From stomach lining damage, to being told I have Crohn’s disease to then saying it’s stomaching not working to digest to then hearing it’s my colon that damaged my stomach to now hearing “you have chronic inflammatory disease. Meaning the flare ups which are the scariest experiences of my life happen when they happen I end up in the ER because the pain causes my heart to reach 180 without moving and becoming dehydrated within less then a hr. No one NO ONE deserves to like this. I’ve been this was since 2019 but serious condition since last may almost a yr ago when it was at its worst it nearly ki**ed me. The trauma I have from that will never leave my mind. My stomach stopped working all together and my body was shutting down. 💔 I’ve done gut health research and have ate so clean the entire year even doctors say it’s impossible how I did it all so fast but unfortunately I still have serious flare ups and put on meds for the rest of my life. 😢😢
Maybe some foods cause damage. You have to examine which foods your gut microbiome cannot digest. Mayb e healthy but not for you. There are some tests. And then is stress
Honestly stay away from fast food,sugars,salts,soda.is the worst.motive your self find a hobbie think positive and you will feel better.i been tru depression just getting out of it.life is great keep strong.
Still in flare-up. Using gluten-free,dairy-free,fodmap diet. I do yoga for exercise & walk my dog at least 3 x's a day. I just can't seem to shake it. Part of my intestines died,& part of upper stomach collapsed,it's been really difficult. Especially to gain weight.
I’ve had severe abdominal pain N/V x 6 weeks despite max dose of PPI. Every test is normal. Getting MRI and repeat EGD next week. GI doc sent me to the Emergency Dept today for another CT scan. I’ve lost 15 pounds and am existing on drinking Boost. No meds relieve the pain or nausea. I’m still in my 50s but ready for hospice.
I'm sorry to hear about your illness and symptoms. I hope this video suggested some new diagnoses that are worth exploring with your doctors. While I can't offer specific, individualized medical advice here, I will say that - in general - if a person has abdominal pain and nausea/vomiting, and their EGD is unremarkable, a PPI is not going to be helpful. Once again, this is not intended as personal medical advice, but for patients I've treated who have refractory nausea and vomiting, most have some improvement with a med called aprepitant; unfortunately in the US it's very expensive ($30-$150/pill) and insurance companies will try to find excuses to not pay for it.
Thank you for addressing the Mals (Mesenteric Artery Ligament Syndrome. I had open surgery for this rare syndrome after many years of tons of tests and no diagnosis. I found through Mayo’s site led me to a group on Facebook-Mals Awareness, which led me to a surgeon. So, so many doctors don’t think this is real but it is. Symptoms are extreme pain in the epigastric area, gi distress, gastroparesis, nausea, vomiting, pain when eating and depending on if you have other vascular compressions, other issues like POTS, SMAS, MAY-Thurner, Ncs, and others. I love that you categorize and explain each area.
Hi, did the surgery help you? How long did it take to see effects? I am asking because I had that surgery as well 6 months ago, but so far it’s the same as before.
Thank you so much for putting these videos out! I've been in chronic and acute reoccurring pains for 18 months now, but have yet to find the cause of it...
Thanks for watching and for bringing up these tests! Here's my thoughts on them (keeping in mind, I'm not GI): - Stool H. pylori antigen: This is useful for identifying the cause and/or risk factors for PUD and gastritis (and gastric cancer), more so than for establishing any of these diagnoses - so similar to checking a HbA1c if concerned about the possibility of gastroparesis. I'm sure there are geographic differences in how these tests are utilized, but at my institution in the US, we use the stool antigen test to supplement endoscopy if one of those diagnoses is identified, particularly in a patient already on PPIs or recent antibiotics (since these will increase the rate of a false negative gastric biopsy for H.pylori). We also use the stool antigen to document successful clearance after H.pylori treatment. Unlike calprotectin, I don't think I would use either test in the decision as to whether or not to order an endoscopy to begin with, but I think it would be reasonable to do so in some circumstances. - Urea breath test (also for H.pylori): In nearly 20 years of practice, I have literally never seen this test ordered, or even suggested, on a patient. - Fecal elastase: Has great positive and negative predictive values for exocrine pancreatic insufficiency (a common manifestation of chronic pancreatitis). IMHO, chronic pancreatitis doesn't tend to be a difficult diagnosis to make (though often a difficult disease to treat!), but in situations in which the history was highly suggestive, but imaging did not show any classic findings, fecal elastase would be very helpful there. - Fecal calprotectin: Used to identify bowel inflammation in patients with chronic diarrhea, most often with IBD. I see it more commonly ordered in patients presenting with chronic diarrhea associated with abdominal pain than in patients presenting primarily with abdominal pain, but it's easy to imagine a scenario in which IBD was possible but relatively unlikely in a patient with chronic abdominal pain, and the calprotectin would push the clinician across the threshold to do a colonoscopy. *tl;dr:* stool H.pylori antigen, fecal elastase, and fecal calprotectin all have important roles in specific situations. I've never seen the urea breath test ordered.
