[24F] Experiencing new onset epigastric pain

Patient Description

A 24-year-old female presents with new onset of epigastric pain described as twisting, throbbing, tight, and a feeling of fullness. The pain began around 5:30pm today and has gradually worsened. The patient is unsure about the last bowel movement but reports no changes in bowel habits, vomiting, black or bloody stools, or sudden weight loss. Additionally, there are no accompanying symptoms such as fever or chills. The patient has no known drug allergies, no pre-existing conditions or chronic illnesses, and is not currently on any medications. There is no family history of gastrointestinal diseases. The patient is currently lying down to alleviate the pain but has not tried any over-the-counter medications or other interventions.

Show More

Arora's Assessment

What might be happening

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

  • Gastritis: This is inflammation of the stomach lining, which can cause a gnawing or burning ache in your upper abdomen. It can be caused by excessive alcohol use, chronic vomiting, stress, or the use of certain medications such as aspirin or other anti-inflammatory drugs. It can also be caused by infection with the bacterium H. pylori.

    • Treatment usually involves taking antacids and other drugs to reduce stomach acid, which can help speed the healing of the stomach lining.

  • Peptic Ulcer: These are 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.

    • Treatment usually involves medications to decrease stomach acid. If an H. pylori infection is present, antibiotics will also be needed.

  • Gallstones: These are hardened deposits in the gallbladder that can cause sudden pain in the upper right abdomen or in the center of your abdomen, just below your breastbone.

    • Treatment may not be necessary if the gallstones are not causing any symptoms. If they are, you may need surgery to remove the gallbladder.

  • Pancreatitis: This is inflammation of the pancreas, which can cause pain in your upper abdomen that radiates to your back.

    • Treatment usually requires hospitalization, where you'll receive fluids, pain medication, and possibly treatment for other complications.

What you can do

While waiting for your doctor's appointment, you can try the following:

  1. Avoid foods and beverages that seem to worsen your symptoms.
  2. Try to eat smaller, more frequent meals instead of three large meals a day.
  3. Over-the-counter antacids may provide some relief.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Severe abdominal pain
  • Blood in your stool or vomit
  • Sudden, sharp abdominal pain that doesn't go away
  • Difficulty breathing

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 appropriate examination, testing, and care recommendations.

Show More

1
 Hugs
0
 Comments

Save

9 mo ago

People Also Ask

What are the common causes of epigastric pain?

Common causes of epigastric pain include gastritis, peptic ulcers, gallstones, and pancreatitis. Other causes can include acid reflux, indigestion, and certain medications.

How can I differentiate between gastritis and a peptic ulcer?

Gastritis often presents with a gnawing or burning ache in the upper abdomen and may be associated with nausea or vomiting. Peptic ulcers typically cause a more localized stomach pain that may improve with eating or antacids. A definitive diagnosis often requires medical evaluation, including endoscopy or imaging.

What lifestyle changes can help alleviate symptoms of gastritis or peptic ulcers?

Lifestyle changes that can help include avoiding foods and beverages that trigger symptoms, eating smaller and more frequent meals, reducing stress, avoiding smoking and alcohol, and using over-the-counter antacids as needed.

When should I seek immediate medical attention for abdominal pain?

Seek immediate medical attention if you experience severe abdominal pain, blood in your stool or vomit, sudden sharp abdominal pain that doesn't go away, or difficulty breathing, as these could indicate a serious condition requiring urgent care.

No comments yet

Be the first one to comment

Share your feedback

All Stories

Experiencing symptoms?

Our AI will conduct a medical interview and assess what might be happening. You can also make a post afterwards.

Share your feedback