How to end pain and tightness of abdomen

Question #11704

46 days ago

202

How to end pain and tightness of abdomen - #11704

Sachin

I have ultrasound report of abdomen and have sugar report, pain in right side of abdomen from below the chest, weakness, tightness in abdomen since 2-3 months. Suggest where to consult for this problem.

Age: 60

Chronic illnesses: Sugar, pain in abdomen

Pain

Stomach

Tightness

300 INR (~3.53 USD)

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Dr. Shayeque Reza

I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.

45 days ago

Investigation:
Liver Function Test
Kidney Function Test
Blood sugar, HbA1c
Amylase/Lipase (for pancreas)
You should consult a Gastroenterologist first, as most likely the pain is from liver, gallbladder, or stomach-related causes. Since you have diabetes and ongoing pain for months, it is important to get a proper evaluation soon.

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Dr. Mickey Patel

I am a consultant Physician with about 8 years of work after my MBBS and another year post MD — which doesn’t sound like a long time until you start counting the hours in clinics, hospitals, and on-call nights. My training and practice have taken me through all kinds of settings, from busy outpatient departments to ward rounds that stretched late into the night. Over the years, I’ve worked both offline in traditional hospital environments and also online on platfory like Practo — which, honestly, changed the way I see patient care. In-person consults give you body language, subtle signs, that little pause before answering a question. Online care pushes you to listen differently, to pick up clues from how someone explains their symptoms without seeing them in person. It’s not easier or harder, just different. I’ve learned to adapt my approach — detailed history taking, targeted questions, and sometimes even asking the same thing twice in a slightly different way to be sure nothing important is left out. My scope as a physician is broad. General medicine cases form the core — fever, infections, chronic conditions like hypertension, diabetes, thyroid disorders — but there’s also the complex, overlapping presentations where you need to think wider. A patient might come for a persistent cough and leave with a referral for cardiac evaluation… because something in their story didn’t fit the usual respiratory pattern. I’m not the kind of doctor who rushes through just to keep the line moving. I’d rather spend a few extra minutes explaining what’s going on, what the tests are for, and why a certain treatment makes sense. Sometimes people say I ask too many follow-up questions, but honestly, missing details can cost much more later. Medicine changes fast — new studies, new drugs, new guidelines — and I make it a point to stay updated. It’s part professional duty, part personal habit. My goal is always to combine evidence-based medicine with practical, real-world care that actually works for the person sitting (or sometimes typing) in front of me. And yes, my spelling in quick notes might not always win awards, but the care itself stays sharp.

45 days ago

Hello,
As per your concern,there is pain and tightness in abdomen…
As you have diabetes from before,raised suger levels can cause slow movement of you gut,and it may cause feeling of fullness,gastric issues and bloating sensation…
For this issue,you need to control your suger levels and do regular excercise
Take Small meals at frequent intervals…
Consult a Gastrologist/Physician
-Dr Mickey Patel
M.B.B.S,M.D (General Medicine)
Consultant Physician

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Dr. Manmitha Reddy

I am a Pulmonologist, finished my MD in Respiratory Medicine from Govt Medical College, Vijayawada—not too long ago actually, but every single day since then has felt like an extension of that training. Long hours, high-pressure cases, constant reading... that part doesn’t really stop. I deal mostly with breathing problems in all forms—whether it’s someone gasping from a sudden asthma attack, or a slow-deteriorating COPD patient who’s been misdiagnosed for months. And yeah, sleep-disordered breathing too, which lots of people don’t even realize they have until it messes up everything else. My work kinda circles around understanding lungs in all their unpredictable patterns. Some days it’s all about managing interstitial lung disease and trying to get clarity on CT scans that just don’t tell the full story. Other times, I’m handling full-blown pulmonary infections—tuberculosis cases are still common, and they aren’t always textbook straightforward. Add allergies, post-COVID complications, patients with unexplained shortness of breath... it’s a wide net. Each one’s different. Each one demands a different line of thinking, and honestly that's what keeps it interesting (and exhausting, tbh). I don’t really believe in just handing out prescriptions. I spend time explaing why something is happening, what the treatment plan will look like, and—most important—what the patient has to do outside of meds. Respiratory health’s not just about pills... it’s about lifestyle, enviromental triggers, even sleep posture sometimes. I’m very particular about follow-ups too, esp in asthma and COPD. Adjustments need time. And yeah—sometimes even after years of training, you still sit at the end of a day scratching your head over a puzzling lung shadow or a random cough that doesn’t go away. That’s fine, that’s part of it. Keeps you grounded. Keeps you learning.