@@StrongMed It's interesting how different things are done at different places. I use stool H. pylori antigen a fair but, but I probably order H. pylori breath test between once per week and once per month in our diagnostic clinic. It's a unique situation: population not great at returning stool samples, understaffed for GI/upper endoscopy so often many months wait, and very high prevalence of H pylori gastritis and ulcers in the rural population here. I like getting the breath test while the patient is in clinic (assuming no recent antacids, which admittedly is a minority of the time), then I have an answer in a few days. I'm probably a little on the margins of the guidelines/expert consensus too, because I've had a lot of success treating H pylori in patients with chronic abd pain and/or dyspepsia even in the absence of known ulcers. It could be placebo effect, but I've had a high percentage of post-eradication total symptom relief. Great video as always. you really nailed a difficult subject concisely yet thoroughly. I appreciated the nuance in your consideration of somatization, which is an incredibly difficult topic one could study for multiple lifetimes.
@@StrongMed you mentioned using the stool antigen test to "document the successful clearance of an H. Pylori infection", is this a mandatory protocol you follow, something you strongly suggest to the patient or do you leave it entirely to the discretion of the patient?
@shadow nik, using the stool antigen test to document H.pylori eradication isn't mandatory per se, but strongly recommended unless there is a reason to repeat the EGB + gastric biopsy (which could be used for the same purpose).
@@jajasatorashi136 Got diagnosed with IBS. Had to completely cut out carbonated drinks, chocolate and some wheat products from my diet. The pain has almost completely gone.
Hello. How did they diagnose you did you have to do a colonoscopy? Also, did you have other symptoms besides the burning, stabbing pain? In other words did you have gastro symptoms (diarrhea, nausea, constipation, etc)??
I have been having severe, painful N/V/D episodes for as long as I can remember. I'm 52 now. Several a year, sometimes within days of each other. Its been my whole life.
I have celiac disease been gluten free for 6 years, I have had my gall bladder removed, my appendix removed and I am still in horrible ongoing sharp pain in my upper stomach were the liver and spleen are. I'm so tired of this.
I have woken up with a terrible stomach ache every morning for a month and a half. It started when I tapered off of seroquel. Dr has done blood tests and ct scan and nada. ☹️
Thank you dr. This video is extremely helpful to so many individuals including myself. I just sit and listen to you explaining, also the speech you’re well spoken. Thank you.
Hello- I’m in desperate need to find a doctor who can help my mom. She is proving to be a medical mystery- going on almost 8 years. These are just a few things that relate to her: lap band surgery, scar tissue, gut motility, stomach paralysis, 10 years of diarrhea, had stomach nerves burned to try to relieve daily pain, NUMEROUS exploratory surgeries, weight is lower than 100lbs, has to go to hospital at least 4 times a week to get fluids, screams and cries for hours because of pain. 6 different hospitals and still no answers. PLEASE CAN SOMEONE OFFER ANY HELP OR POINT ME IN DIRECTION OF ANYONE ELSE THAT CAN HELP. WE ARE LOSING HOPE.
