[32M] With persistent diaphragm soreness and abdominal bloating post heavy alcohol consumption

What might be happening

Based on the symptoms you've described, here are some possible explanations:

• Gastroesophageal Reflux Disease (GERD): GERD 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. Symptoms can include a burning sensation in your chest (heartburn), regurgitation of food or sour liquid, and difficulty swallowing. The soreness in your diaphragm and the bloating could be related to this condition.

  • Treatment: GERD is often managed with lifestyle changes and over-the-counter medications. Avoiding alcohol, caffeine, and spicy foods can help. Medications like antacids, H2 blockers, or proton pump inhibitors (PPIs) can reduce stomach acid.

• Hiatal Hernia: This condition occurs when the upper part of your stomach bulges through the diaphragm into your chest cavity. It can cause symptoms similar to GERD, including heartburn, bloating, and discomfort in the upper abdomen.

  • Treatment: Treatment may include lifestyle changes, medications to reduce stomach acid, and in some cases, surgery.

• Alcohol-Induced Gastritis: Heavy alcohol consumption can irritate and erode the stomach lining, leading to inflammation and symptoms like bloating, abdominal pain, and burping.

  • Treatment: Avoiding alcohol and taking medications to reduce stomach acid can help. Eating smaller, more frequent meals and avoiding spicy foods can also be beneficial.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take to alleviate your symptoms:

1. Avoid Alcohol and Caffeine: These can irritate your stomach lining and exacerbate symptoms.
2. Eat Smaller, More Frequent Meals: This can help reduce bloating and discomfort.
3. Stay Upright After Eating: Avoid lying down immediately after meals to prevent acid reflux.
4. Elevate Your Head While Sleeping: Raising the head of your bed can help prevent acid reflux during the night.
5. Over-the-Counter Medications: Antacids, H2 blockers, or PPIs can help reduce stomach acid and relieve symptoms.
6. Hydrate: Drink plenty of water to help with digestion and reduce bloating.
7. Use MDandMe: Journal your symptoms, track your progress, and share your notes with your healthcare provider for better insights.

What you should look out for

Seek medical attention if you experience any of the following:

• Severe or worsening abdominal pain
• Difficulty swallowing or persistent pain when swallowing
• Unexplained weight loss
• Vomiting blood or having black, tarry stools
• Persistent chest pain or shortness of breath

Remember, while I can provide information and suggestions, it's important to consult a healthcare professional for a formal diagnosis and appropriate treatment.