Seeking Expert Help for Ongoing Gastrointestinal Pain Issues

The physician still needs your assistance?

Thank you very much, Director Su, for your response.
However, everyone is currently at a loss and still needs your assistance and help.
Here are the detailed medical conditions:
Gender: Male
Age: 35 years
Pain Location: Upper abdomen, between the two sternum bones
Duration of Illness: From September last year to now, approximately 10 months
Onset Time: Pain starts around 3-4 AM and continues until about 6-7 PM, easing to about 10% of the initial pain level.
Unable to work every day and requires sleeping pills every night to fall asleep.

Pain Description: Initially experienced bloating pain, which has become more intense recently, although the bloating sensation has slightly decreased.

Pain Characteristics: Feels like something is biting.
When in pain, there is a desire to drink water, but drinking does not alleviate the pain, and there is weakness.
Pressure, touching, or walking increases the pain.
Pain occurs before meals, after meals, and on an empty stomach, with no appetite; manages to eat only half a bowl of porridge and half a bowl of vegetables each meal.

Other Symptoms: Previously very sensitive to heat, but this has decreased.
Hearing, taste, and smell have become very sensitive; can only eat very bland food with no oiliness.
Even slight noises are uncomfortable.

Body Temperature: Initially below 36 degrees Celsius, now around 36.5-36.8 degrees Celsius.

Bowel and Urinary Functions: Normal.

Previous Examinations: Gastroscopy, colonoscopy, small bowel imaging, CT scan, abdominal ultrasound, PET scan, salivary nuclear imaging, stool occult blood test, blood tests.
All examinations have not revealed any abnormalities.

The whole family is at a loss.
We hope Director Su can help and advise on the next steps.
Is there any additional information needed? We would be very grateful for your assistance.
Additionally, I would like to inquire about Director Su's clinic hours: 04-23731873, 0910-576-330, Mr.
Lin.

Miss Zheng, 30~39 year old female. Ask Date: 2002/07/03

Dr. Su Baojia reply Gastroenterology and Hepatology

Mr.
Lin has been contacted at 0910-576-330 for a phone response.

Reply Date: 2002/07/03

More Info

It sounds like you are dealing with a very challenging and complex situation regarding ongoing gastrointestinal pain. Based on the detailed symptoms you've described, it appears that you have undergone a comprehensive range of diagnostic tests, including endoscopies, imaging studies, and blood tests, all of which have returned normal results. This can be incredibly frustrating, especially when the pain is persistent and significantly impacts your daily life.

Understanding Your Symptoms
The pain you are experiencing, which seems to be located in the upper abdomen and is described as a "biting" sensation, could potentially be linked to several factors. Given that you have ruled out structural abnormalities through various tests, it is essential to consider functional gastrointestinal disorders. Conditions such as Irritable Bowel Syndrome (IBS) or Functional Dyspepsia could present with similar symptoms, including abdominal pain, bloating, and changes in bowel habits, without any identifiable structural cause.

Additionally, the sensitivity to sound and the need for a very bland diet may suggest a heightened state of anxiety or stress, which can exacerbate gastrointestinal symptoms. Stress and anxiety can lead to increased gut sensitivity and may manifest as physical symptoms, including pain and discomfort.

Next Steps for Management
1. Consult a Gastroenterologist: Since you have already seen multiple specialists, it may be beneficial to revisit a gastroenterologist who specializes in functional gastrointestinal disorders. They may suggest further evaluation or different treatment approaches that focus on symptom management rather than structural issues.

2. Consider Psychological Support: Given the chronic nature of your symptoms and the psychological impact they have had on your life (e.g., reliance on sleep medications), consulting with a mental health professional could be beneficial. Cognitive Behavioral Therapy (CBT) has been shown to help individuals with chronic pain and gastrointestinal issues by addressing the psychological aspects of pain perception.

3. Dietary Adjustments: While you mentioned needing to eat very bland foods, it may be helpful to work with a dietitian who specializes in gastrointestinal health. They can help identify any potential food intolerances or sensitivities and guide you on a diet that minimizes symptoms while ensuring you receive adequate nutrition.

4. Symptom Tracking: Keeping a detailed diary of your symptoms, dietary intake, and any stressors can help identify patterns or triggers that exacerbate your pain. This information can be invaluable for your healthcare providers in tailoring a treatment plan.

5. Medications: Depending on the diagnosis, medications such as antispasmodics, proton pump inhibitors (PPIs), or even low-dose antidepressants may be considered to help manage pain and improve gastrointestinal function.

6. Alternative Therapies: Some patients find relief through complementary therapies such as acupuncture, yoga, or mindfulness meditation, which can help reduce stress and improve overall well-being.

Conclusion
Your situation is undoubtedly complex, and it may take time to find the right combination of treatments that work for you. It is crucial to maintain open communication with your healthcare providers and advocate for your health. If you feel that your concerns are not being addressed, seeking a second opinion or a referral to a specialized center may be warranted. Remember, you are not alone in this journey, and there are resources and support available to help you manage your symptoms effectively.

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