[29F] Experiencing upper abdominal burning sensation and potential acid reflux

Patient Description

A 29-year-old female has been experiencing a burning sensation in the upper abdomen since last Friday, with the pain occasionally spreading throughout the abdomen. The pain, rated 5-6 out of 10, is alleviated by medications such as Pepto-Bismol and Tums, as per doctor's orders. The patient has noted that the consumption of certain foods and drinks, like Big Red and greasy foods, seems to trigger heartburn. There is no nausea, vomiting, difficulty swallowing, or changes in bowel movements, and no fever or chills are present. The patient has a family history of ulcers on her biological father's side. She has been diagnosed with epilepsy since toddlerhood, which is managed with Keppra 750 mg taken twice daily, and she also takes an unspecified vitamin supplement. The patient has known allergies to Cefzil and Zoloft, which cause hives. There is no improvement in symptoms, and the patient has been advised to consider visiting the ER if the condition persists.

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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 be caused by factors such as alcohol consumption, long-term use of nonsteroidal anti-inflammatory drugs, and bacterial infection. Symptoms can include a burning sensation in the stomach, nausea, and vomiting.

    • Treatment typically involves medications to decrease stomach acid, which can help speed the healing of the stomach lining.
  • 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 acid reflux can irritate the lining of your esophagus and cause symptoms such as heartburn and regurgitation of food or sour liquid.

    • Treatment usually involves lifestyle changes and over-the-counter medications. If these don't help, your doctor might recommend prescription medications or surgery.
  • Peptic Ulcer Disease: This is a condition where painful sores or ulcers develop in the lining of the stomach or the first part of the small intestine (duodenum). Alcohol consumption can increase your risk of developing peptic ulcers.

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

What you can do

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

  1. Avoid foods and drinks that trigger your symptoms. These might include alcohol, caffeine, carbonated drinks, chocolate, citrus fruits and juices, tomatoes, mustard, mint, spicy foods, fatty foods, and fried foods.
  2. Eat smaller meals. Large meals can increase pressure in your stomach and cause acid reflux.
  3. Don't lie down after eating. Wait at least three hours after eating before lying down or going to bed.
  4. Elevate the head of your bed. If you regularly experience heartburn while trying to sleep, put gravity to work for you. Place wood or cement blocks under the feet of your bed so that the head end is raised by 6 to 9 inches.

What you should look out for

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

  • Severe abdominal pain
  • Difficulty swallowing
  • Persistent nausea or vomiting
  • Vomit that is bloody or looks like coffee grounds
  • Stool that is bloody or black

Please remember that while I strive to provide accurate information, I'm not a doctor. You should consult with a healthcare professional for a formal diagnosis and treatment.

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10 mo ago

People Also Ask


What are common triggers for heartburn and how can they be avoided?

Common triggers for heartburn include spicy foods, fatty foods, chocolate, caffeine, alcohol, and carbonated drinks. To avoid heartburn, try to identify and eliminate these triggers from your diet, eat smaller meals, and avoid lying down immediately after eating.


How can lifestyle changes help manage symptoms of GERD?

Lifestyle changes that can help manage GERD symptoms include avoiding trigger foods, eating smaller meals, not lying down after eating, and elevating the head of your bed. These changes can reduce the frequency and severity of acid reflux.


What are the potential complications of untreated gastritis or peptic ulcers?

Untreated gastritis can lead to complications such as stomach bleeding, ulcers, and an increased risk of stomach cancer. Peptic ulcers can cause severe pain, bleeding, and perforation of the stomach or intestinal lining, which can be life-threatening.


What should I do if over-the-counter medications do not relieve my heartburn symptoms?

If over-the-counter medications do not relieve your heartburn symptoms, it is important to consult a healthcare professional. They may recommend prescription medications, further diagnostic tests, or lifestyle modifications to better manage your condition.


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