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Old 11-24-2008, 09:16 AM   #1
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alleigh826 HB User
Unhappy Upper Abdominal Pain/ Gas

A little history first: About 2 years ago I had an Upper GI and a colonoscopy. GI dr told me I had GERD and that my esophagus had some erosion. I have been taking meds ever since.

Over the past few months, I have been getting very bad pains in the center of my upper abdomen. These pains can last anywhere from a few hours to a few days. It's like waves of pain just move through there. I lost 25 pounds over the summer due to not being able to eat because of these pains. Once the pain subsides, I notice that I have alot of gas. Could this just be trapped gas or possibly an ulcer? I think I am going to make an appointment with the GI again

 
Old 11-29-2008, 05:16 AM   #2
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Re: Upper Abdominal Pain/ Gas

Sorry you feel so miserable. I totally understand because I feel the same way. I have bad GERD which caused erosive esophagitis and will need PPI's for life according to my GI. I also have IBS. I take my meds faithfully and try very hard to do all the right things i.e. watch what I eat, don't go to bed for 3 hours after eating, have my bed elevated but still there are days and nights especially that I am absolutely miserable. I have lots of upper abdomen pain mostly on the left side under my breast and sometimes in the cleavage area. I also have the worst belching episodes. I burp more and louder than my husband. They come from way down in my gut and it often hurts when I burp. Lately I also have lots of flatulence.
I would suggest that you go back and see the GI. Perhaps you could have slow gastric emptying - which I was diagnosed with after a special gastric emptying scan. There is also something called Small Intestinal Bacterial Overgrowth (SIBO) which I was tested for but did not have although my GI gave me a script for meds for it anyway. I did not try them because I have a bigger issue that I'm also dealing with - iron deficiency anemia which might be caused by my PPI's. It never ends...

Best of luck to you.
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Old 11-29-2008, 05:54 AM   #3
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Re: Upper Abdominal Pain/ Gas

Quote:
Originally Posted by susieq14 View Post
Sorry you feel so miserable. I totally understand because I feel the same way. I have bad GERD which caused erosive esophagitis and will need PPI's for life according to my GI. I also have IBS. I take my meds faithfully and try very hard to do all the right things i.e. watch what I eat, don't go to bed for 3 hours after eating, have my bed elevated but still there are days and nights especially that I am absolutely miserable. I have lots of upper abdomen pain mostly on the left side under my breast and sometimes in the cleavage area. I also have the worst belching episodes. I burp more and louder than my husband. They come from way down in my gut and it often hurts when I burp. Lately I also have lots of flatulence.
I would suggest that you go back and see the GI. Perhaps you could have slow gastric emptying - which I was diagnosed with after a special gastric emptying scan. There is also something called Small Intestinal Bacterial Overgrowth (SIBO) which I was tested for but did not have although my GI gave me a script for meds for it anyway. I did not try them because I have a bigger issue that I'm also dealing with - iron deficiency anemia which might be caused by my PPI's. It never ends...

Best of luck to you.
Hi
Since you are on PPI's abd are iron deficient it would also be of benefit to have your folate vit D and especially your Vit B12 since these are all utilzed by the gut.....
I ended up with severe deficiencies especailly B12 to the point were i lost my memory at times and a complete host of symptoms Happy to say I am all well again......

I have celiac disease which lead to it and reading what you were saying about flatulence and burping and IBS (that is what they said I had then reflux as well) was like me from the gluten amongst other symptoms

Have you been tested for this?

I hope you are well again soon

 
Old 11-29-2008, 07:16 PM   #4
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Re: Upper Abdominal Pain/ Gas

Quote:
Originally Posted by Rainbows End View Post


Hi
Since you are on PPI's abd are iron deficient it would also be of benefit to have your folate vit D and especially your Vit B12 since these are all utilzed by the gut.....
I ended up with severe deficiencies especailly B12 to the point were i lost my memory at times and a complete host of symptoms Happy to say I am all well again......

I have celiac disease which lead to it and reading what you were saying about flatulence and burping and IBS (that is what they said I had then reflux as well) was like me from the gluten amongst other symptoms

Have you been tested for this?

