[26F] Experiencing chronic and worsening abdominal pain

What might be happening

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

• Gallstones: These are hard deposits in your gallbladder, a small organ under the liver. They can cause pain in the right upper abdomen, especially after eating a fatty meal.

  • Treatment often involves surgery to remove the gallbladder. In some cases, medications may be used to dissolve the stones.

• Gastritis: This is inflammation of the stomach lining. It can cause upper abdominal pain, nausea, and vomiting.

  • Treatment usually involves taking medication to reduce stomach acid.

• Peptic Ulcer: This is a sore on the lining of your stomach or the upper part of your small intestine. It can cause upper abdominal pain, bloating, and a feeling of fullness.

  • Treatment usually involves medication to reduce stomach acid and sometimes antibiotics.

• Gastroesophageal Reflux Disease (GERD): This is a chronic 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 chest pain or discomfort.

  • Treatment usually involves lifestyle changes and over-the-counter medications. In some cases, prescription medications or surgery might be needed.

What you can do

You should definitely see a doctor about your symptoms. They can provide a formal assessment and order relevant tests if necessary. In the meantime, you can try the following to relieve your symptoms:

1. Avoid foods that trigger your symptoms. These might include fatty or fried foods, tomato sauce, alcohol, chocolate, mint, garlic, onion, and caffeine.
2. Eat smaller meals. Avoid overeating by eating smaller meals.
3. Don't lie down after a meal. Wait at least three hours after eating before lying down or going to bed.
4. Elevate the head of your bed. If you don't have a bed that can be raised, insert a wedge between your mattress and box spring to elevate your body from the waist up.

What you should look out for

Seek immediate medical attention if you:

• Have severe abdominal pain
• Have bloody or black stools
• Have bloody or black vomit
• Have difficulty breathing

Please remember that while I strive to provide accurate information, I am an AI and not a doctor. Always consult with a healthcare professional for a formal diagnosis and treatment.