[29F] Experiencing upper stomach discomfort and related symptoms

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

• Gastroesophageal Reflux Disease (GERD): This condition occurs when 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 symptoms like heartburn, chest pain, difficulty swallowing, and a sensation of a lump in your throat.

  • Treatment typically involves lifestyle changes and over-the-counter medications. In severe cases, prescription medications or even surgery may be required.

• Gastritis: Inflammation of the stomach lining, which can cause upper abdominal pain, nausea, and bloating. Alcohol can irritate and erode the stomach lining, leading to gastritis.

  • Treatment usually involves taking antacids and other drugs to reduce stomach acid, which helps relieve gastritis symptoms and promotes healing.

• Anxiety: Chronic anxiety can cause a variety of physical symptoms, including gastrointestinal issues like stomach discomfort and diarrhea, as well as chest tightness and difficulty swallowing. The fact that your symptoms seem to worsen with stress could suggest that anxiety is playing a role.

  • Treatment typically involves a combination of psychotherapy (talk therapy), cognitive behavioral therapy, and medication.

What you can do

1. Try to identify and avoid foods and drinks that trigger your heartburn. Common triggers include fatty or fried foods, tomato sauce, alcohol, chocolate, mint, garlic, onion, and caffeine.
2. Try to eat smaller meals and avoid eating 2-3 hours before bedtime.
3. If you're overweight or obese, try to lose weight. Excess pounds put pressure on your abdomen, pushing up your stomach and causing acid to back up into your esophagus.
4. If you smoke, quit. Smoking decreases the lower esophageal sphincter's ability to function properly.
5. Seek help for your anxiety. This could involve seeing a mental health professional for therapy or counseling, or talking to your doctor about medication options.

What you should look out for

Reasons to see a doctor more urgently:

• If you experience severe abdominal pain
• If you have difficulty swallowing or feel like food is getting stuck in your throat
• If you're vomiting blood or have blood in your stool (which can make your stool look black)
• If you're losing weight without trying

Remember, I'm an AI and this advice is based on the information you've given me. It's always a good idea to consult with a healthcare professional who can evaluate you fully and consider other possibilities.