[18F] With abdominal pain and bloating

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

• Gastritis or Peptic Ulcer Disease: Gastritis is the inflammation of the stomach lining, and peptic ulcers are sores that develop on the lining of the stomach or the first part of the small intestine. Both conditions can cause sharp pain, especially when eating, and can lead to feelings of fullness, bloating, and nausea.

  • Typical Treatments: Treatment often includes medications to reduce stomach acid, such as proton pump inhibitors (PPIs) or H2 blockers. Antibiotics may be prescribed if an infection with H. pylori bacteria is present. Lifestyle changes, such as avoiding spicy foods, alcohol, and smoking, can also help.

• Gastroparesis: This condition involves delayed stomach emptying and is more common in people with diabetes. It can cause symptoms like feeling full quickly, bloating, nausea, and abdominal pain.

  • Typical Treatments: Management includes dietary changes (eating smaller, more frequent meals), medications to stimulate stomach motility, and managing blood sugar levels more tightly.

• Functional Dyspepsia: This is a common disorder that causes discomfort or pain in the upper abdomen. Symptoms can include bloating, nausea, and feeling full quickly.

  • Typical Treatments: Treatment may involve medications to reduce stomach acid, prokinetics to help with stomach emptying, and dietary changes to avoid trigger foods.

What you can do

While it's important to consult a healthcare provider for a formal diagnosis and treatment plan, here are some steps you can take to help manage your symptoms:

1. Dietary Adjustments: Try eating smaller, more frequent meals instead of large meals. Avoid foods that are spicy, fatty, or acidic, as they can exacerbate symptoms.
2. Stay Hydrated: Drink plenty of water throughout the day, but avoid drinking large amounts during meals.
3. Monitor Blood Sugar Levels: Since you have type one diabetes, keeping your blood sugar levels well-controlled can help manage symptoms, especially if gastroparesis is a concern.
4. Use MDandMe: Journal your symptoms, track your progress, and get insights. This can help you identify any patterns or triggers and provide useful information to your healthcare provider.

What you should look out for

Seek medical attention more urgently if you experience any of the following:

• Severe or worsening abdominal pain
• Vomiting that prevents you from keeping food or liquids down
• Unintentional weight loss
• Blood in your stool or black, tarry stools
• High fever or chills

Remember, while these suggestions can help manage your symptoms, it's crucial to consult a healthcare provider for a formal diagnosis and appropriate treatment.