[32M] With severe abdominal pain, neurological symptoms, and significant weight loss

What might be happening

Based on the symptoms you have described, several potential conditions could be contributing to your discomfort:

1. Peptic Ulcer Disease: The sharp, burning pain in your mid-stomach area, especially if it worsens with touch or movement, could be indicative of a peptic ulcer. This condition involves sores that develop on the lining of your stomach or the upper part of your small intestine. The presence of blood in your stool and vomit that looks like coffee grounds further supports this possibility.

   • Treatment: Typically involves medications to reduce stomach acid and protect the stomach lining. In severe cases, surgery may be required.

2. Gastritis: Inflammation of the stomach lining can cause similar symptoms, including sharp stomach pain, nausea, and vomiting. Alcohol consumption can exacerbate this condition.

   • Treatment: Often includes medications to reduce stomach acid and lifestyle changes, such as avoiding alcohol and spicy foods.

3. Gallbladder Disease: Given your history of gallbladder issues, the pain and swelling in your mid-stomach area could be related to gallstones or inflammation of the gallbladder.

   • Treatment: May involve medications to dissolve gallstones or surgery to remove the gallbladder.

4. Pancreatitis: Inflammation of the pancreas can cause severe abdominal pain, nausea, vomiting, and weight loss. Alcohol abuse is a common cause of pancreatitis.

   • Treatment: Often requires hospitalization, where you may receive fluids, pain relief, and nutritional support.

5. Liver Disease: Given your history of liver problems and alcohol use, your symptoms could be related to worsening liver function. Symptoms like jaundice (yellowing of the skin), abdominal pain, and swelling are common in advanced liver disease.

   • Treatment: Involves managing symptoms and addressing the underlying cause, such as reducing alcohol intake.

What you can do

1. Seek Immediate Medical Attention: Your symptoms, including severe abdominal pain, blood in your stool and vomit, and significant weight loss, warrant urgent medical evaluation. Please go to the nearest emergency room or contact your healthcare provider immediately.

2. Avoid Alcohol: Given your history of liver and gallbladder issues, avoiding alcohol is crucial to prevent further damage and alleviate symptoms.

3. Stay Hydrated: Drink plenty of water to stay hydrated, especially if you are experiencing frequent bowel movements and vomiting.

4. Follow a Bland Diet: Until you can see a doctor, stick to a bland diet (e.g., bananas, rice, applesauce, toast) to minimize stomach irritation.

What you should look out for

• Worsening Symptoms: If your pain becomes unbearable, or if you experience new symptoms like jaundice, increased heart rate, or confusion, seek immediate medical attention.
• Signs of Infection: Fever, chills, and increased pain could indicate an infection, which requires prompt treatment.
• Severe Dehydration: Symptoms like extreme thirst, dry mouth, and reduced urine output are signs of severe dehydration and need urgent care.

Please remember that this information is not a substitute for professional medical advice. It's essential to consult a healthcare provider for an accurate diagnosis and appropriate treatment.