typical day
Customer: replied 4 years ago.
breakfast - usually turkey sandwich or muffin.

lunch - chicken sandwich or some type of frozen meal - lean cusine

dinner - usually largest meal - hamburgers, pizza, casseroles

I do snack a lot during the day - fiber one bars, nuts

I have given up caffeine and have cut back on alcohol(once a week)
This is terrible.
This is a "let's make the bowels sick" diet.

You need a nutrient dense/bowel stabilizing diet.
But first..try simethicone for the bloating
Take probiotics
Have a celiac panel blood test to make sure you don't have gluten sensitivity.
Have 3 stool samples sent to test for giardia..which causes bloating.

The diet, in order of preference in quantity, should look like this
leafy greens
green veggies
other veggies
whole fruit, beans and peas
Whole grains no yeasted breads, dry cereals or anything refined
Seeds and nuts, but cut out seeds if you have any diverticulosis.
A little tofu or tempeh daily
A little high quality soy or coconut milk yogurt

The soluble fiber in this strategy will stabilized colon function in about 6 to 8 weeks, then about 2 or three helpings of animal foods a week, preferably fish, can be added back.
See the book Eat to Live by Dr. Joel Fuhrman, for instructions on this type of diet.

Start cooked, eat light.

Let me know if you have further questions, details or need clarification, just use reply.......

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