I'm sincerely sorry about what your mother has been going through. An illness like that is something which impacts an entire family. Unfortunately, if it's unusual or atypical enough that it's been going on for 8 years without a diagnosis, you won't be able to find the answer from TH-cam comments. What you need is a medical professional who prides themselves on being a "diagnostician" (i.e. someone whose clinical area of interest and expertise is making difficult diagnoses) looking through her entire medical record from scratch and spending a long time doing a very thorough, top-to-bottom history and physical exam. At Stanford, we have multiple clinics for such patients. If the disease presents later in life and seems like an acquired (i.e. non-genetic) illness, we have a "Consultative Medicine Clinic": stanfordhealthcare.org/medical-clinics/consultative-medicine.html If the disease seems genetic and/or has been present since childhood, there is the Center for Undiagnosed Diseases (undiagnosed.stanford.edu/), which specializes in discovering/describing previously unidentified genetic diseases. There are a handful of similar clinics at major academic centers throughout the US.
4 yrs of constant pain after gallbladder surgery had edg Colonscope, CT, MRI, ultra.sound blood test, wir test the out down your throat urine test no diagnose demoxitine does not work for pain habe any guesses I like to have hope to alleviate pain. Went to 4 GI Dr are guessing functional will not give diagnosis.
When my grandmother was taking my mom to her program, I vomited because i was constipated and my stomach was hurting and then I started to have diarrhea.
An additional cause of abdominal pain occuring for close to two months that was elusive despite mutliple ER visits and Abdominal imaging CT, RUQ US labs in a 60 year old woman was intercostal nerve impingement giving sensation of RUQ pain. She randomly got CT of chest abm and pelvis one visit instead of just ab/pelvis and lytic lesion in the vertebrae one higher like T7 then the abd CT's went with what looked like plasmacytoma. She symptomatically improved with Gabapentin as far as abdominal pain and T7 lesion was biopsied and was Diffuse large B cell lymphoma despite no lymphadenopathy in chest or ab/pelvis. Unfortunate but interesting case. She has compensated cirrhosis from hx of NASH so will be a little tricky for chemo but hopefully she does well.
I am wondering if I have something like this. Many er visits and even a laporoscopy. Everything coming back normal now dr wants to send me to pain management. Should I push for ct of chest? I’ve only had ct abdomen and pelvis. My pain goes from a dull pain to stabbing pain that sometimes feels like it’s inside ribs but also radiates all the way up and down right side..
Sir....i have upper abdominal center pain....... sometimes its like all is fine.... sometimes its like knotted feeling.......also heartburn sometimes........could it be perimenopause? My endoscopy,ct scan, h.pylori , sonography all are normal.......feel acidity too......what could it be? Also two doctors also said that ot could be stomach muscle pain😮😮😮.....
Can I ask? I had already done taking ultrasound and urinalysis it was said that jt was normal but Im still having pain in my left abdomen to the upper part, what should I do and is the ultrasound accurate?
I'm very sorry, but I cannot provide specific, individualized medical advice here. I recommend speaking with your own physician about your medical concerns.
They need to mention endometriosis. I did not see it listed as a cause of abdominal pain. It can cause debilitating abdominal pain. Prior to my hysterectomy I would get bad abdominal pain at times at that time of the month. I had stage four disease. The amount of endometriosis that is found has nothing to do with the amount of pain that a woman can have. I was told that by my doctors.
Endometriosis is mentioned @8:02. I also have a whole video about endometriosis as part of my "underappreciated diseases" series here: th-cam.com/video/QELcUuOaQkI/w-d-xo.html
Great info Dr. Strong. However, my situation is very odd. I have been having (I would say) upper right quadrant pain for more than 2-3 years. It has always been a chronic mild pain that I can tolerate but it come and go. I have noticed that eating a lot of carb and/or greasy food could trigger it. Did an ultra sound and blood tests and got diagnosed with a fatty liver condition and high colesterol but that still not explaining about this ongoing chronic pain. I have none of those critical symtoms you mentioned in the list of diseases and I don't think it's cancer. Could fatty liver is causing this sort of ongoing/prolonged pain? Thank you!
I'm so sorry about your symptoms. Unfortunately, I cannot give specific, individualized medical advice here, but I will say that it is relatively rare for uncomplicated fatty liver disease (a.k.a. non-alcoholic steatohepatitis or NASH) to cause symptoms (hence it's absent mention in the video). I'm not saying it's impossible, but I would want to rule out every other plausible cause first before concluding that was the explanation. (Again, not medical advice - always discuss your personal health concerns with your own physicians!)
