instruction: hello doctor I have pain in my left upper abdomen and feels like something is about to bulge out I smoke and drink too I feel quite congested and full at times and it has affected my activity too sometimes the pain radiates to the back and I have difficulty in breathing as well I am 2 in height but weighs around 10kg I had reactive arthritis with spondyloarthropathy when I was 17 years old and last year I was diagnosed with costochondritis sometimes I take etoricoxib 120 my
output: hi your complaint of left sided pain in the abdomen and its running to the back can be suggestive of one of the following gastritis is the swelling or inflammation of the stomach the acid problems may be due to your obesity as your weight and mi are high 32 89 it may be due to high spicy food alcohol smoking especially in the empty stomach pain killers also can cause it pancreatitis is the inflammation of a deep seated gland called pancreas pain is set on after alcohol intake last for a couple of hours and runs to the back it can be accompanied by vomiting the type of arthritis that you have described can also be associated with some other organ problems but it is less likely what to do about it stop smoking stop taking alcohol at least till this issue has been resolved also I would like to know more about the type and amount you consume and frequency try to lose weight your weight as per your height should be 80 85 keg target for around one to two kilogram loss per week kindly elaborate more regarding your symptom of feeling quite congested and full at times and how exactly this has affected your activity regarding the fullness if you feel a tightness in the abdomen when did it start how has it increased or decreased over the last couple of months do you have regular bowel movements or are you constipated a jumbo plate of salad and drinking three to four liters of water per day will help also it will help reduce weight did you ever need to visit the emergency for this pain if yes what treatment was given please upload the records any investigations done like an ultrasound of abdomen or blood investigations if yes please follow up with the reports if no then I think you should get the following investigations ultrasound of abdomen blood investigations hemoglobin hematocrit hit total leukocyte count tac platelet count test plt ear erythrocyte sedimentation rate serum sodium potassium creatinine urea ast aspartate aminotransferase alt alanine aminotransferase all alkaline phosphatase bilirubin albumin amylase you may require an endoscopy later get back with these questions and investigations or follow up with your doctor in case of severe pain go to a good hospital rather than to stay home and take painkillers