[23M] With abdominal pain, indigestion, and insomnia

Patient Description

A 23-year-old male reports experiencing abdominal pain, indigestion, loss of appetite, and hard stools. Additionally, he has had trouble falling asleep for the past two nights, which he attributes to the abdominal pain. This has led to increased stress and a mild feeling of depression, affecting his daily routine and mood. No relaxation techniques or changes to bedtime routine have been tried to alleviate the insomnia.

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Arora's Assessment

What might be happening

Based on your symptoms, here are some possible explanations:

  • Gastroesophageal Reflux Disease (GERD): This condition can cause indigestion and abdominal pain. It often leads to discomfort that can disrupt sleep.

    • Treatment typically involves dietary changes, avoiding late meals, and possibly medications like antacids.
  • Constipation: Hard stools and abdominal pain can be due to constipation, which might also affect your appetite.

    • Increasing fiber intake, staying hydrated, and regular exercise can help alleviate symptoms.
  • Stress or Anxiety: Stress can lead to digestive issues and insomnia, creating a cycle of discomfort and sleep disruption.

    • Techniques like mindfulness, relaxation exercises, or speaking with a therapist can be beneficial.

What you can do

  1. Dietary Adjustments: Try eating smaller, more frequent meals and avoid spicy or fatty foods that might worsen indigestion.
  2. Hydration and Fiber: Drink plenty of water and include fiber-rich foods in your diet to help with constipation.
  3. Sleep Hygiene: Establish a calming bedtime routine. Avoid screens before bed and try relaxation techniques like deep breathing.
  4. Track Symptoms: Use MDandMe to journal your symptoms, track your progress, and share insights with your healthcare provider.

What you should look out for

Seek medical attention if you experience:

  • Severe or worsening abdominal pain
  • Blood in your stool
  • Unintentional weight loss
  • Persistent insomnia affecting your daily life

Remember, it's important to consult a healthcare professional for a formal diagnosis and personalized treatment plan.

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6 mo ago

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

People Also Ask


What are common causes of abdominal pain and indigestion in young adults?

Common causes of abdominal pain and indigestion in young adults include gastroesophageal reflux disease (GERD), stress, dietary habits, and sometimes infections or food intolerances. It's important to identify the underlying cause to address the symptoms effectively.


How can constipation lead to abdominal pain and loss of appetite?

Constipation can lead to abdominal pain and loss of appetite because the buildup of stool in the intestines can cause discomfort and bloating, which may reduce the desire to eat. Increasing fiber intake, staying hydrated, and regular physical activity can help alleviate constipation.


What are some effective relaxation techniques to improve sleep?

Effective relaxation techniques to improve sleep include deep breathing exercises, progressive muscle relaxation, meditation, and establishing a consistent bedtime routine. Avoiding screens and caffeine before bed can also help promote better sleep.


When should someone seek medical attention for insomnia and digestive issues?

Medical attention should be sought if insomnia and digestive issues are persistent and significantly affect daily life, if there is severe or worsening abdominal pain, blood in the stool, or unintentional weight loss. These could be signs of a more serious underlying condition that requires professional evaluation.


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