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Dr. Chip
Dr. Chip, Board Certified Physician
Category: Medical
Satisfied Customers: 35573
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.
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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