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Ask Dr S.A.Alam Your Own Question

Dr  S.A.Alam
Dr S.A.Alam, Doctor
Category: Medical
Satisfied Customers: 4426
Experience:  MBBS/FCPS(R)/MRCP(R) U.K
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Pain in left side of stomach. Very tender when touch.

Customer Question

Pain in left side of stomach. Very tender when touch.
Submitted: 2 years ago.
Category: Medical
Expert:  Dr S.A.Alam replied 2 years ago.

Dr S.A.Alam :

Hello, Welcome to JustAnswer and thank you for your question.

Dr S.A.Alam :

Your age and gender ?

Dr S.A.Alam :

Do you have any other medical issues ?

Dr S.A.Alam :

like diabetes high blood pressure ?

Dr S.A.Alam :

Are you taking some medicine ?

Dr S.A.Alam :

When this pain started ?

Dr S.A.Alam :

Can you locate the area of the pain with one finger ?

Customer:

Male 68

Dr S.A.Alam :

what makes this pain worse ?

Customer:

no other issues

Dr S.A.Alam :

eating or moving or exercise ?

Customer:

Recently had gastroscopy in singapore

Dr S.A.Alam :

What did it showed ?

Dr S.A.Alam :

was it normal ?

Customer:

No diabetes but blood 160/85

Customer:

Take Cardiprin, Vitorin, Hytrin

Customer:

Pain start yesterday

Dr S.A.Alam :

How severe it is ?

Dr S.A.Alam :

Can you locate the pain area with one finger?

Dr S.A.Alam :

Does it hurts when you press the pain area ?

Dr S.A.Alam :

Does this pain gets worse when you take food, water ?

Customer:

Results normal except reflux and was given medicine

Customer:

Yes I can locate and is tender there, but not affected by food. No pain if not moving.

Dr S.A.Alam :

Does this pain gets worse with exercise ?

Dr S.A.Alam :

or any activity ?

Dr S.A.Alam :

over period of one day did this pain decreased ? remained same ?

Customer:

Yes when walk around there is pain and sometimes double over with the pain. When still like now no pain. If I press the area very stabbing pain.

Dr S.A.Alam :

After 2 minutes our chat will automatically be converted to Q and A mode you will get my reply in your mail box... Do not worry i will be with you only mode will change.

Dr S.A.Alam :

It will not cost extra...

Dr S.A.Alam :

Thank you for your replies.

Dr S.A.Alam :

The pain that you have mentioned is mixed pain. meaning only on the basis

Dr S.A.Alam :

of character of this pain it is difficult to make sure it not your heart which is causing this.

Dr S.A.Alam :

Most of the symptoms of your pain are most likely due to stomach ulcer or gastritis. More chances of gastritis because pain is localized and it increases with pressure on the pain area.

Dr S.A.Alam :

As you have risk factors for heart problem, age and high blood pressure so it is mandatory

Customer:

The pain is like a stitch, but if I prod the area then very tender. It is not near the heart.

Dr S.A.Alam :

that you get an ECG as soon as possible

Dr S.A.Alam :

because we do not want to miss if this is heart pain.

Dr S.A.Alam :

Yes it is very true you most symptoms are due to gastritis and will hopefully go away with cold milk and acid suppressant medicine.

Customer:

It is definitely lower down in the same area as appendix but on other side

Dr S.A.Alam :

It is mandatory for you to get at least an ECG to rule out heart although chances are less than possibility of gastritis.

Dr S.A.Alam :

You mean below the belly button.

Dr S.A.Alam :

How far down the belly button.

Customer:

What medicine should I take. Milk of Magnesium or similar tablet?

Dr S.A.Alam :

Do you feel to pass stools ?

Dr S.A.Alam :

feeling like comes with constipation ?

Customer:

Just below in line with belly button

Dr S.A.Alam :

any loose motions or diarrhea symptoms ?

Customer:

Yes I feel sometimes want to pass stool, but must force and not much. Originally I though it was bad food.

Customer:

None

Dr S.A.Alam :

As it is below belly button so chances with such area pain are more likely due to small gut inflammation which is common with gut bug or

Dr S.A.Alam :

in simple words mild sort of food poisoning in which gut

Dr S.A.Alam :

gets into spams and causes pain

Dr S.A.Alam :

it feels like a knot and hurts when you press it.

Dr S.A.Alam :

So conclusion is that it is more likely to be due to a problem food or bad food which you took.

Dr S.A.Alam :

If you can take isphagula husk, or get hold or metamucil or citrucel they can help up loosen the gut spasm.

Customer:

Yes hurts when I press, but why on left side and not in cetre of stomach as would be normal

Dr S.A.Alam :

you can also take tylenol to help this pain.

Dr S.A.Alam :

Because in some cases one part of the gut is effected more and if pain is more on one side rather than in the center then chances

Dr S.A.Alam :

of infection of large gut are more than small gut

Dr S.A.Alam :

but cause is same and same method used for its relief.

Dr S.A.Alam :

take some tylenol it will help with pain, although it is not the most used medicine in this case we use spasmolytic medicine in such cases

Dr S.A.Alam :

as spasmolytic medicine are prescription medicine.

Dr S.A.Alam :

So you can take tylenol, take isphagula husk or metamucil with milk

Dr S.A.Alam :

hopefully pain will go away.

Customer:

So it sounds as if I should keep under observation and go to doctor if still pain in a couple of days

Dr S.A.Alam :

Warning signs that should make you go to emergency right away are

Dr S.A.Alam :

severe pain, not relieved with medicine like tylenol

Dr S.A.Alam :

blood in the stools

Dr S.A.Alam :

or increased tenderness

Dr S.A.Alam :

on pressing

Dr S.A.Alam :

if no such symptoms then you can try the measure that i have mentioned

Dr S.A.Alam :

hopefully pain will go away in early.

Dr S.A.Alam :

You have questions ?

Dr S.A.Alam :

I hope chat was helpful....

Customer:

No more thank you. I will take your suggestions

Dr S.A.Alam :

You are welcome.

Dr S.A.Alam :

I was nice to have chat with you.

Dr S.A.Alam :

Kindly rate my answer if no more questions. You can always follow up on this same chat for more questions.

Dr S.A.Alam :

Take care and have a nice day.

Customer:

Thank you for your help

Dr S.A.Alam, Doctor
Category: Medical
Satisfied Customers: 4426
Experience: MBBS/FCPS(R)/MRCP(R) U.K
Dr S.A.Alam and 3 other Medical Specialists are ready to help you
Customer: replied 2 years ago.
Thank you, already recovered and no more pain after taking your advice.
Expert:  Dr S.A.Alam replied 2 years ago.
You are welcome, nice to see you in best of health. Take care.
Expert:  Dr S.A.Alam replied 2 years ago.
Thank you Martin for your question, let me know if you need more help. No further charges for this follow up.

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