Good morning I have severe pain in my stomach...

Causes and treatment of stomach pain:

Feeling stomach pain is one of the common complain among people, and it has many causes that are identified through clinical examination and evaluation, and among the causes of pain is peptic ulcers, ant its due to many factors, including infection with a germ H.pylori, as well as excess secretion of stomach acid, also factors such as smoking, too much coffee, an unhealthy lifestyle, and other factors such as taking painkillers.

The ulcer may be treated by combating H. pylori infection through triple therapy, which includes omeprazole 40 twice a day, amoxicillin twice a day of 1 gram, and clarithromycin 500 mg treatment. All of these treatments are taken for 7 days and may be repeated. To another 7 days. The stomach ulcers may be exposed to complications, including acute exacerbation, bleeding or perforation, , which are an emergency situation and requires immediate intervention to repair or control the bleeding. You should avoid consuming coffee and  other stimulants such as drugs containing steroid and non-steroidal analgesics. You should also avoid acidic foods and avoid spices, in addition to avoiding smoking and avoiding chocolate. Foods such as yogurt and cabbage are rich in "good" bacteria called probiotics, apples, etc. Oatmeal and other high-fiber foods are beneficial for ulcers in two ways. Fiber can reduce the amount of acid in the stomach while easing bloating and pain.

One of the causes is also gastroesophageal reflux or the presence of hiatal hernia, and treatment is through lifestyle changes in addition to sleeping at a 45-degree angle and eating meals less frequently and for more periods and sometimes surgical intervention may be required.

It is also imperative to identify the causes that are related to gallbladder and pancreatic infections, and treatment for them, which is through antibiotics in addition to surgery.

One of the causes of the pain that should be evaluated is cardiac condition such as angina or MI , which can cause pain that may need some intervention weather by medication or catheterization.

Diagnosis:

The doctor performs a clinical examination and makes a detailed medical history and evaluation, and thus determines the necessary tests, which may include blood tests to identify infections or anemia, as well as organ functions to identify physical ailments that may be Accompanied by gastric ulcers. And also by performing a stomach endoscopy to view and classify the ulcers and take samples for microscopic study if necessary, and to measure stomach acidity (PH), which is one of the causes of ulcers. . Also, imaging may be required, such as an ultrasound of the abdomen and other x-rays that are determined through the examination. Cardiac evaluation also important and may include ECG, Cardiac ECHO, stress tests, and cath.

Associated symptoms:

The patient may suffer from one or more of the following:

• Diarrhea
• stomach ache
• Acidity
• Weight loss
• Vomiting of the blood
• Anemia
• Vomiting
• Nausea
• Fatigue
• blood in stool
• Anorexia
• Other