[19F] Experiencing chest pain and stomach burning postprandial

Patient Description

A 19-year-old female reports sharp chest pain that transitions to an ache approximately 10 minutes after eating, rating the pain severity as 8 out of 10. The patient has been experiencing a burning sensation in the stomach since 2021, which is exacerbated by certain foods including chips, potatoes, and high fiber foods, as well as by drinking too much water or juice. The patient also experiences nausea and feels gassy without the ability to burp. There has been a noted sudden weight loss. The patient's medical history includes a negative test for H. pylori after an initial positive result and a diagnosis of anemia in 2021. The patient is currently taking Metamucil and has a known allergy to penicillins. No other medications are reported.

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Arora's Assessment

What might be happening

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

  • Gastroesophageal Reflux Disease (GERD): This is a condition where 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 and cause symptoms like chest pain and a burning sensation in your stomach. It can be triggered by certain foods and drinks, including those you mentioned.

    • Treatment typically involves lifestyle changes and over-the-counter medications. In more severe cases, prescription medications or surgery might be needed.
  • Gastritis: This is an inflammation of the stomach lining. It can cause a burning pain in your upper abdomen and other symptoms such as nausea and bloating. Gastritis can be caused by various factors, including long-term use of certain medications, bacterial infections, and certain diseases and conditions.

    • Treatment depends on the specific cause of gastritis. It might involve treating the underlying cause, changes to your diet, or medications to decrease the acid in your stomach.
  • Peptic Ulcer Disease (PUD): Peptic ulcers are open sores that develop on the inside lining of your stomach and the upper portion of your small intestine. The most common symptom of a peptic ulcer is stomach pain, which can feel like a burning sensation. PUD can also cause weight loss and bloating.

    • Treatment typically involves medications to reduce stomach acid and protect the stomach lining. If caused by a bacterial infection, antibiotics may be prescribed.
  • Gallstones: These are hardened deposits in the gallbladder that can cause pain in the upper right abdomen. This pain can sometimes radiate to the chest. Certain foods can trigger a gallbladder attack, leading to more severe pain.

    • Treatment may involve medications to dissolve gallstones or 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 professional for a formal diagnosis.

What you can do

Here are some general suggestions that might help alleviate your symptoms:

  1. Dietary Changes: Avoid foods and drinks that trigger your symptoms. These might include fatty and fried foods, chocolate, caffeine, alcohol, and certain spices. Instead, try to eat smaller, more frequent meals throughout the day.

  2. Over-the-Counter Medications: Antacids can help neutralize stomach acid and provide short-term relief. Other over-the-counter medications, such as H-2-receptor blockers and proton pump inhibitors, can reduce stomach acid and help heal your esophagus.

  3. Lifestyle Changes: Try to maintain a healthy weight, as excess pounds can put pressure on your abdomen and worsen your symptoms. If you smoke, quit. Smoking can interfere with the function of the muscle that keeps acid in your stomach.

What you should look out for

Please seek immediate medical attention if you experience:

  • Severe abdominal pain
  • Difficulty swallowing
  • Vomiting blood or black material
  • Black or tarry stools
  • Shortness of breath or chest pain that radiates to your jaw, neck or arm

Remember, this advice is intended to be general in nature, and specific causes may need different approaches. Always consult with a healthcare professional for accurate information.

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11 mo ago

People Also Ask


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

Common symptoms of GERD include heartburn, chest pain, regurgitation of food or sour liquid, and difficulty swallowing. It can also cause a burning sensation in the stomach and be triggered by certain foods and drinks.


How can dietary changes help manage gastritis symptoms?

Dietary changes can help manage gastritis by avoiding foods and drinks that irritate the stomach lining, such as spicy foods, alcohol, and caffeine. Eating smaller, more frequent meals and avoiding late-night eating can also help reduce symptoms.


What are the potential causes of sudden weight loss in someone with stomach issues?

Sudden weight loss in someone with stomach issues can be caused by conditions like peptic ulcer disease, gastritis, or GERD, which may lead to reduced appetite, nausea, or difficulty eating. It can also be a result of malabsorption or increased metabolic demands due to inflammation.


What are the treatment options for peptic ulcer disease?

Treatment options for peptic ulcer disease typically include medications to reduce stomach acid, such as proton pump inhibitors or H-2-receptor blockers, and protect the stomach lining. If the ulcer is caused by a bacterial infection, antibiotics may be prescribed. Lifestyle changes and dietary modifications can also support healing.


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