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Dr Basu
Dr Basu, Experienced Specialist
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I have been getting severe abdominal pains but i am unsure

This answer was rated:

I have been getting severe abdominal pains but i am unsure what is causing them

Mysticdoc :

The views expressed by me are for educational purposes only and do not establish a doctor patient relationship.

Mysticdoc :

Hi there,


I am Mysticdoc, experienced Internal Medicine Specialist.


I am here to help you with your concerns.

Mysticdoc :

Which part of the stomach you have the pain and for how long?

Mysticdoc :

Do you have any nausea, vomiting or change in bowel habits?

Customer:

Hi, this is an issue that happens once every 6 months or so. Its in the top part of the stomach abdominal area. I had it last week and I feel its about to happen again

Customer:

Its very intense abdominal pain, Ive been to the Emergency room, and to my doctor and no one has provided an answer

Mysticdoc :

did you have any abdominal scan done?

Mysticdoc :

what tests have been done so far?

Customer:

yes, nothing came up out of that, no stones or anything

Customer:

from my experience its being caused by food, but it seems the foods are very different when it happens

Mysticdoc :

ok

Mysticdoc :

any endoscopy so far?

Customer:

the first time it happened, it happened with a large latte and a breakfast sandwich

Customer:

no, no endoscopy

Customer:

it usually happens with lactose foods but not always

Mysticdoc :

ok lactose intolerance can definitely cause this.

Mysticdoc :

However, there can be gastric ulcer as well.

Customer:

very intense vomiting

Mysticdoc :

H pylori infection is another possibility

Customer:

to where I cant even drink water

Customer:

it lasts about 8-10 hours of pain

Mysticdoc :

Another possibility can be nonfunctioning gallbladder which is not checked by ultrasound or ct scan

Mysticdoc :

only a nuclear medicine HIDA scan can show this

Mysticdoc :

An upper GI endoscopy should be considered.

Mysticdoc :

Meanwhile, you need to adhere to the dietary restrictions and maintain a food diary

Customer:

if this is caused by lactose foods, is there any over the counter i can take to control the pain?

Mysticdoc :

Lactase enzymes can be tried

Mysticdoc :

however, lactose free diet is the best option.

Customer:

can lactose foods create severe bloating to where this severe pain is caused?

Mysticdoc :

yes absolutely

Mysticdoc :

also loose stools.

Customer:

ok so today I just ate a salad with steak, a bit of cheese, low fat ranch, and a bit of corn and beans

Customer:

but I am feeling the same simptoms

Customer:

but there are days where I eat a lot more "dairy" food and it has not happened

Mysticdoc :

may vary with cheese type sometimes.

Mysticdoc :

It may be possible that you may be allergic to the fermented products like cheese.

Mysticdoc :

A food allergy testing can be tried

Customer:

other than the enzymes is there anything else I can try>

Mysticdoc :

there are digestive enzyme preparations available in health food stores.

Customer:

to eliminate the bloating and possibly the pain

Mysticdoc :

This can be tried before meals

Mysticdoc :

also a probiotic like Phillip's colon health will help with the bloating.

Mysticdoc :

Avoid too much fiber in the diet.

Mysticdoc :

And cook the meat well

Customer:

the pain usually starts very mild and progressively gets worse

Mysticdoc :

Also simethicone ( GasX) tablets may help with gas

Mysticdoc :

ok

Mysticdoc :

can occur with gas pain

Customer:

but when I went to the ER they just prescribed antinausea

Mysticdoc :

ok --they may also help like reglan

Customer:

so I dont know what do to suppress the pain. Ive already taken Gasx and Lactose enzymes today

Customer:

are you talking about probiotics

Mysticdoc :

you can try a digestive enzyme preparation.

Customer:

?

Mysticdoc :

probiotics yes --and different from digestive enzymes

Customer:

so those 2 are different?

Mysticdoc :

yes

Customer:

the one I bought today is Schiff lactose defense Formula

Mysticdoc :

ok that is good also

Mysticdoc :

A digestive enzyme preparation also contains amylase, lipase, papain

Customer:

do you still recommend for me to take some additional digestive enzymes?

Mysticdoc :

yes that should be helpful.

Mysticdoc :

Also beano--to help digest the dietary fibers.

Customer:

how long does all this take to have effect. Or do you think its too late since im already getting the symptoms

Customer:

the stomach pain is already at like a 4

Customer:

out of 10

Mysticdoc :

digestive enzymes should help within 15-20 minutes.

