[31M] Experiencing localized stomach ache and bloating

Patient Description

A 31-year-old male reports having a stomach ache at a specific point near the right side of the belly button, particularly when hungry, and feeling bloated for approximately one week. The patient finds relief using Gas-X, suggesting that the bloating may be related to gas. There is no mention of specific foods exacerbating the condition, and the patient has not provided details on the duration or constancy of the bloating.

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Arora's Assessment

What might be happening

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

  • Gastritis: This is an inflammation of the stomach lining, which can cause pain and bloating. It can be caused by various factors such as certain medications, excessive alcohol consumption, and infections.

    • Treatment usually involves lifestyle changes such as avoiding alcohol and spicy foods, and medications to reduce stomach acid.
  • Peptic Ulcer: This is a sore that develops on the lining of the stomach, upper small intestine or esophagus. The symptoms you've described, especially the pain that seems to be localized to one spot and is worse when you're hungry, are characteristic of a peptic ulcer.

    • Treatment usually involves medications to reduce stomach acid, and in some cases, antibiotics to treat a Helicobacter pylori infection.
  • 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 bloating.

    • Treatment usually involves lifestyle changes and over-the-counter medications. If these don't help, your doctor might recommend prescription medications or surgery.
  • Gallstones: These are hardened deposits in the gallbladder that can cause pain and bloating. The pain is usually felt in the upper right abdomen.

    • Treatment may not be necessary if the gallstones are not causing symptoms. If they are, treatment options include medications to dissolve the gallstones or surgery to remove the gallbladder.

Remember, these are just possibilities and not a definitive diagnosis. Please consult with a healthcare professional for an accurate diagnosis.

What you can do

Here are some general suggestions that might help alleviate your symptoms:

  1. Try to identify any food or drink that might be triggering your symptoms and avoid them.
  2. Eat smaller, more frequent meals instead of three large meals a day.
  3. Avoid lying down or going to bed soon after eating.
  4. Over-the-counter antacids or acid blockers can provide short-term relief.

What you should look out for

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

  • Severe abdominal pain
  • Blood in your stool or black, tarry stools
  • Blood in your vomit or vomit that looks like coffee grounds
  • Unexplained weight loss
  • Difficulty swallowing

Please remember that while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.

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1 yr ago

People Also Ask


What are the common causes of stomach pain near the belly button?

Common causes of stomach pain near the belly button include gastritis, peptic ulcers, appendicitis, and sometimes issues related to the intestines such as gas or constipation. It's important to consider other symptoms and consult a healthcare professional for an accurate diagnosis.


How can I differentiate between gastritis and a peptic ulcer?

Gastritis often causes a general burning or gnawing pain in the upper abdomen, while a peptic ulcer typically causes more localized pain that may worsen when the stomach is empty. Both conditions can cause bloating and discomfort, but a healthcare provider can perform tests to differentiate between them.


What lifestyle changes can help alleviate symptoms of GERD?

Lifestyle changes that can help alleviate symptoms of GERD include avoiding foods and drinks that trigger reflux (such as spicy foods, caffeine, and alcohol), eating smaller meals, not lying down immediately after eating, losing weight if overweight, and elevating the head of the bed.


When should I seek medical attention for stomach pain and bloating?

You should seek medical attention if you experience severe abdominal pain, blood in your stool or vomit, unexplained weight loss, or difficulty swallowing, as these could be signs of a more serious condition.


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