I'm feeling sharp dull pain in my upper stomach middle in my tummy for 2-3days continuously I think that pain goes up-to my breast heart is it serious what's medication I don't feel vomiting and loose motion even ones
I've been tested for hpylori and gastritis for almost 2 years.ive had gallblader and apendix and I still have upper abdomen as I wake up up.and sometimes shortness of breath and neck pain.
●☆● I 100% believe my pain is my PANCREAS..i no longer have a Gallbladder..i told my doctor about my pain she sent me for a ultrasound thinking i might have a hernia..nothing..Then i had a MRI ..once again nothing..zi asked my doctor to check my Pancreas but she said No cause it's a very EXPENSIVE test..I now live in pain everyday along with some heartburn and blodd8ng
Hi everyone I am 28 years of age. I am getting slight mild pains that comes and goes DAILY, I got it for about 2 months now. What could that possibly be??
This video mentions many possibilities, but beyond that I recommend addressing specific, individualized questions about your health to your own medical care provider.
Hlo .. sorry brother but my close friend has cirhossis with ascites and portal hypertension ... he's non alcoholic and just within 2 weeks he had symptoms .. it the case complicated ???
I'm sorry but I can't offer specific, individualized medical advice here. I recommend your friend speak to his physician about any symptoms he's experiencing.
I laugh reading the comments of people saying they had daily gut pain with severe cramping and gas for two months!! Oh no! Try over 20 years!! I've had every blood test, every abdominal scan, biopsies and upper and lower GI tests, ultrasounds, CT scans, colonoscopy, endoscopy. I've had years long dealing with chiropractic, naturopaths, accupunctures, you name it. I had to retire from my midwife job, I had to stop cooking, shopping, cleaning house, going on a trip, going out to eat. Doctors say the intestinal nerves are just over sensitive. What a bunch of crap! There is no cure for what is going on with me, I suffer daily. Suicide is the only way to stop the constant pain, but I've got a family, won't do that to them. So, it's my lot in life to contend with chronic cramping for the rest of my life. Currently I'm 63 and counting the days I have left before I die
From stomach lining damage, to being told I have Crohn’s disease to then saying it’s stomaching not working to digest to then hearing it’s my colon that damaged my stomach to now hearing “you have chronic inflammatory disease. Meaning the flare ups which are the scariest experiences of my life happen when they happen I end up in the ER because the pain causes my heart to reach 180 without moving and becoming dehydrated within less then a hr. No one NO ONE deserves to like this. I’ve been this was since 2019 but serious condition since last may almost a yr ago when it was at its worst it nearly ki**ed me. The trauma I have from that will never leave my mind. My stomach stopped working all together and my body was shutting down. 💔 I’ve done gut health research and have ate so clean the entire year even doctors say it’s impossible how I did it all so fast but unfortunately I still have serious flare ups and put on meds for the rest of my life. 😢😢
Maybe some foods cause damage. You have to examine which foods your gut microbiome cannot digest. Mayb e healthy but not for you. There are some tests. And then is stress
Hope to feel better
How you feeling now ❤❤❤
Hope you heal soon ❤
Terrible for such common issues
I'm feeling so depressed because of staying sick all they time :(
I understand,I'm not living ANY kind of life. I exsist,in my chair,in my living room.
Honestly stay away from fast food,sugars,salts,soda.is the worst.motive your self find a hobbie think positive and you will feel better.i been tru depression just getting out of it.life is great keep strong.
Are you feeling better now?
Still in flare-up. Using gluten-free,dairy-free,fodmap diet. I do yoga for exercise & walk my dog at least 3 x's a day. I just can't seem to shake it. Part of my intestines died,& part of upper stomach collapsed,it's been really difficult. Especially to gain weight.
@@jennifersanchez6816 keep fighting all of us are.good luck
I’ve had severe abdominal pain N/V x 6 weeks despite max dose of PPI. Every test is normal. Getting MRI and repeat EGD next week. GI doc sent me to the Emergency Dept today for another CT scan. I’ve lost 15 pounds and am existing on drinking Boost. No meds relieve the pain or nausea. I’m still in my 50s but ready for hospice.