I hope you are well again soon
Thanks Rainbow for the comments. I'm glad that you are doing better! I did have a complete work-up to determine the cause of my iron deficiency including colonoscopy, capsule endoscopy and blood tests for B12 and a celiac panel and all were normal. I have heard however, that the celiac blood test often is not totally accurate. How did you know you had celiac? I have been on oral iron for 2 weeks as of today and am going for a blood test and follow-up visit with the hematologist on Wednesday.
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Old 11-29-2008, 08:48 PM   #5
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Red60 HB User
Re: Upper Abdominal Pain/ Gas

I have a history of GERDS, gasteritis and IBS-C that has caused me a good deal of upper abdominal pain. I've been taking nexium for over a year but have not had much relief using the meds. I've tried about everything I thought might possibly help but so far I haven't had much luck with anything.

I have recently tried a probiotic drink that has significantly reduced my upper abdominal pain and bloating. It's called Goodbelly and contains the probiotic Lp299v. I started to notice a difference in a little less than a week. If this product is available in your area I would definately give it a try. You can find buy one get one free coupons online. That helps make it a bit more affordable.

I've only been using this for a couple weeks now and while it has really helped with the upper abdominal pain I still am having my typical periods of chest pain. I'm hoping that overtime maybe that will also improve if I continue using goodbelly. I'll give a full report once I've completed a month.

Good luck.............Red

 
Old 11-30-2008, 01:40 AM   #6
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robinegg HB Userrobinegg HB User
Re: Upper Abdominal Pain/ Gas

Quote:
Originally Posted by susieq14 View Post
Thanks Rainbow for the comments. I'm glad that you are doing better! I did have a complete work-up to determine the cause of my iron deficiency including colonoscopy, capsule endoscopy and blood tests for B12 and a celiac panel and all were normal. I have heard however, that the celiac blood test often is not totally accurate. How did you know you had celiac? I have been on oral iron for 2 weeks as of today and am going for a blood test and follow-up visit with the hematologist on Wednesday.
Hi
Yes it is true that the blood tests for celaic can be skewed for a number of reasons
Iga deficiency
Mild damage
Not eating gluten or large amounts
It doesnt mean you dont have it by the time I went for a endoscopy I had not had much gluten at all still trying to deal with it and felt so sick I thought I wont eat it agian for a while.....My GI said by damage could be furtherdown and taking sample is not always definitive as he said there really isno gold standard so he suggested as a doctor did 2 years ago do a challeng come of it for a coulpe of months and see what happens well I felt better but was still having symptoms due to the deficiency so I thought well it cant be that so I ate it agian felt worse and now my deficiencies were paramount and i was very ill got my folate vit D and B12 (at this point I didnt know about my iron I onlty just realized how low it was a few days ago when going over my tests even though it was normal low ferritin and low iron) and thought well I ma feeling soooo much better but when I came off the gluten my healing of pins and needles foggy brain cognitive function really began to healing at break neck speed.......I have a very good active form of B12 methylcobalamin 10,000mcg 3 x a week I have been doing this for 4 months...This is very differnt to the standard protocol for B12 thereapy but I have a fab doctor who knows what he is up to I take 5mg of folate with the injection vitd 1 per week high dose........I feel my oron will be up dueto the B12 and going gluten free....

It does take along time to start getting the nutrients back after being so deficient that is why its important to get very high dose to saturate the system at least with B12 not iron as too much is not good for you....

I would be interested to know what your B12 & folate levels were and I would if I was you request a uMMA & homocysteine tests as they will be elevated in a B12 deficiency at cellualr level the ranges are there for PA but nuero damage can occuer with levels below 550.....So just because they say its normal get the copies of results for your self....look what happened to me I probably should have had some iron to so I am going to ask about that.......

As you are low on Vit D and iron I would lay bets you are low on B12 as well and that celiac is high possibility as well......

But at least it can be treated....

I know with B12 taking them orally doesnt always work if the stomach can not uptake it meaning you need intrinsic factor and hydrchloric acid to absorb it iron is the same so perhaps the iron is not being absorbed properly

It would be interesting to to know your CBC like MCV & RDW..

Best wishes

 
Old 11-30-2008, 03:01 AM   #7
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Re: Upper Abdominal Pain/ Gas

I had the same pain and burping. I had an endoscopy which showed I had a small hiatus hernia, reflux and a slightly inflamed stomach (gastritis). The GI said it was the gastritis causing the pain. I'm on nexium, which works for me, but I have had a couple of relapses with the pain. I just go to my G.P. and he doubles my dosage for 2 months. I would have it checked out with your GI.

