I often had epigastric pain. I’ve see a doctor and I was diagnosed with Maag. I still feel the pain even though I’ve got the drugs. Are there any other diseases?
November 22, 2012
Dear Ms. Lutfi,
Epigastric pain can be a symptom of dyspepsia syndrome when accompanied by other symptoms such as nausea , bloating , vomiting , feeling full quickly , feeling of fullness , frequent belching or maybe burning sensation in the chest .
Laymen know dyspepsia as “Maag” , whose symptoms are usually pain in the pit of the stomach . Pain is usually related to the wound ( ulcer ) / blisters on the stomach wall .
Dyspepsia usually occurs when there is an imbalance between the stomach wall defense and the confounding factors , such as : excessive stomach acid production , Helicobacter pylori infections , impaired movement of the gastrointestinal tract , the influence of substances / certain drugs and even the effects of stress .
The most important thing in medicine is to find the cause of the symptoms and signs .
“Maag” symptoms can sometimes also arise due to injuries in the esophagus or throat , esophageal cancer , gastric cancer , liver cancer , biliary tract disease , gland inflammation of the stomach and can even be a manifestation of a heart attack . Gastrointestinal movement disorder can occur in people with diabetes . In people with kidney disorders and chronic liver disease , dyspepsia complaints are prevalent.
Therefore , when we are experiencing dyspepsia , we should see a doctor , especially if the complaint is accompanied by signs and symptoms : evidence of gastrointestinal bleeding , weight loss , swallowing disorders or continuous vomiting , anemia / iron deficiency anemia and gastrointestinal tumors . Those signs and symptoms are alarm signals for immediate follow-up endoscopic examination / binoculars upper gastrointestinal tract .
The doctor will conduct a medical interview , physical examination and a thorough investigation which is required to establish the diagnosis .
Investigations may include blood tests such as examination of peripheral blood ( Hb , ht , leukocytes , platelets ) , liver function tests , kidney function tests , blood sugar tests , stool examination for detection of occult blood , as far as upper gastrointestinal tract endoscopy if necessary.
At certain cases , the doctor may perform diagnostic and treatment with gastric acid inhibitors provide while performing monitor the response to treatment.
Try again to consult your doctor and ask his opinion on the possibility of further investigation to establish the diagnosis of your epigastric pain. Your doctor may give referral consultation when necessary.
Hope you can recover soon .
Rachmat Hamonangan, MD. FINASIM
Posted: August 1, 2013 at 1:02 pm