I'm sorry to hear about your illness and symptoms. I hope this video suggested some new diagnoses that are worth exploring with your doctors. While I can't offer specific, individualized medical advice here, I will say that - in general - if a person has abdominal pain and nausea/vomiting, and their EGD is unremarkable, a PPI is not going to be helpful. Once again, this is not intended as personal medical advice, but for patients I've treated who have refractory nausea and vomiting, most have some improvement with a med called aprepitant; unfortunately in the US it's very expensive ($30-$150/pill) and insurance companies will try to find excuses to not pay for it.
Thank you for addressing the Mals (Mesenteric Artery Ligament Syndrome. I had open surgery for this rare syndrome after many years of tons of tests and no diagnosis. I found through Mayo’s site led me to a group on Facebook-Mals Awareness, which led me to a surgeon. So, so many doctors don’t think this is real but it is. Symptoms are extreme pain in the epigastric area, gi distress, gastroparesis, nausea, vomiting, pain when eating and depending on if you have other vascular compressions, other issues like POTS, SMAS, MAY-Thurner, Ncs, and others. I love that you categorize and explain each area.
Hi, did the surgery help you? How long did it take to see effects? I am asking because I had that surgery as well 6 months ago, but so far it’s the same as before.
@@petiepablo96 the knife stabbing pain in the epigastric area was gone.
Thank you so much for putting these videos out! I've been in chronic and acute reoccurring pains for 18 months now, but have yet to find the cause of it...
Have you found the cure yet? I'm in the same boat
Same but in the gut. It’s crampy and just annoying and terrible
EXCELLENT!! Very amenable to the lay person and primary provider. THANK YOU!
What about stool tests for H. Pylori antigen? Faecal elastase test? Or faecal calprotectin for IBD? Urea breath test? Useful tests prior to imaging.
Thanks for watching and for bringing up these tests! Here's my thoughts on them (keeping in mind, I'm not GI):
- Stool H. pylori antigen: This is useful for identifying the cause and/or risk factors for PUD and gastritis (and gastric cancer), more so than for establishing any of these diagnoses - so similar to checking a HbA1c if concerned about the possibility of gastroparesis. I'm sure there are geographic differences in how these tests are utilized, but at my institution in the US, we use the stool antigen test to supplement endoscopy if one of those diagnoses is identified, particularly in a patient already on PPIs or recent antibiotics (since these will increase the rate of a false negative gastric biopsy for H.pylori). We also use the stool antigen to document successful clearance after H.pylori treatment. Unlike calprotectin, I don't think I would use either test in the decision as to whether or not to order an endoscopy to begin with, but I think it would be reasonable to do so in some circumstances.
- Urea breath test (also for H.pylori): In nearly 20 years of practice, I have literally never seen this test ordered, or even suggested, on a patient.
- Fecal elastase: Has great positive and negative predictive values for exocrine pancreatic insufficiency (a common manifestation of chronic pancreatitis). IMHO, chronic pancreatitis doesn't tend to be a difficult diagnosis to make (though often a difficult disease to treat!), but in situations in which the history was highly suggestive, but imaging did not show any classic findings, fecal elastase would be very helpful there.
- Fecal calprotectin: Used to identify bowel inflammation in patients with chronic diarrhea, most often with IBD. I see it more commonly ordered in patients presenting with chronic diarrhea associated with abdominal pain than in patients presenting primarily with abdominal pain, but it's easy to imagine a scenario in which IBD was possible but relatively unlikely in a patient with chronic abdominal pain, and the calprotectin would push the clinician across the threshold to do a colonoscopy.
*tl;dr:* stool H.pylori antigen, fecal elastase, and fecal calprotectin all have important roles in specific situations. I've never seen the urea breath test ordered.