43 days ago

Hello Sachin ji.
Pain in the right side of abdomen may be due to different causes…
Based on the ultrasound report we can confirm,as u didn’t mention the report we can proceed by
LFT
HBA1 C
RFT
CBP
It can acidity problem soo avoid eating spicy foods, alcohol, smoke,
Maintain good lifestyle by exercise and adequate sleep…avoid stress factors…
But to be sure with the reports
U can consult any general physician or can post ur reports soo we could guide u well with the next steps…
Pray and Hope u have a good health…

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Dr. Nirav Jain

I am a qualified medical doctor with MBBS and DNB Diploma in Family Medicine from NBEMS, and my work has always been centered on treating patients in a complete, not just symptom based way. During my DNB training I rotated through almost every core department—Internal medicine, Pediatrics, Obstetrics & Gynecology, Surgery, Orthopedics, ENT, Dermatology, Psychiatry, Emergency medicine. That mix gave me the skill to manage acute illness, long term disease and preventive care together, something I find very important in family practice. In psychiatry I worked closely with patients who struggled with depression, anxiety, stress related problems, insomnia or substance use. I learned not just about medication but also about simple psychotherapy tools, psycho education and how to talk openly without judgement. I still use that exp in family medicine, specially when chronic disease patients also face mental health issues. My time in General surgery included assisting in minor and major procedures, managing wounds, abscess, sutures and emergencies. While I am not a surgeon, this gave me confidence to recognize surgical cases early, provide first line care and refer fast when needed, which makes a big difference in online or OPD settings. Now I work as a consultant in General medicine and Family practice, with focus on both in-person and online consultation. I treat conditions like fever, infections, gastrointestinal complaints, respiratory illness, and also manage diabetes, hypertension, thyroid disorders, and lifestyle related chronic diseases. I see women for PCOS, contraception counseling, menstrual health, and children for common pediatric issues. I also dedicate time to preventive health, lifestyle counseling and diet-sleep-exercise advice, since these small changes affect long term wellness more than we often realize. My key skills include holistic diagnosis, evidence based treatment, chronic disease management, mental health support, preventive medicine and telemedicine communiation. At the center of all this is one thing—patients should feel heard, safe, and guided with care that is both professional and personal.

45 days ago

Hello Sachin Ji,
It would have been nice if you had shared the details mentioned in your ultrasound report.
Kindly get done a Random Blood Glucose done and see if your sugar levels are high or without range.
If your Ultrasound report is normal or it is showing any liver disease, kindly consult a Physician. Otherwise consult a General Surgeon.
If you want to share your ultrasound report, then you can reply to me below, I’ll be more than happy to help.
Regards,
Dr. Nirav Jain

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Dr. Nirav Jain

45 days ago

Hello Sachin Ji,
I would have helped you better if you had shared the details of your ultrasound report as well.
Kindly do a Random Blood Glucose if you have Glucometer machine at home, if not then get it done from a lab, to rule out if the pain in abdomen in due to complication of your Diabetes/Sugar disease.
If your Ultrasound report is normal or it is showing a liver issue, consult a Physician. Otherwise, consult a General Surgeon.
If you can, please share the details of your ultrasound report down in the reply section, I’ll be more than happy to help.
Regards,
Dr. Nirav Jain
MBBS, DNB D.Fam.Med.

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Dr. Bharat Joshi

I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.

45 days ago

Hello dear
See as per clinical history it seems chances of liver infection like ascites or chronic irritation
I suggest you to please get followers test for confirmation ( if not done already)
Rbs
Lft
Rft
Stomach USG
Esr
CBC
Please share the details with hepatoligist or gastroenterologist for better clarification
Kindly take any medications only after recommendation from concerned physician
Regards

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Dr. Varunkumar J

I am an ENT specialist with over 6 years of clincial practice and in this time I have tried to balance hospital work with building my own setup. Currently I work as Consultant at Meridian Hospital Kolathur and also as visiting consultant at VIHAA Hospital Anna Nagar. Along with this I started SCOPE ENT CLINIC in Villivakkam, which is my own space to treat patients with more time n focus. Running a clinic teaches you different kind of responsibility, not only treatment but also trust, making sure patient feels heard and safe. My practice covers a wide range of ENT issues, from common ear infections, sinus problems, throat disorders to more complex surgical cases. I try to focus on giving indiviualised treatment plans, because each patient story is differnt even if the diagnosis sounds similar. Working in multiple hospitals also let me collabrate with other specialities which is important when dealing with complicated ENT cases linked to allergy, pediatrics or even neuro. Founding my own clinic was both challenging and rewarding. Some days are hard, managing staff, handling emergencies, ensuring things run smooth.. but it gave me chance to create an environment where patients get continuity of care. For me ENT is not just about procedures but also education, I try to explain conditions in simple words, guide on prevention and lifestyle changes that can reduce recurrnce. Over these years, what matters most to me is not just how many cases I handled but the connections built with patients and their families. I want to keep growing, keep learning new techniques and stay updated with advances in ENT, but at the same time keep the human touch alive in practice.

