Stomach Problems for quite a few years

[cully53]

I have been suffering with stomach problems for 10 years and have been on meds for 10 years for 8 of the years I took Pantaloc and currently I am taking Novo Rabeprozole 2X 20 MG.  My common problem is with digestion, I don't get acod reflux but I get a feeling of fullness after eating....even after very little food is consumed.  This does not happen always but when it does hit I don't get any relief unles I lie down and belch for at least 1 to 2 hours.  Lately the fullness is effecting my upper chest, Recently I am getting alot of pain in my upper right chest and once again the only way to get relief is by lying down on my side(s) and belly to start the necessary belching.  I have had many tests (stomach scope, colonoscopy and xrays etc) with nothing showing.  In the past my stomach problems have been aggravated by fatty foods, acid, caffeine and chocolate, alcohol and eggs to mention a few.  I am conscious of this and try to avoid most of these items or consume them in moderation, however lately it seems like everything is upsetting my stomach.  I have been told that I have gall stones but I don't seem to experience any of the pain that is usually associated with them.  A new symtom I am experiencing is my upper right back has been giving me pain.  The pain starts with a very sharp jab then the problem is a dull ache until I can relieve some gas.

[cully53]

Thank you, I am scheduled for a 24-hr pH study in February (after a 6 mongh waite) and will meet with my GP to discuss evaluating for malabsorption and celiac disease.  Can you explain why I am having such pain in the top right of my chest as well as the top of my back?  This is a new sympton but once again is relieved when I can lie down and force huge burping either by lying on my stomach or side or combination of both.  Another thing I notice is that intermittingly my sinues block up as well and once the gas is gone then my sinuses clear.

[Kevin Pho, MD]

I agree with the testing thus far, and it has been comprehensive.

More specialized tests can be considered, including a gastric emptying scan - which can exclude gastroparesis which can lead to an early feeling of fullness.

You may also want to consider a 24-hr pH study, which can quantify the severity of GERD.  If present, surgical options can be discussed to treat the reflux.

I would also evaluate for malabsorption and celiac disease, which can be evaluate with stool studies and blood tests respectively.

These options can be discussed with your GI physician.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin Pho, M.D.
www.kevinmd.com
www.twitter.com/kevinmd