[19F] With sudden onset upper abdominal pain and nausea

What might be happening

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

• Gastritis or Peptic Ulcer Disease: This condition involves inflammation of the stomach lining, which can cause upper abdominal pain and nausea. It can be triggered by factors such as stress, certain medications, or infections. Omeprazole, which you have taken, is often used to reduce stomach acid and help heal the stomach lining.

  • Typical treatments include medications to reduce stomach acid, such as proton pump inhibitors (like omeprazole) or H2 blockers. Lifestyle changes, such as avoiding spicy foods, alcohol, and smoking, can also help.

• Acid Reflux or GERD (Gastroesophageal Reflux Disease): This 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 and cause symptoms like upper abdominal pain and nausea.

  • Treatment often involves lifestyle changes, such as eating smaller meals, avoiding food triggers, and not lying down immediately after eating. Medications like antacids or proton pump inhibitors can also be helpful.

• Functional Dyspepsia: This is a common disorder that causes discomfort or pain in the upper abdomen. It can be related to meals and may be accompanied by nausea.

  • Management includes dietary changes, stress management, and sometimes medications to reduce stomach acid or improve stomach motility.

What you can do

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

1. Dietary Adjustments: Try to identify and avoid foods that trigger your symptoms. Common triggers include spicy foods, caffeine, and fatty foods.
2. Eat Smaller, More Frequent Meals: This can help reduce the burden on your stomach and minimize symptoms.
3. Stay Upright After Eating: Avoid lying down for at least 2-3 hours after meals to prevent acid reflux.
4. Manage Stress: Stress can exacerbate gastrointestinal symptoms, so consider stress-reduction techniques such as deep breathing, meditation, or yoga.
5. Use MDandMe: Keep a journal of your symptoms, dietary habits, and any potential triggers using MDandMe. This can help you track your progress and provide valuable information to your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

• Severe or worsening abdominal pain
• Vomiting blood or having black, tarry stools
• Unexplained weight loss
• Difficulty swallowing
• Persistent nausea or vomiting

Remember, while these suggestions may help alleviate your symptoms, it's important to consult a healthcare professional for a comprehensive evaluation and personalized treatment plan.