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Dr. Chip
Dr. Chip, Board Certified Physician
Category: Medical
Satisfied Customers: 33664
Experience:  20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
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I have been a fairly high drinker for about 10 years. I have

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I have been a fairly high drinker for about 10 years. I have been a real lover of red wine. Sometimes id drink a glass a day, some times Id drink six. I can go days without it and don't crave it or hide bottles or anything. I just abuse it when I drink it. Anyway. Now I'm starting to get symptoms I am concerned about. I am getting upper abdominal discomfort. This occurs just behind the lower aspect of my sternum. The sensation can feel a cross between a burning ache, through to a sensation of fullness. I also often feel like I am short of breath. However it manifests, I am always 'aware' of that area. I have a consistent nausea, and have found myself vomitting a few times recently. I also have fatigue, and nocturia. there are no symptoms like steatorrhea or ascites, but something is definitely not right. Any help you can give would be greatly appreciated.
Submitted: 3 years ago.
Category: Medical
Expert:  Dr. Chip replied 3 years ago.
Hi. We can continue after this if you'd like but here are my thoughts. I'm going to assume you haven't had a doctor evaluate this as yet. First off, this could be a cardiac condition even if this isn't exactly classical chest pain. The next possibility would be GI--possibly a peptic ulcer or an H pylori infection or both. Another possibility considering your alcohol intake would be pancreatitis or a gall bladder problem. As for the fatigue that could be low thyroid, anemia, vitamin D or B12 deficiency, or a sleep apnea problem. The nocturia might indicate an enlarged prostate or diabetes. I would get a cardiac workup with an EKG, echocardiogram and a stress test, blood work, a screen for H pylori, a ct of the abdomen, and upper endoscopy to full evaluate all these symptoms
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