@@StrongMed It's interesting how different things are done at different places. I use stool H. pylori antigen a fair but, but I probably order H. pylori breath test between once per week and once per month in our diagnostic clinic. It's a unique situation: population not great at returning stool samples, understaffed for GI/upper endoscopy so often many months wait, and very high prevalence of H pylori gastritis and ulcers in the rural population here. I like getting the breath test while the patient is in clinic (assuming no recent antacids, which admittedly is a minority of the time), then I have an answer in a few days. I'm probably a little on the margins of the guidelines/expert consensus too, because I've had a lot of success treating H pylori in patients with chronic abd pain and/or dyspepsia even in the absence of known ulcers. It could be placebo effect, but I've had a high percentage of post-eradication total symptom relief.
Great video as always. you really nailed a difficult subject concisely yet thoroughly. I appreciated the nuance in your consideration of somatization, which is an incredibly difficult topic one could study for multiple lifetimes.
@@StrongMed you mentioned using the stool antigen test to "document the successful clearance of an H. Pylori infection", is this a mandatory protocol you follow, something you strongly suggest to the patient or do you leave it entirely to the discretion of the patient?
@shadow nik, using the stool antigen test to document H.pylori eradication isn't mandatory per se, but strongly recommended unless there is a reason to repeat the EGB + gastric biopsy (which could be used for the same purpose).
@@nickgowen7737 how you treat hpylori to get rid of it for good.i wake up with abdomen pain and hurts even if empty or full.
5 months of pain all over my intestines, burning, stinging, stabbing and aching pain that wont go away.
Same here 😢
How r u now?
@@jajasatorashi136 Got diagnosed with IBS. Had to completely cut out carbonated drinks, chocolate and some wheat products from my diet. The pain has almost completely gone.
@@smoker6683 do you experience back pain along stomach pain?
Hello. How did they diagnose you did you have to do a colonoscopy? Also, did you have other symptoms besides the burning, stabbing pain? In other words did you have gastro symptoms (diarrhea, nausea, constipation, etc)??
sir we want more approaches and you teach so excelllent ....amazing framework by you sir...
I have been having severe, painful N/V/D episodes for as long as I can remember. I'm 52 now. Several a year, sometimes within days of each other. Its been my whole life.
I have celiac disease been gluten free for 6 years, I have had my gall bladder removed, my appendix removed and I am still in horrible ongoing sharp pain in my upper stomach were the liver and spleen are. I'm so tired of this.
Better now?
Were on level 10 in life....won't give up
Me too, except its been since the year 2000 for me, and it still hurts just as bad
Wow i was watching Acute abdominal pain on your channel B4 20minutes ago
For anyone struggling through chronic pains reach out to my handle 👆👆,he’s really helped me a lot for few months now.he delivers nice products.
This is a great video. Thank you
Thank you, Dr Strong for this post. I have learned a lot.
I have a constant abdominal pain ( doesn't go any second ) for about 5-6 years , it feels like my stomach in knots ( but no other symptoms )
now you are ok
Thank you Eric.
Dr. Thank you for your awesome videos, as a fresh IM intern they are pure gold! is there any chance you can make endocrine series?
Thank you,Dr Strong,wonderful lecture as always.
Excellent presentation. Thank you .
I have woken up with a terrible stomach ache every morning for a month and a half. It started when I tapered off of seroquel. Dr has done blood tests and ct scan and nada. ☹️
What where you on seroquel for?
@@ahas1864anxiety and depression. Helped me sleep too.
Thank you dr. This video is extremely helpful to so many individuals including myself. I just sit and listen to you explaining, also the speech you’re well spoken. Thank you.
Hello- I’m in desperate need to find a doctor who can help my mom. She is proving to be a medical mystery- going on almost 8 years. These are just a few things that relate to her: lap band surgery, scar tissue, gut motility, stomach paralysis, 10 years of diarrhea, had stomach nerves burned to try to relieve daily pain, NUMEROUS exploratory surgeries, weight is lower than 100lbs, has to go to hospital at least 4 times a week to get fluids, screams and cries for hours because of pain. 6 different hospitals and still no answers. PLEASE CAN SOMEONE OFFER ANY HELP OR POINT ME IN DIRECTION OF ANYONE ELSE THAT CAN HELP. WE ARE LOSING HOPE.
