[27M] Experiencing upper abdominal pain, bloating, and back pain

Patient Description

A 27-year-old male reports dull and cramping upper abdominal pain, rated 7/10, persisting for a few weeks with associated bloating. The pain does not appear to be influenced by meals and is relieved by laying down. The patient also experiences occasional nausea without vomiting and has had a recent unquantified weight change. Normal bowel movements were reported. No fever, chills, jaundice, or vomiting are present. Additionally, the patient reports concurrent back pain, although details regarding the back pain are limited. No further information on the back pain's onset, location, or characteristics is provided.

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Arora's Assessment

What might be happening

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

  • Gastritis: This is an inflammation of the stomach lining, which can cause upper abdominal pain, nausea, and bloating. It can be caused by various factors, such as bacterial infection, long-term use of certain medications, or excessive alcohol consumption.

    • Treatment typically involves medications to reduce stomach acid and, if applicable, antibiotics to treat bacterial infections.
  • Peptic Ulcer Disease: This condition is characterized by sores that develop on the lining of the stomach, upper small intestine, or esophagus. It can cause a burning stomach pain, bloating, and nausea.

    • Treatment usually involves medications to reduce stomach acid and, if applicable, antibiotics to treat bacterial infections.
  • Gallstones: These are hard deposits in the gallbladder that can cause pain in the upper right abdomen. However, you did not mention pain in the right upper quadrant specifically, so this is less likely.

    • Treatment can range from watchful waiting to surgical removal of the gallbladder.
  • Pancreatitis: This is inflammation of the pancreas, which can cause upper abdominal pain that radiates to the back, nausea, and bloating. However, this condition usually causes severe pain and is often associated with alcohol abuse or gallstones.

    • Treatment typically involves hospitalization for pain control and fluid resuscitation.

Please note that these are possible diagnoses and you should see a healthcare provider for an accurate diagnosis and treatment.

What you can do

  1. Try to identify any triggers for your abdominal pain, such as certain foods or activities, and avoid them if possible.
  2. Over-the-counter antacids may help to relieve your symptoms. However, you should not rely on these for long-term management without seeing a healthcare provider.
  3. Stay hydrated and try to eat small, frequent meals instead of large meals.
  4. Rest and avoid strenuous activities, as these can exacerbate abdominal pain.

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
  • Unexplained weight loss
  • Yellowing of your skin or eyes
  • Persistent vomiting or inability to keep down fluids
  • High fever (temperature over 100.4°F)

Remember, I'm an AI and this advice is based on the information you've provided. It's always important to consult with a healthcare provider for an accurate diagnosis and treatment.

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11 mo ago

People Also Ask


What are the common causes of upper abdominal pain that persists for weeks?

Common causes of persistent upper abdominal pain include gastritis, peptic ulcer disease, gallstones, and pancreatitis. Each condition has specific characteristics, but they often share symptoms like pain, bloating, and nausea.


How can gastritis be distinguished from peptic ulcer disease based on symptoms?

Gastritis often presents with a dull, gnawing pain and is associated with nausea and bloating. Peptic ulcer disease typically causes a burning pain that may improve with eating or antacids. Both conditions can have overlapping symptoms, so medical evaluation is necessary for a definitive diagnosis.


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

Lifestyle changes that can help include avoiding foods and drinks that irritate the stomach, such as spicy foods, alcohol, and caffeine. Eating smaller, more frequent meals, reducing stress, and avoiding NSAIDs can also be beneficial.


When should someone with upper abdominal pain seek immediate medical attention?

Immediate medical attention should be sought if there is severe abdominal pain, blood in stool or vomit, unexplained weight loss, jaundice, persistent vomiting, or a high fever, as these could indicate a more serious condition.


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