1. What are the potential medical causes of chronic right upper quadrant abdominal pain that worsens postprandially and causes a numb, twisting sensation when sitting, given that previous upper endoscopy, abdominal ultrasound, and 2D echocardiogram results were unremarkable? 2. Is an abdominal CT scan the most appropriate next diagnostic step to investigate this persistent, unexplained right-sided abdominal pain? 3. Can the abrupt discontinuation of Nexito Plus (escitalopram/clonazepam) after two months of continuous use cause withdrawal symptoms such as acute rebound anxiety, chest pain, and tinnitus (hissing in the ears) within a week of cessation? 4. How might a clinical history of sudden cessation of regular alcohol and tobacco use seven months prior relate to these ongoing gastrointestinal and systemic symptoms? | Apollo Pharmacy

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1. What are the potential medical causes of chronic right upper quadrant abdominal pain that worsens postprandially and causes a numb, twisting sensation when sitting, given that previous upper endoscopy, abdominal ultrasound, and 2D echocardiogram results were unremarkable? 2. Is an abdominal CT scan the most appropriate next diagnostic step to investigate this persistent, unexplained right-sided abdominal pain? 3. Can the abrupt discontinuation of Nexito Plus (escitalopram/clonazepam) after two months of continuous use cause withdrawal symptoms such as acute rebound anxiety, chest pain, and tinnitus (hissing in the ears) within a week of cessation? 4. How might a clinical history of sudden cessation of regular alcohol and tobacco use seven months prior relate to these ongoing gastrointestinal and systemic symptoms?

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1. What are the potential medical causes of chronic right upper quadrant abdominal pain that worsens postprandially and causes a numb, twisting sensation when sitting, given that previous upper endoscopy, abdominal ultrasound, and 2D echocardiogram results were unremarkable? 2. Is an abdominal CT scan the most appropriate next diagnostic step to investigate this persistent, unexplained right-sided abdominal pain? 3. Can the abrupt discontinuation of Nexito Plus (escitalopram/clonazepam) after two months of continuous use cause withdrawal symptoms such as acute rebound anxiety, chest pain, and tinnitus (hissing in the ears) within a week of cessation? 4. How might a clinical history of sudden cessation of regular alcohol and tobacco use seven months prior relate to these ongoing gastrointestinal and systemic symptoms?

Asked by Male, 25 · 8 days ago

Vikas Singh

M Pharmacy

8 days ago

Your right-sided pain, especially when sitting, could be musculoskeletal or functional. An abdominal CT scan is indeed a highly appropriate next step to rule out deeper issues. Regarding Nexito Plus (escitalopram/clonazepam), abruptly stopping it after two months can definitely trigger withdrawal symptoms like severe rebound anxiety, chest tightness, and tinnitus. These are common physical reactions to sudden medication cessation, not a permanent relapse. Please consult your doctor to safely manage these symptoms and plan your next scan.

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What are the potential medical causes of chronic right upper quadrant abdominal pain that worsens postprandially and causes a numb, twisting sensation when sitting, given that previous upper endoscopy, abdominal ultrasound, and 2D echocardiogram results were unremarkable?
Is an abdominal CT scan the most appropriate next diagnostic step to investigate this persistent, unexplained right-sided abdominal pain?
Can the abrupt discontinuation of Nexito Plus (escitalopram/clonazepam) after two months of continuous use cause withdrawal symptoms such as acute rebound anxiety, chest pain, and tinnitus (hissing in the ears) within a week of cessation?
How might a clinical history of sudden cessation of regular alcohol and tobacco use seven months prior relate to these ongoing gastrointestinal and systemic symptoms?

Answered 8 days ago

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I have been experiencing palpitations, poor sleep, and chest pain. My triglyceride level is 260, and my liver enzymes (SGPT and SGOT) are elevated. I have been taking Nexito Plus. I previously consulted at Chennai Apollo Hospital. Could you please suggest the best treatment for my condition?

You should consult a doctor, preferably a cardiologist and a hepatologist, to investigate the cause of your chest pain, palpitations, and elevated liver enzymes. Your triglyceride level of 260 is high and may require dietary changes or medications such as fibrates. Your current prescription of Nexito Plus (clonazepam and escitalopram) indicates an underlying anxiety disorder, which may be contributing to your symptoms. It is vital to have your health and medications reviewed by your doctor to ensure these issues are not interlinked and to adjust your treatment plan safely.

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1. What are the potential medical causes of chronic right upper quadrant abdominal pain that worsens postprandially and causes a numb, twisting sensation when sitting, given that previous upper endoscopy, abdominal ultrasound, and 2D echocardiogram results were unremarkable? 2. Is an abdominal CT scan the most appropriate next diagnostic step to investigate this persistent, unexplained right-sided abdominal pain? 3. Can the abrupt discontinuation of Nexito Plus (escitalopram/clonazepam) after two months of continuous use cause withdrawal symptoms such as acute rebound anxiety, chest pain, and tinnitus (hissing in the ears) within a week of cessation? 4. How might a clinical history of sudden cessation of regular alcohol and tobacco use seven months prior relate to these ongoing gastrointestinal and systemic symptoms? | Apollo Pharmacy