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Dr. David
Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 43460
Experience:  Board Certified Physician
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I've been having pain on my left side near the bottom of my

Customer Question

I've been having pain on my left side near the bottom of my left rib since December, the pain feels like it's coming from the bottom ribs and sometimes moves round the front just under the ribs, the pain is not excruciating but annoying.
I've had bloods done 4 times all normal except once where my liver enzymes were slightly elevated. I've had a chest x Ray which came back fine, blood pressure is fine, ultrasound came back fine, no inflammation in any organs & negative for gallstones, stool sample was negative for h pylori, urine test fine, went for an endoscopy but was unable to finish the procedure due to my gag reflex so waiting on a new date under a general anesetic.
What could this be?
Submitted: 10 months ago.
Category: Medical
Expert:  Dr. David replied 10 months ago.
This is Dr. Davidthe most common cause of pain below the left lower rib is due to inflammation of the stomach from excessive stomach acid and gastritis.the most common cause of gastritis is due to diet such as alcohol, beer, tomato sauces, spicy foods, black pepper, fried foods, oily foods, large fatty meals all can worsen stomach acid production.changing the diet and avoiding the foods above and using over the counter stomach acid reducers such as maalox, mylanta, zantac, tagamet often can reduce stomach acid and decrease gastritislet me know if you have questions.
Customer: replied 10 months ago.
How long can it take to get better? I have changed my diet but I'm not as strict as I was a few months ago.
Expert:  Dr. David replied 10 months ago.
it can take weeks to months to get better depending on how bad your diet was beforeand depending on how you respond to over the counter stomach acid blockers.if you continue with alcohol and the foods I mentioned above, your gastritis will not get betterit doesn't sound like you have used over the counter stomach acid reducers yet. I would use them.let me know if you have other questions.if done for now, please leave positive rating above the chat box so I can get credit for helping you todaywe only get credit for helping clients after positive feedbackyou can always reach me with "a question for Dr. David" in the medicine or oncology categories if you have any other questionshere is my website if you need to reach me again:http://www.justanswer.com/medical/expert-dr-david/Thanks for using JustAnswers.com
Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 43460
Experience: Board Certified Physician
Dr. David and 2 other Medical Specialists are ready to help you
Customer: replied 10 months ago.
Is it normal to have gastritis without nausea or loss of appetite? I also have no pain after eating just a nearly constant pain in the left side.
I take it that an ultrasound would have picked up a problem elsewhere if anything else was wrong.
Expert:  Dr. David replied 10 months ago.
food helps decrease gastritis because it gives the stomach acid something to work on.yes, you can have gastritis without nausea or loss of appetite.yes, an abdominal ultrasound would have picked up or a problem if you had onehave you worked on improving your diet and decreasing your stomach acid with acid reducers?
Customer: replied 10 months ago.

Yes i have been on a diet for a while now, No/Low fat, no tomatoes nothing acidic, no alcohol etc, I was also on Esomeprezole for a month and before that Omeproezole, nothing seems to be working.

I'm getting more worried I'm getting these sharp pains in my stomach area, they only last for a couple of seconds but they are not nice.

Could this be something else rather than Gastritis or is Gastritis or a stomach ulcer still the most likely cause?

Expert:  Dr. David replied 10 months ago.
you should see a GI doctor and get an upper endoscopy scope procedure to look down into your stomach organ if your symptoms are not getting better
Customer: replied 10 months ago.
Thanks. Just seen my doctor, were scheduling an Endoscopy but he doubts that's what's causing the pain but to rule anything else out were still going to go through with it, my doctor thinks it's some kind of neuropathic pain and has prescribed amytripaline
Expert:  Dr. David replied 10 months ago.
I see.hopefully the amytriptaline can help.lets see what the endoscopy shows.

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