I'm sincerely sorry about what your mother has been going through. An illness like that is something which impacts an entire family. Unfortunately, if it's unusual or atypical enough that it's been going on for 8 years without a diagnosis, you won't be able to find the answer from TH-cam comments. What you need is a medical professional who prides themselves on being a "diagnostician" (i.e. someone whose clinical area of interest and expertise is making difficult diagnoses) looking through her entire medical record from scratch and spending a long time doing a very thorough, top-to-bottom history and physical exam.
At Stanford, we have multiple clinics for such patients. If the disease presents later in life and seems like an acquired (i.e. non-genetic) illness, we have a "Consultative Medicine Clinic": stanfordhealthcare.org/medical-clinics/consultative-medicine.html
If the disease seems genetic and/or has been present since childhood, there is the Center for Undiagnosed Diseases (undiagnosed.stanford.edu/), which specializes in discovering/describing previously unidentified genetic diseases.
There are a handful of similar clinics at major academic centers throughout the US.
thank you
thank you so much
Good one.
A close DD for AIP is lead poisoning - using antique tea cups and taking alternative medicines need exploring!
How someone can do lead posioning?
I mean iam having pain on mine abdomen as well as kidney side as well looks like chronic pain,I did ultrasound everything is normal..
From last year January iam having such pain
4 yrs of constant pain after gallbladder surgery had edg Colonscope, CT, MRI, ultra.sound blood test, wir test the out down your throat urine test no diagnose demoxitine does not work for pain habe any guesses I like to have hope to alleviate pain. Went to 4 GI Dr are guessing functional will not give diagnosis.
Mine is 6 years on going, tested positive for h.pylori 6 years ago
@@eli4333how does it feels to have h pylori
When my grandmother was taking my mom to her program, I vomited because i was constipated and my stomach was hurting and then I started to have diarrhea.
An additional cause of abdominal pain occuring for close to two months that was elusive despite mutliple ER visits and Abdominal imaging CT, RUQ US labs in a 60 year old woman was intercostal nerve impingement giving sensation of RUQ pain. She randomly got CT of chest abm and pelvis one visit instead of just ab/pelvis and lytic lesion in the vertebrae one higher like T7 then the abd CT's went with what looked like plasmacytoma. She symptomatically improved with Gabapentin as far as abdominal pain and T7 lesion was biopsied and was Diffuse large B cell lymphoma despite no lymphadenopathy in chest or ab/pelvis. Unfortunate but interesting case. She has compensated cirrhosis from hx of NASH so will be a little tricky for chemo but hopefully she does well.
I am wondering if I have something like this. Many er visits and even a laporoscopy. Everything coming back normal now dr wants to send me to pain management. Should I push for ct of chest? I’ve only had ct abdomen and pelvis. My pain goes from a dull pain to stabbing pain that sometimes feels like it’s inside ribs but also radiates all the way up and down right side..
Brilliant
Sir....i have upper abdominal center pain....... sometimes its like all is fine.... sometimes its like knotted feeling.......also heartburn sometimes........could it be perimenopause? My endoscopy,ct scan, h.pylori , sonography all are normal.......feel acidity too......what could it be? Also two doctors also said that ot could be stomach muscle pain😮😮😮.....
I'm sorry but I can't give specific, individualized medical advice here.
My stomach kills me everytime I wake up and it’s really annoying
I'm in so much stomach pain :( it's so so bad.
Me too rn :( how’s your stomach now?
Can I ask? I had already done taking ultrasound and urinalysis it was said that jt was normal but Im still having pain in my left abdomen to the upper part, what should I do and is the ultrasound accurate?
I'm very sorry, but I cannot provide specific, individualized medical advice here. I recommend speaking with your own physician about your medical concerns.
After Christmas 2021, I was constipated because my stomach was hurting a lot and I had bloody stools.
They need to mention endometriosis. I did not see it listed as a cause of abdominal pain. It can cause debilitating abdominal pain. Prior to my hysterectomy I would get bad abdominal pain at times at that time of the month. I had stage four disease. The amount of endometriosis that is found has nothing to do with the amount of pain that a woman can have. I was told that by my doctors.