45 days ago

Hi Dear Sachin,
Pain abdomen over the right there are possibilities of simple muscle spasm , hepatomegaly (liver), gall bladder issues or appendix issue or colon issues
Kindly visit a General surgeon with USG A+P
Take care

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Dr. Alan Reji

I'm Dr. Alan Reji, a general dentist with a deep-rooted passion for helping people achieve lasting oral health while making dental visits feel less intimidating. I graduated from Pushpagiri College of Dental Sciences (batch of 2018), and ever since, I've been committed to offering high-quality care that balances both advanced clinical knowledge and genuine compassion for my patients. Starting Dent To Smile here in Palakkad wasn’t just about opening a clinic—it was really about creating a space where people feel relaxed the moment they walk in. Dental care can feel cold or overly clinical, and I’ve always wanted to change that. So I focused on making it warm, easygoing, and centered completely around you. I mix new-age tech with some good old-fashioned values—really listening, explaining stuff without jargon, and making sure you feel involved, not just treated. From regular cleanings to fillings or even cosmetic work, I try my best to keep things smooth and stress-free. No hidden steps. No last-minute surprises. I have a strong interest in patient education and preventive dentistry. I genuinely believe most dental issues can be caught early—or even avoided—when patients are given the right information at the right time. That’s why I take time to talk, not just treat. Helping people understand why something’s happening is as important to me as treating what’s happening. At my practice, I’ve made it a point to stay current with the latest innovations—digital diagnostics, minimally invasive techniques, and smart scheduling that respects people’s time. I also try to make my services accessible and affordable, because good dental care shouldn’t be out of reach for anyone.

45 days ago

Pain and tightness in the right side of the abdomen along with weakness for 2–3 months in a 60-year-old could be related to liver, gallbladder, pancreas, or gastrointestinal conditions. Since you already have ultrasound and sugar reports, these will help in further evaluation. Please consult a gastroenterologist with your reports for a detailed diagnosis and treatment plan.

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Dr. Arsha K Isac

I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.

45 days ago

Hi Sachin,
Please don’t delay the treatment.
Get an appointment of a Gastroenterologist and please show your reports.
He/She will guide you.
Meanwhile;
Eat light and healthy
Avoid oily/ spicy foods
Keep your blood sugar under control.
I trust this helps👍
Thank you Sir

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Dr. Perambalur Ayyadurai Rohith

I am a general physician with more than 10 yr of clinical experiance, and in this time I worked with patients from all age groups, from young kids to elderly with multiple chronic issues. My practice has been wide, but I gradually developed deeper intrest in diabetology. I spend much of my day focusing on prevention, early diagnosis and management of diabetes, using lifestyle modification, medical therapy and regular monitoring. Many patients come worried about complications, and I try to explain things in simple language, whether it is diet, excercise, or understanding lab reports, so they dont feel lost. I also conduct detailed diagnostic evaluation and use evidence based protocols to make sure treatment is reliable and updated, even if sometimes I double check myself when results dont match the clinical picture. Apart from regular OPD practice, I gained strong experiance in occupational health. Over years I worked with multiple companies handling pre employment checks, annual medical exams, workplace wellness programs, and ensuring compliance with industrial health and safety standards. It is diffrent from hospital practice, but equally important, because healthy workers mean safe and productive workplace. I run medical surveillance programs and health awareness sessions in collaboration with corporates, and this also gave me exposure to preventive strategies on a large scale. For me, patient care is not just treatment but building trust. My career revolve around preventive medicine, ethical clinical practice, and continuous learning. I keep myself updated with modern medical protocols, but I also value listening to patient worries, since medicine is not only about lab values but also about how a person feels in daily life. I make mistakes in words sometimes, but in my work I try to be very precise. At end of day, my aim is to provide care that is accessible, evidence based and truly centered on patient well being.

43 days ago

Hello sir,
Pain and tightness in the right side of abdomen for more than 2 months needs careful evaluation because it may be related to liver, gall bladder, pancreas, or intestine.
Since you are diabetic, weakness and abdominal discomfort should not be ignored as sugar control also influences digestion and liver health.
Ultrasound reports give initial guidance but sometimes conditions like fatty liver, gallstones, or intestinal issues need further tests such as liver function test, endoscopy, or CT scan.
For immediate relief, eat small frequent meals, avoid oily and spicy food, drink enough water, and keep sugar levels under control.
You should consult a gastroenterologist as they are the right specialist to handle such problems and guide you if further treatment or procedures are needed.
With timely medical care most abdominal problems improve, so please do not delay visiting a gastroenterology clinic.