 
Old 11-30-2008, 06:20 PM   #8
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Re: Upper Abdominal Pain/ Gas

Quote:
Originally Posted by vh90453 View Post
I had the same pain and burping. I had an endoscopy which showed I had a small hiatus hernia, reflux and a slightly inflamed stomach (gastritis). The GI said it was the gastritis causing the pain. I'm on nexium, which works for me, but I have had a couple of relapses with the pain. I just go to my G.P. and he doubles my dosage for 2 months. I would have it checked out with your GI.
Glad to hear your doing well, but so long as you are on nexium please ask your doctor to keep an eye on your B12 levels as nexium,pariet and the like can cause b12 problems as they destroy essential acids in the stomach that are important for utilization of b12.......dont want to alarm you but please be aware of this..........
Also did the GI know why you have gastritis as there is usually a cause like H-pylori for example......
best wishes
Rainbow

Last edited by robinegg; 11-30-2008 at 06:21 PM.

 
Old 12-01-2008, 12:06 AM   #9
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vh90453 HB User
Re: Upper Abdominal Pain/ Gas

Thanks for the tip. I cut the nexium down to every 2nd day a few weeks ago. GI has suggested I keep trying to cut down. My last endoscopy (4months ago) showed a big improvement with very little inflamation. He takes lots of biopsies, all normal, no H-pylori. He hasn't said what causes it, ruled out the usual like nsaids etc. I just assumed I produce too much acid. Thanks for your interest.

 
Old 12-03-2008, 01:40 PM   #10
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Beeb HB User
Re: Upper Abdominal Pain/ Gas

Quote:
Originally Posted by alleigh826 View Post
A little history first: About 2 years ago I had an Upper GI and a colonoscopy. GI dr told me I had GERD and that my esophagus had some erosion. I have been taking meds ever since.

Over the past few months, I have been getting very bad pains in the center of my upper abdomen. These pains can last anywhere from a few hours to a few days. It's like waves of pain just move through there. I lost 25 pounds over the summer due to not being able to eat because of these pains. Once the pain subsides, I notice that I have alot of gas. Could this just be trapped gas or possibly an ulcer? I think I am going to make an appointment with the GI again
Story sounds like mine. I have had several upper endoscopys and my story goes like this:

I was experiencing mild sternum area pain on the left side and constant belching. An upper endo identified gastric ulcer and slight hiatal hernia. After 8 weeks of Prevacid once a day, the 2nd endo showed no gastric ulcer and a perfect stomach. But this was too good to be true.

After few months being off Preacid, the upper sternum area pain & constant belching returned. A 3rd endo found another gastric ulcer & gastritis this time. After 8 weeks of Prevacid twice a day, the 4th endoscopy showed no Ulcer but some slight gastritis remained.

The Doctor's instructions were to try to manage with Pepsid Complete and antacids, use PPIs only as necessary, possibly alternate every 2 months on and off if needed.

What i decided to do was to ween off Prevacid and start my new diet and supplement regeim. I started by reducing Prevacid from 2 a day to 1 a day for a week. For the next 5 pills, I took one every 1.5 days by taking at night one day, then wait a day, then take it the next morning etc.... Then I weened off it completely by taking a pill every 2 days for a total of 3 pills then every 3 days for total of 2 pills. All the while starting up the new diet and yeast killing supplements.

Right now i am off PPIs and have been off them for months. What i found that worked for me was in a heartburn book written by Dr. Sherry Rogers. One key reason for various gastro issues identified in the book is yeast overgrowth. Knowing from testing my issues were not bacteria or allergy related, I followed the diet and supplement recommendation for a month and it has provided me virtually complete relief (dare i say cure?).

I did feel a mild sternum area pain recently because i added sugars (and some coffee) back into my diet but once i stopped them, things felt healed once again.

My personal thinking why i had the ulcers, pain and acid, and other symptoms... STRESS! leading to yeast overgrowth and a leaky gut causing various symptoms and creating a viscious cycle.

Last edited by Beeb; 12-03-2008 at 02:30 PM.

 
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