[31F] Experiencing constant upper abdominal pain and bloating

Patient Description

A 31-year-old female has been suffering from constant upper abdominal pain and bloating for a few months. The bloating is significant, with the upper belly protruding more than the lower belly, and is present both immediately after eating and gradually over time. The patient rates the bloating severity as 6 or 7 out of 10. The upper stomach pain is described as a burning sensation that intensifies after eating, accompanied by a constant dull discomfort and stomach twitching. Bowel movements occur every 3 days and appear normal, with no recent changes in weight, and no fever, chills, dark or bloody stools. The patient also reports swollen lymph nodes, red ears, and a heavy feeling in the head, but does not believe these are related to the abdominal issues. Current medications include Trintellix, Wellbutrin, Spironolactone, and Adderall, with no known drug allergies or adverse reactions.

Show More

Arora's Assessment

What might be happening

Based on the information you provided, here are some possible explanations for your symptoms:

  • Gastritis or Peptic Ulcer Disease: These conditions are characterized by inflammation or erosion of the stomach lining, which can cause burning pain, especially after eating, and bloating. Gastritis is usually more chronic and can present with a dull ache, while peptic ulcers typically cause a more severe, burning pain.

    • Treatment typically involves medications to reduce stomach acid and protect the stomach lining. In some cases, antibiotics may be needed if a bacterial infection is present.
  • Gallbladder Disease: The gallbladder stores bile, a fluid that helps digest fats. If the gallbladder becomes inflamed or stones form, it can cause upper abdominal pain and bloating. The pain is often worse after eating, especially fatty meals.

    • Treatment can range from dietary changes to medications to surgery, depending on the severity and cause of the gallbladder disease.
  • 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 a burning pain in the stomach.

    • Treatment typically involves lifestyle changes and over-the-counter medications. If these don't help, or if you have severe or frequent symptoms, you may need stronger medications or even surgery.
  • Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine. Signs and symptoms include cramping, abdominal pain, bloating, gas, and diarrhea or constipation, or both.

    • Treatment of IBS is usually focused on relieving symptoms. A variety of changes in diet, lifestyle and stress management can help, along with certain medications.

What you can do

  1. Consult a healthcare professional: Given the duration and severity of your symptoms, it's important to seek medical attention. A healthcare provider can perform a physical examination, order tests, and provide a definitive diagnosis.

  2. Dietary changes: Try to identify and avoid foods that seem to worsen your symptoms. Some people find relief from a low FODMAP diet, which limits certain types of carbohydrates that are harder to digest.

  3. Over-the-counter remedies: Antacids can help neutralize stomach acid and provide temporary relief for mild stomach pain. However, they should not be used long term without a doctor's guidance.

  4. Lifestyle modifications: Regular exercise, adequate sleep, and stress management techniques can help improve many digestive disorders.

What you should look out for

Seek immediate medical attention if you experience:

  • Severe abdominal pain
  • Bloody or black stools
  • Vomiting blood or black material
  • Unexplained weight loss
  • Difficulty swallowing

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

Show More

1
 Hugs
0
 Comments

Save

11 mo ago

People Also Ask


What are the common symptoms of gastritis or peptic ulcer disease?

Common symptoms of gastritis or peptic ulcer disease include a burning pain in the upper abdomen, especially after eating, bloating, nausea, and sometimes vomiting. The pain can be dull or severe, depending on the condition.


How can gallbladder disease cause upper abdominal pain and bloating?

Gallbladder disease can cause upper abdominal pain and bloating because the gallbladder may become inflamed or develop stones, which can block the flow of bile. This often results in pain after eating, particularly after consuming fatty foods.


What lifestyle changes can help manage GERD symptoms?

Lifestyle changes that can help manage GERD symptoms include eating smaller meals, avoiding foods and drinks that trigger reflux (such as spicy foods, alcohol, and caffeine), not lying down immediately after eating, losing weight if overweight, and quitting smoking.


What dietary changes are recommended for managing IBS symptoms?

For managing IBS symptoms, dietary changes such as following a low FODMAP diet, increasing fiber intake, staying hydrated, and avoiding trigger foods like caffeine, alcohol, and fatty foods can be beneficial. It's also important to eat regular meals and avoid large meals.


Preview

Post

No comments yet

Be the first one to comment

Share your feedback