[18F] Experiencing abdominal and back pain with acid reflux symptoms

Patient Description

An 18-year-old female presents with sharp abdominal pain to the left of the lower rib cage that resolves when lying down, and a dull back pain that worsens upon standing. Both symptoms have persisted for approximately 3 hours. The patient rates the abdominal pain as 6/10 and the back pain as 2/10 in severity. Additionally, she reports a sensation of acid in her throat for the past 3 days, which is exacerbated by sugary drinks. The patient has a medical history of Hypermobile Ehlers-Danlos Syndrome (hEDS) diagnosed 2 years ago and Mitral Valve Prolapse diagnosed 8 years ago. She has an allergy to Minocycline but is not currently on any medications. No recent injuries, substance use, or changes in weight were reported. No family history of gastrointestinal diseases was noted.

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Arora's Assessment

What might be happening

Based on the information you've provided, potential diagnoses include:

  • Gastroesophageal Reflux Disease (GERD): This condition occurs when stomach acid frequently flows back into the tube connecting your mouth and stomach (esophagus). This backwash (acid reflux) can irritate the lining of your esophagus, causing symptoms such as a burning sensation in your chest (heartburn) and a sour taste in your mouth.

    • Treatment typically involves lifestyle modifications, such as avoiding trigger foods and drinks, and medications to reduce stomach acid.
  • Gastritis: This is an inflammation of the stomach lining. The inflammation can be caused by various factors, such as long-term use of certain medications, excessive alcohol consumption, stress, or an autoimmune reaction. Symptoms can include upper abdominal pain, nausea, and indigestion.

    • Treatment typically involves medications to reduce stomach acid and, in some cases, antibiotics to treat an underlying infection.
  • Peptic Ulcer Disease: This condition occurs when painful sores or ulcers develop in the lining of the stomach or first part of the small intestine (the duodenum). Symptoms can include a burning stomach pain, feeling of fullness, bloating, or belching.

    • Treatment typically involves medications to reduce stomach acid and, in some cases, antibiotics to treat an underlying infection.
  • Gallstones: These are hardened deposits in the gallbladder that can cause abdominal pain if they block the bile ducts. The pain is often severe and located in the upper right or center abdomen.

    • Treatment typically involves pain management and, in some cases, surgery to remove the gallbladder.

Please note that these are potential diagnoses based on the symptoms you've described. It's important to consult with a healthcare provider for an accurate diagnosis and treatment.

What you can do

  1. Try to avoid foods and drinks that trigger your heartburn. You've mentioned that sugary drinks seem to exacerbate your symptoms.
  2. Over-the-counter antacids may help to neutralize stomach acid and provide temporary relief. However, frequent use can lead to side effects and mask underlying conditions.
  3. Try to eat smaller, more frequent meals instead of three large meals a day.
  4. Don't lie down or go to bed soon after eating. Wait at least three hours.
  5. Elevate the head of your bed if you regularly experience heartburn at night or while trying to sleep.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Severe, sudden, or persistent abdominal pain
  • Pain that spreads to your back
  • Vomiting blood or having bloody or black stools
  • Difficulty breathing
  • Unexplained weight loss

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care.

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11 mo ago

Top picked over-the-counter products for Acid Reflux (GERD): American College of Gastroenterology Guidelines

People Also Ask


What are the common symptoms of Gastroesophageal Reflux Disease (GERD)?

Common symptoms of GERD include a burning sensation in the chest (heartburn), regurgitation of food or sour liquid, difficulty swallowing, and a sensation of a lump in the throat.


How can Hypermobile Ehlers-Danlos Syndrome (hEDS) affect gastrointestinal health?

Hypermobile Ehlers-Danlos Syndrome can affect gastrointestinal health by causing issues such as delayed gastric emptying, abdominal pain, and increased risk of hernias due to connective tissue fragility.


What lifestyle changes can help manage symptoms of acid reflux?

Lifestyle changes to manage acid reflux include avoiding trigger foods and drinks, eating smaller meals, not lying down soon after eating, elevating the head of the bed, and maintaining a healthy weight.


When should someone with abdominal pain seek immediate medical attention?

Immediate medical attention should be sought if there is severe, sudden, or persistent abdominal pain, pain that spreads to the back, vomiting blood, having bloody or black stools, difficulty breathing, or unexplained weight loss.


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