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Questions for Dr. Kennedy
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digestive and other concerns
Posted by: Annie
Date: October 24, 2002 2:43 AM

I am a 42 year old female, vegatarian, non dairy, 50% + raw food diet, health conscious. Despite all this I have the following current problem , which I also suffered from 12 months ago. At that time I completed a gallbladder cleanse, and it settled around the same time. The problem is a dull gnawing pain in my upper epigastric area, no back or shoulder pain, tender to touch, not excruciating, comes on occassionally middle of night, or early evening before dinner. It seems to be relieved by food. I know I have had low HCL levels. I do take supplements. Ultrasound of gallbladder, pancreas, and liver 12 months ago showed no abnormalities except a small non-significant change in the lower lobule of the liver. I use homoeopathic medicines usually as treatment and nutritional supplements. I am interested in your thoughts of this pain. Also for the past year I have had a very itchy area on my left shoulder blade/ uppper back, no rash is evident, although recently area raised. Would this be related?

Also I have a nipple discharge from an isolated duct on squeezing only. Twice this has been spontaneous during stress over a 2 year period, otherwise no problems. Ultrasound and thermography, even mammography is clear; my doctor is not interested in this. Do you think it would be worthwhile having the discharge analyzed or anything else done?

RE: digestive and other concerns
Posted by: Ron Kennedy, M.D.
Date: October 24, 2002 3:59 AM

I presume you mean the mid-epigastium. The most common item which causes pain in this area is duodenal ulcer. A barium swallow study would diagnose that problem. Almost any organ in the abdomen, and even the heart can also refer pain to that area, so there are no sure bets here, but ulcer fits with the rest of your story. The itch is probably not related. As to the nipple discharge, I doubt if analysis would yield much information. The best course here would be watchful waiting to see if anything else turns up. Bear in mind that I am speaking only in general terms and not advising you specifically. In all matters I defer to the doctor who has seen you in person.

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