Abdominal pain below ribcage, nausea, pain, gas, vomiting. Why is this happening?
Patient: Hello, I have had pain in the center of stomach - right below sternum/rib cage. Ate 1/2 of a sandwich and an hour later got very nauseated, pain and very bad gas which all lasted 3 days. This previously happened a month ago also with me - the same symptoms but I threw up 3 times in one day last time. What do you think it is. It's been 7 days now and still have the pain under rib cage. Thank You. Doctor: Hi, Thanks for posting your query.Do you have acidic belching/ retrosternal burning pain/ difficulty in swallowing?Do you have constipation/ watery diarrhea and spasmodic abdominal pain?With the available described details, there appears to be possibility of gastritis.Presence of pain in defined region suggests the diagnosis.You should consult with internal medicine specialist/ gastroenterologist and should go for thorough check up. You should go for complete blood count, serum amylase, liver function test, renal function test, ultrasound imaging and endoscopy for better clarification.You should also go for chest x ray.You should also go for urea breathe test for H. Pylori. Treatment depends on exact diagnosis.Meanwhile, you should take proton pump inhibitors along with prokientics and antispasmodics.Take care,Dr. Mayank Bhargava