[31M] Experiencing persistent left-sided rib pain and morning nausea

What might be happening

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

• Gastritis or Peptic Ulcer Disease: These conditions are characterized by inflammation or damage to the lining of the stomach or upper small intestine. They can cause pain in the upper abdomen, nausea, and vomiting. The fact that your pain decreases after eating is a common symptom of these conditions.

  • Treatment typically involves medications to decrease stomach acid, such as the omeprazole you're already taking.

• Gastroesophageal Reflux Disease (GERD): This is a 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 chest discomfort. Burping up food after eating is a common symptom.

  • Treatment usually involves lifestyle changes and over-the-counter medications. In some cases, prescription medications or even surgery may be needed.

• Gallstones: These are hard deposits in the gallbladder that can cause pain in the upper right abdomen or under the right shoulder. However, you mentioned your pain is on the left side, which is less typical for gallstones.

  • Treatment may involve a change in diet or, in more serious cases, surgery.

• Pancreatitis: This is inflammation of the pancreas, which can cause pain in the upper abdomen, nausea, and vomiting. However, this is less likely given your symptoms and the results of your CT scan.

  • Treatment usually involves hospitalization, pain medications, and intravenous (IV) fluids.

What you can do

It's important to follow up with your doctor about these symptoms, especially since they have been ongoing for a couple of months. Here are some things you can do in the meantime:

1. Continue taking your omeprazole as prescribed by your doctor.
2. Try to identify any triggers for your symptoms, such as certain foods or activities, and avoid them if possible.
3. Maintain a healthy diet and try to eat smaller, more frequent meals instead of three large meals a day.
4. Stay hydrated and get plenty of rest to help manage your fatigue.

What you should look out for

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

• Severe abdominal pain
• Blood in your stool or vomit
• Unexplained weight loss
• Difficulty swallowing
• Chest pain, especially if it is accompanied by other symptoms such as shortness of breath, jaw or arm pain, or tightness in the chest.

Please remember that while I strive to provide accurate information, I am an AI and not a doctor. It's important to consult with a healthcare professional for an accurate diagnosis and treatment.