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Dr. Abhishek Gill

I am a doctor with 5 years total experience, mostly split between Emergency and Obstetrics & Gynaecology—and honestly both keep you on your toes in totally different ways. In the ER, you don’t get time to second-guess much. Things come at you fast—trauma, active bleeding, breathlessness, collapsed vitals—and you learn to think, act, then think again. But in Obs/Gyn, it’s more layered. One moment you’re handling routine antenatal care, the next you're managing obstructed labour at 3am with everything depending on timing. I try not to treat anyone like "just another case." I take proper history—like actual, detailed listening—and then move step by step. Exam, investigations only if needed (not just because), and explaining things clearly to the patient and attenders. Not gonna lie, sometimes I do repeat myself twice or thrice. People are stressed, they don’t hear it all the first time. Communication I’d say is one of my stronger areas, but not in some fancy textbook way. Just knowing *how* to talk, when to pause, when not to overload info. Like with a first-time mother in pain who doesn’t care about medical terms—she just wants to know if her baby’s okay. Those moments taught me more about medicine than most of my exams. I handle postpartum issues, early pregnancy complications, PCOD, menstrual complaints, emergency contraception consults too—bit of everything. And in casualty shifts, I’ve done everything from inserting Ryle’s tubes to managing hypertensive crises. You have to stay sharp. But also know when to slow down and re-evalutate something that doesn’t fit right. Counselling’s part of the job too. Sometimes patients need reassurance more than a prescription. Sometimes they just need honesty, even if the answer isn't simple. I don’t pretend to have all the answers, but I do care enough to find them. Bit by bit. Every single day.

42 days ago

Hello,
Consult a general surgeon with reports.
Get these tests done also:
1. CBC
2. LFT
3. KFT
4. Urine r/m
Take care

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Dr. Alan Reji

39 days ago

Given your right-sided abdominal pain, weakness, tightness, and a history of sugar (diabetes) issues, it’s important to evaluate both the gastrointestinal and metabolic aspects. You should consult a gastroenterologist first, bringing your ultrasound and sugar reports, so they can assess for liver, gallbladder, pancreas, or intestinal causes. If needed, your primary physician or endocrinologist can also help manage blood sugar and coordinate further tests.

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Dr. Aarav Deshmukh

I am a general physician with 8 years of practice, mostly in urban clinics and semi-rural setups. I began working right after MBBS in a govt hospital in Kerala, and wow — first few months were chaotic, not gonna lie. Since then, I’ve seen 1000s of patients with all kinds of cases — fevers, uncontrolled diabetes, asthma, infections, you name it. I usually work with working-class patients, and that changed how I treat — people don’t always have time or money for fancy tests, so I focus on smart clinical diagnosis and practical treatment. Over time, I’ve developed an interest in preventive care — like helping young adults with early metabolic issues. I also counsel a lot on diet, sleep, and stress — more than half the problems start there anyway. I did a certification in evidence-based practice last year, and I keep learning stuff online. I’m not perfect (nobody is), but I care. I show up, I listen, I adjust when I’m wrong. Every patient needs something slightly different. That’s what keeps this work alive for me.

29 days ago

Based on the symptoms you’re describing — pain on the right side below the chest, ongoing weakness, tightness in the abdomen lasting a few months — it could be tied to several underlying issues, and it’s crucial to get to the bottom of it. A common area of concern in such cases might be the liver or gallbladder. Given that you’ve had an ultrasound and some blood sugar assessments, it might have helped rule out some possibilities or indicate an area of focus. If these tests haven’t been reviewed by a healthcare provider, consulting a gastroenterologist would be a prudent next step. They specialize in digestive system issues and can provide targeted insights. They’ll likely review your ultrasound and sugar reports, and might suggest further diagnostics like liver function tests or possibly an MRI, depending on what’s been identified so far. Additionally, conditions like gallstones or liver issues can sometimes cause the symptoms you’ve described. Weakness and tightness can be linked to a number of metabolic issues, possibly related to blood sugar levels, so it’s important to consider endocrinological evaluation as well. Until then, monitor your symptoms for any changes like fever, severe increase in pain, or jaundice – if these occur, it’s imperative to seek immediate medical care. Avoid heavy meals or spicy foods as they can sometimes exacerbate abdominal symptoms. Stay hydrated, and try to maintain a balanced diet; but don’t delay in seeking professional evaluation.

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