[28F] Experiencing persistent stomach pain and chest heaviness

What might be happening

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

• Gastritis or Peptic Ulcer Disease: These conditions can cause a gnawing or burning pain in your stomach that can feel like hunger. They can be caused by long-term use of NSAIDs like ibuprofen, infection with a bacterium called Helicobacter pylori, or less commonly, stress or certain autoimmune disorders.

  • Treatment typically involves medications to decrease stomach acid and, if applicable, antibiotics to treat H. pylori infection.

• Gastroenteritis: This is an inflammation of the lining of the intestines caused by a virus, bacteria or parasites. Viral gastroenteritis is particularly common and is often referred to as stomach flu. Your recent fever and chills could be related to this.

  • Treatment usually involves rest, hydration, and over-the-counter remedies. Antibiotics may be necessary if a bacterial cause is identified.

• Gastroesophageal Reflux Disease (GERD): This is a chronic disease that occurs when stomach acid or bile flows into your food pipe (esophagus). The backwash (reflux) can irritate the lining of your esophagus and cause heartburn.

  • Treatment typically involves lifestyle modifications and over-the-counter or prescription medications to decrease or block acid production and reduce heartburn.

• Gallstones: These are hardened deposits in the gallbladder that can cause a sudden and rapidly intensifying pain in the upper middle or upper right abdomen.

  • Treatment may not be necessary unless the gallstones cause symptoms. In cases where treatment is needed, it may involve surgery or medications to dissolve the gallstones.

What you can do

1. Continue to monitor your symptoms. If your symptoms persist or worsen, seek medical attention promptly.
2. Stay hydrated and maintain a balanced diet. Avoid foods that seem to trigger your symptoms.
3. Over-the-counter antacids may help with your stomach discomfort. However, they should not be used long term without consulting a healthcare provider.
4. Try to avoid NSAIDs like ibuprofen, as these can sometimes worsen stomach pain.
5. Rest as much as possible to allow your body to recover.

What you should look out for

Seek immediate medical attention if you experience any of the following:

• Severe abdominal pain
• Blood in your stool or black, tarry stools
• High fever or shaking chills
• Persistent vomiting or vomiting blood
• Signs of dehydration such as excessive thirst, dry mouth, little to no urination, severe weakness, dizziness, or lightheadedness

Please remember that while I strive to provide accurate information, I'm an AI and not a doctor. It's important to consult with a healthcare provider for an accurate diagnosis and treatment.