Hello doctor, My stomach hurts really bad, whenever it hurts it is very severe. Do you have any subjugation for me?
Hello. You have given nonspecific history as it hurts either every day or occasionally, it has any relationship in empty stomach or after taking a meal? Is there any relieving factor or triggering factor? Your daily bowel habit? Your drinking history? Your smoking history? Is there any surgical history? Are you relieved after vomiting? Your family history of any disease? Your age? Are you sexually active or not? Duration of your abdominal pain? Menstrual history or fever, etc? You should undergo USG (ultrasound) that will reveal any abdominal abnormalities like PID (pelvic inflammatory disease), cystitis, cholecystitis, pancreatitis, ovarian cyst, pregnancy, etc. CBC (complete blood count) will give some idea about your abdominal pain like increased ESR (erythrocyte sedimentation rate) will suggest appendicitis, increased WBC (white blood cells) will suggest of infection, etc. Urine R/M/E will determine urinary tract infection. Again you can also undergo endoscopy of upper GIT (gastrointestinal tract), serum amylase, serum lipase, etc. You can follow tablet Visceralgin (Tiemonium methylsulphate) three times a day, in case of abdominal pain tablet Domperidone 10 mg three times a day for ten days, capsule Omeprazole 20 mg twice daily for 10 days. In the meanwhile, please perform your investigations and inform me the results, then I will be able to diagnose your cause that is responsible for your abdominal pain and vomiting and treat the cause.