[23M] Experiencing localized abdominal discomfort

Patient Description

A 23-year-old male reports a persistent discomfort in the stomach region, characterized by a slight poking pain and a pushing sensation located below the left chest. The pain is described as mild, rated at a 2 on a scale of 10, and has been present for a few days. The patient has not identified any measures that relieve the discomfort. Bowel movements are described as small, with no other gastrointestinal symptoms such as changes in stool character. There are no accompanying symptoms like fever, chills, changes in appetite, or weight loss. The pain is localized to one spot and does not radiate.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible causes for your symptoms include:

  • Gastritis: This is an inflammation of the stomach lining, which can cause discomfort or a gnawing or burning pain in your upper abdomen. It can be caused by excessive alcohol use, chronic vomiting, stress, or the use of certain medications.

    • Treatment typically involves medications to decrease stomach acid, which can help speed the healing of the stomach lining.
  • Peptic Ulcer: This is a sore on the lining of your stomach, upper small intestine or esophagus. Pain that feels like a dull, gnawing ache or that gets worse or better with eating is a common symptom.

    • Treatment typically involves medications to decrease stomach acid, which can help the ulcer heal.
  • Gallstones: These are hardened deposits in the gallbladder that can cause a sudden pain in the upper right abdomen or in the center of your abdomen, just below your breastbone. The pain can sometimes radiate to your back.

    • Treatment may not be necessary unless the gallstones cause symptoms.
  • Pancreatitis: This is inflammation of the pancreas, which can cause upper abdominal pain that may radiate to your back.

    • Treatment typically involves hospitalization for intravenous (IV) fluids, antibiotics, and medication to relieve pain.

What you can do

You should make an appointment with your healthcare provider to discuss your symptoms. They may want to perform tests to determine the cause of your pain. In the meantime, you can try the following to alleviate your symptoms:

  1. Avoid foods and drinks that seem to trigger your symptoms.
  2. Limit or avoid alcohol.
  3. Try to eat smaller, more frequent meals instead of three large meals a day.
  4. Over-the-counter antacids may help, but consult with your healthcare provider before starting any new medication.

What you should look out for

You should seek immediate medical attention if:

  • Your pain becomes severe or constant.
  • You have bloody or black, tarry stools.
  • You have a high fever or chills.
  • You have yellowing of your skin or the whites of your eyes (jaundice).
  • You have nausea and vomiting that doesn't go away.

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 accurate information.

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9 mo ago


People Also Ask


What are common causes of mild stomach pain below the left chest?

Common causes of mild stomach pain below the left chest include gastritis, peptic ulcers, gallstones, and pancreatitis. It's important to consult a healthcare provider for an accurate diagnosis.


How can gastritis be treated and managed at home?

Gastritis can often be managed at home by avoiding foods and drinks that trigger symptoms, limiting alcohol, eating smaller meals, and using over-the-counter antacids. However, it's important to consult with a healthcare provider before starting any new treatment.


What symptoms indicate that I should seek immediate medical attention for stomach pain?

You should seek immediate medical attention if your stomach pain becomes severe or constant, if you have bloody or black stools, a high fever, chills, jaundice, or persistent nausea and vomiting.


Can lifestyle changes help alleviate symptoms of peptic ulcers or gastritis?

Yes, lifestyle changes such as avoiding trigger foods, limiting alcohol, eating smaller meals, and managing stress can help alleviate symptoms of peptic ulcers or gastritis. It's also important to follow any treatment plan prescribed by your healthcare provider.


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