[34M] With upper abdominal pain exacerbated by eating

Patient Description

A 34-year-old male presents with a one-week history of dull upper abdominal pain located centrally just below the sternum. The pain is exacerbated by eating or drinking and has been rated as mild to moderate in severity. The patient reports no relief from antacids and denies any associated symptoms such as nausea, vomiting, bloating, belching, or changes in stool color. There is no history of recent dietary changes, increased stress, alcohol consumption, or use of NSAIDs. The patient has not been tested for Helicobacter pylori infection and has not traveled to areas where the infection is common. The patient's medical history is otherwise unremarkable, with no known chronic illnesses or pre-existing conditions.

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Arora's Assessment

What might be happening

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

  1. Gastritis: This is an inflammation of the stomach lining that can cause upper abdominal pain, especially after eating. It can be triggered by factors like stress, certain medications, or infections. Treatment typically involves medications to reduce stomach acid and dietary modifications.

  2. Peptic Ulcer: This is a sore that develops on the lining of the stomach or the first part of the small intestine. It can cause dull pain in the upper abdomen, often worsening with eating. Testing for Helicobacter pylori, a common cause of ulcers, might be recommended. Treatment usually involves medications to reduce acid and antibiotics if an infection is present.

  3. Functional Dyspepsia: This is a common condition characterized by persistent upper abdominal discomfort without an identifiable cause. It can be managed with dietary changes, stress management, and sometimes medications to reduce stomach acid.

What you can do

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

  1. Dietary Adjustments: Try eating smaller, more frequent meals and avoid foods that can irritate your stomach, such as spicy, fatty, or acidic foods.

  2. Avoid Alcohol and Smoking: These can irritate the stomach lining and exacerbate symptoms.

  3. Stress Management: Practice relaxation techniques such as deep breathing, meditation, or yoga to help manage stress, which can impact your digestive health.

  4. Symptom Tracking: Use MDandMe to journal your symptoms, track any changes, and share this information with your healthcare provider. This can help in identifying patterns or triggers.

What you should look out for

Seek medical attention if you experience any of the following:

  • Severe or persistent abdominal pain
  • Vomiting blood or having black, tarry stools
  • Unexplained weight loss
  • Difficulty swallowing

These could be signs of a more serious condition that requires prompt medical evaluation. Remember, it's always best to consult with a healthcare professional for an accurate diagnosis and appropriate treatment.

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2 mo ago

People Also Ask


What are the common causes of upper abdominal pain that worsens after eating?

Common causes of upper abdominal pain that worsens after eating include gastritis, peptic ulcers, and functional dyspepsia. These conditions can be triggered by factors such as infections, stress, or dietary habits.


How is Helicobacter pylori infection related to peptic ulcers?

Helicobacter pylori is a bacterium that can infect the stomach lining and is a common cause of peptic ulcers. It can lead to inflammation and damage to the stomach or duodenal lining, resulting in ulcers.


What lifestyle changes can help manage symptoms of gastritis or functional dyspepsia?

Lifestyle changes that can help manage symptoms include eating smaller, more frequent meals, avoiding spicy, fatty, or acidic foods, reducing alcohol and smoking, and practicing stress management techniques like meditation or yoga.


When should I seek medical attention for abdominal pain?

You should seek medical attention if you experience severe or persistent abdominal pain, vomiting blood, black or tarry stools, unexplained weight loss, or difficulty swallowing, as these could indicate a more serious condition.


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