Endometriosis is mentioned @8:02. I also have a whole video about endometriosis as part of my "underappreciated diseases" series here: th-cam.com/video/QELcUuOaQkI/w-d-xo.html
Great info Dr. Strong. However, my situation is very odd. I have been having (I would say) upper right quadrant pain for more than 2-3 years. It has always been a chronic mild pain that I can tolerate but it come and go. I have noticed that eating a lot of carb and/or greasy food could trigger it. Did an ultra sound and blood tests and got diagnosed with a fatty liver condition and high colesterol but that still not explaining about this ongoing chronic pain. I have none of those critical symtoms you mentioned in the list of diseases and I don't think it's cancer. Could fatty liver is causing this sort of ongoing/prolonged pain? Thank you!
I'm so sorry about your symptoms. Unfortunately, I cannot give specific, individualized medical advice here, but I will say that it is relatively rare for uncomplicated fatty liver disease (a.k.a. non-alcoholic steatohepatitis or NASH) to cause symptoms (hence it's absent mention in the video). I'm not saying it's impossible, but I would want to rule out every other plausible cause first before concluding that was the explanation. (Again, not medical advice - always discuss your personal health concerns with your own physicians!)
I'm feeling sharp dull pain in my upper stomach middle in my tummy for 2-3days continuously I think that pain goes up-to my breast heart is it serious what's medication I don't feel vomiting and loose motion even ones
How r u now
pain
I've been tested for hpylori and gastritis for almost 2 years.ive had gallblader and apendix and I still have upper abdomen as I wake up up.and sometimes shortness of breath and neck pain.
Stop eating meat and dairy
Do you have more diarrhea or constipation?
I'm dying from the pain 💔
Me too
How are you now?
@@kakaking9969how are you?
Is there anything that can help my boyfriend feeling like this he has a chronic stomach pain
Change bf or still with him?
@@tarun3154 change lol
After my friend's birthday party, I had watery diarrhea because my stomach was gurgling.
What about SiBO?
@4:36
I just hope I don't have cancer
Getting so much
●☆● I 100% believe my pain is my PANCREAS..i no longer have a Gallbladder..i told my doctor about my pain she sent me for a ultrasound thinking i might have a hernia..nothing..Then i had a MRI ..once again nothing..zi asked my doctor to check my Pancreas but she said No cause it's a very EXPENSIVE test..I now live in pain everyday along with some heartburn and blodd8ng
I am
Hi everyone
I am 28 years of age. I am getting slight mild pains that comes and goes DAILY, I got it for about 2 months now. What could that possibly be??
This video mentions many possibilities, but beyond that I recommend addressing specific, individualized questions about your health to your own medical care provider.
I eat a banana and my lower stomach ach went away I wonder why?
Hlo .. sorry brother but my close friend has cirhossis with ascites and portal hypertension ... he's non alcoholic and just within 2 weeks he had symptoms .. it the case complicated ???
I'm sorry but I can't offer specific, individualized medical advice here. I recommend your friend speak to his physician about any symptoms he's experiencing.
@@StrongMed sure ... he's in touch with doctor .. just wanted to know his situation
@@StrongMed thanks btw
When I was 8, I was constipated and my stomach was upset, When my grandma was taking my mom to the program, I puked in her car and had diarrhea.
My mom was drunk and vomiting pieces of blood because her stomach was hurting and she was arguing with my dad and I didn't like it.
When I was 7, I ate too many spicy fries 🍟 and I had a stomachache. I had diarrhea.
How long it last.. I have 2weeks of pain with diarrhea after eating spicy food
I laugh reading the comments of people saying they had daily gut pain with severe cramping and gas for two months!! Oh no! Try over 20 years!! I've had every blood test, every abdominal scan, biopsies and upper and lower GI tests, ultrasounds, CT scans, colonoscopy, endoscopy. I've had years long dealing with chiropractic, naturopaths, accupunctures, you name it. I had to retire from my midwife job, I had to stop cooking, shopping, cleaning house, going on a trip, going out to eat. Doctors say the intestinal nerves are just over sensitive. What a bunch of crap! There is no cure for what is going on with me, I suffer daily. Suicide is the only way to stop the constant pain, but I've got a family, won't do that to them. So, it's my lot in life to contend with chronic cramping for the rest of my life. Currently I'm 63 and counting the days I have left before I die
Sad!! Hope u feel better now
Thank you very much