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Thank you for the question. Answers given are for informational purposes only and are not meant to replace an exam by an in-person.
I am Dr. Sohaib, a Medical Internist (who deals with diseases of all the organ systems of body) and I will do my best to help you today.
You need to answer a few questions first which will help me assist you in a better way.
You do not have shortness of breath, chest pain or palpitations associated with this, right?
correct, none of the above
Thank you very much for the useful information. There are two main possibilities here. First of all, this is most likely a result of the spasm of abdominal muscles which is giving you these symptoms. This is reinforced by the fact that gentle stretching/change of posture and massage helps relieve this pain. However, there is also possibility of an ulcer in the stomach/duodenum or gastroesophageal reflux or a combination of both.
Do you smoke?
Family history of heart disease?
do not smoke, no heart disease in my family either, and barely drink since I started training. I have had some acid reflux in the past, though nothing lately. Rubbing the spot as a wave of pull/pain approaches makes it go away almost instantly..
and the type of food does not seem to make a difference, though drinking liquids does not seem to bring anything on
Okay. Theoretically there is a remote possibility that this is from your heart, and only an EKG can rule out this condition, but honestly, this does not appears to be one, since it gets worse with physical exertion and not improves with rubbing.
At this point, the most likely cause is a muscle spasm and there are few measures which can help.
Heating pad application.
I had an EKG done last year actually which came back normal
And muscle relaxants like Tizanidine or Cyclobenzaprine.
had a gastro upset they wanted to rule heart out
said that was fine and eventually issue resolved
Okay, a previous normal EKG also makes this less likely to be from your heart.
You can also take Prilosec OTC and see how you respond to this.
Most likely this will settle down soon but in case this persist and does not improve, see your doctor for further evaluation.
thank you very much, I'll monitor it and if by the weekend I see now improvement I will see the doc
understood and thank you
And if at any point this gets worse, and if this becomes associated with shortness of breath, chest pain or palpitations, go to ER.
I would have been worried too if I were at your place, but let me reassure you that this is a treatable condition and carries a good prognosis with appropriate management.
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thank you, XXXXX XXXXX! you have been most helpful!
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