Mysticdoc :

For now, you can also try an antacid like Gaviscon or Peptobismol.

Mysticdoc :

They may also help with the gas related pain.

Customer:

I bought prylosec last time it happened

Customer:

which was actually last week

Customer:

thats why I am seeking more information about this, because before that it was about 6 months ago

Mysticdoc :

did you see any benefit

Customer:

very little

Mysticdoc :

Prilosec does not act immediately.

Customer:

I would say no on the prylosec

Mysticdoc :

That is why a liquid antacid will be better

Customer:

Ive taken pepto bismol before for this problem and I just end up throwing it up

Mysticdoc :

That is in addition to Gas X

Mysticdoc :

how many gas X tablets you have taken so far?

Customer:

2

Mysticdoc :

you can take 2 more also.

Mysticdoc :

and in your case, probably digestive enzyme will help more.

Customer:

another thing is I have kind of dry mouth right now too

Mysticdoc :

and of course you need to modify your diet

Mysticdoc :

that is possible from the gas related nerve reflex.

Customer:

do you have any digestive enzyme recommendation that I can go buy at CVS?

Customer:

also I took 1 laxative tablet

Customer:

should I take another lactose defense pill?

Mysticdoc :

you can look for Nature's Bounty Digest 13 Bio-Active Multi-Enzyme Complex Capsules

Mysticdoc :

yes you can take another lactose defense pill also

Mysticdoc :

not harmful

Customer:

I dont know if I should take another laxative though

Mysticdoc :

no need to take laxative

Customer:

I wanna get whatever is making me have this pain out of my system as fast as possible, but even throwing it all up doesnt help

Mysticdoc :

it is the effect on the stomach that remains for sometime

Customer:

ok so other than those 2 things, should I still take the beano?

Mysticdoc :

yes beano helps with the fibers like salad

Customer:

what about for the actual pain, is there anything that will help relief that?

Mysticdoc :

tylenol can be tried for pain as such.

Mysticdoc :

There is a medication called dicyclomine that helps this type of pain but requires prescription

Customer:

do you recommend taking water or not since I will more than likely throw everything up eventually

Customer:

also I understand yoghurts can help as a probiotic but not sure since its a dairy

Mysticdoc :

water is good--Mint tea is better which helps with bloating

Mysticdoc :

instead of yogurt, probiotic pills will be better

Mysticdoc :

Phillip's colon health is one such brand available in cvs

Customer:

Ok, Im going on a run to CVS. Can I consult with you if anything additional comes up or how does this work?

Mysticdoc :

yes you can

Mysticdoc :

you can always request for me.

Mysticdoc :

I will post the link below:

Mysticdoc :

Best wishes,


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Customer:

ok before I go, just wanted to recap, the 5 times this has happened some kind of lactose food has been involved. Coffee with milk, chocolate milk, mozzarela sticks, salad with sour cream and cheese, and today it was just a bit of cheese and ranch. Other than that, some of the other things Ive eating have been chicken, steak, fake eggs - like the powder ones. and from the symptoms, would you say its more based on the lactose or maybe animal proteins?

Mysticdoc :

lactose is more likely

Customer:

Im just really running out of options because Ive been to the doctor several times and he hasnt been able to determine what it is to a point where it is almost a waste of time to go

Mysticdoc :

I understand your frustration.

Mysticdoc :

Better to see a gastroenterologist for endoscopy.

Mysticdoc :

And also consider getting a food allergy testing.

Customer:

also, my mom had similar pains a few years ago, something called gastralgia in spanish? do you know what that is?

Mysticdoc :

Well this is more akin to migraine.

Mysticdoc :

Also known as abdominal migraine.

Mysticdoc :

The cause is unknown but some people get it without any known abdominal conditions.

Customer:

so probably different than this pain that I have, correct?

Mysticdoc :

yes likely

Customer:

Oh, one more thing. I dont know if it is relevant or not, but I drink a lot, a lot of club sodas, perrier, pellegrino, etc. I tried to cut out sodas and drink these instead. Could this be the cause?

Mysticdoc :

yes you should avoid soda

Mysticdoc :

they release carbon dioxide gas form in the stomach

Mysticdoc :

can cause problems.

Mysticdoc :

normal still water is better

Customer:

but could this be causing the pain? or change something in my body that triggered this series of pains?

Mysticdoc :

no the soda itself can cause pain.

Customer:

ok, well thanks for the help.I will try these medicines that you recommended

Mysticdoc :

very welcome

Mysticdoc :

Best wishes,


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