[28F] Experiencing upper abdominal pain

Patient Description

A 28-year-old female presents with a 2-day history of dull, burning pain in the upper abdomen, located just below the chest bone and above the belly button. The pain is persistent and does not seem to be relieved by any measures. The patient also reports associated symptoms of nausea and bloating. The symptoms are present after eating and on an empty stomach. There is no history of fever, chills, vomiting, or abnormal bowel movements. The last bowel movement was described as normal. The patient denies any known drug allergies or adverse reactions to medications and reports no current use of medications. There is no known past medical history of chronic illnesses or conditions.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are a few possibilities:

  • 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, including long-term use of certain pain relievers, bacterial infection, and excessive alcohol consumption.

    • Treatment typically involves medications to decrease stomach acid, which allows the stomach lining to heal.
  • Peptic Ulcer Disease: This condition involves 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, which can feel like a dull ache or burning sensation.

    • Treatment usually involves medications to reduce stomach acid and antibiotics to kill the bacteria that might be causing the ulcer.
  • 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 upper abdominal pain.

    • Treatment typically involves lifestyle changes and over-the-counter medications to reduce stomach acid.

Please note that these are only possibilities and not a definitive diagnosis. It's important to consult with a healthcare professional for an accurate diagnosis and treatment.

What you can do

While waiting for a medical consultation, here are some things you can do to help manage your symptoms:

  1. Avoid foods and drinks that can irritate your stomach, such as spicy foods, alcohol, and caffeinated drinks.
  2. Eat smaller, more frequent meals instead of three large meals a day.
  3. Don't lie down immediately after eating. Wait at least three hours after eating before lying down or going to bed.
  4. Over-the-counter antacids may help temporarily relieve your symptoms. However, they should not be used for more than two weeks without consulting a healthcare professional.

What you should look out for

Seek immediate medical attention if you experience:

  • Severe abdominal pain
  • Bloody or black stools
  • Bloody or black vomit or vomit that looks like coffee grounds
  • Difficulty swallowing
  • Unintended weight loss

These could be signs of a more serious condition. Remember, it's important to consult with a healthcare professional for an accurate diagnosis and treatment.

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10 mo ago

People Also Ask


What are the common causes of gastritis?

Common causes of gastritis include long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs), excessive alcohol consumption, stress, and infection with Helicobacter pylori bacteria.


How can I differentiate between gastritis and peptic ulcer disease?

Gastritis often presents with a burning pain in the upper abdomen, nausea, and bloating, while peptic ulcer disease typically causes a more localized burning or gnawing pain that may improve or worsen with eating. A definitive diagnosis usually requires medical evaluation, including endoscopy or imaging.


What lifestyle changes can help manage GERD symptoms?

Lifestyle changes to manage GERD include avoiding trigger foods (such as spicy or fatty foods), eating smaller meals, not lying down immediately after eating, elevating the head of the bed, and maintaining a healthy weight.


When should I seek immediate medical attention for abdominal pain?

Seek immediate medical attention if you experience severe abdominal pain, bloody or black stools, bloody or black vomit, difficulty swallowing, or unintended weight loss, as these could indicate a more serious condition.


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