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- Thu Feb 02, 2006 9:33 pm
hi i am 43 years old and ive had type 2 diabetes for 2 years now and im controlling it by diet and exercise. i have lost 20kg and i go to gym 4 times a week. just recently i have had upper left rib pain it sometimes can be real grabbing and hurts to stand bend etc. also when i skip or jump at gym it really hurts. i am also experiencing constipation although i eat allbran and hi bran weetbix. i have noticed my stools vary from brown to sometimes a dark colour but not all the time. i think its gallstones.
what do u think.
| Dr. Safaa Mahmoud
- Thu Jan 04, 2007 1:10 pm
It is more likely to be related to a GI problem that include:
- Inappropriate contraction of the esophageal muscles causes Chest pain that can be severe and sometimes is felt as a lump or tightness in the chest with difficult swallowing and bad breathing.
Acid reflux causes severe pain and discomfort in the chest. Others may experience a feeling like the food stuck in their throat or tightness in the throat, dry Cough and Shortness of breath similar to Asthma.
Stress and smoking can increase these symptoms. Certain foods as well are known to aggravate the condition, and you better avoid them.
- Psychological or emotional stress and Anxiety, in these cases the diagnosis is made by exclusion of other causes.
Commonly people who have IBS complaint of Abdominal pain or colic
A bloated abdomen
Either Diarrhea or constipation or an alternating between both of them
- Muscle spasm also hould be excluded , it can cause similar pain and result from inappropriate posture or sudden wrong movement.
In these cases, self care and avoiding the precipitating cause will lead to a gradual but clear improvement in the pain
Diagnosis is made by complete history taking, physical examination, investigations like Upper Endoscopy, Manometric studies, and other lab tests that can be recommended by the doctor accordingly.
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