[37M] Experiencing recurrent mild burning sensation in the right upper quadrant

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

• 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, causing a burning sensation. You mentioned that your symptoms improved with the use of a Proton Pump Inhibitor (PPI), a medication often used to treat GERD, which supports this possibility.

  • Treatment typically involves lifestyle changes and over-the-counter medications. In severe cases, prescription medications or surgery might be needed.

• Gastritis: This is an inflammation, irritation, or erosion of the lining of the stomach. It can occur suddenly (acute) or gradually (chronic). Gastritis can also cause a burning pain in your upper abdomen, and can be relieved by antacids or other similar medications.

  • Treatment involves taking medications to decrease stomach acid, which can help speed healing.

• Peptic Ulcer: This is a sore on the lining of your stomach or the first part of your small intestine (duodenum). It can cause a burning pain in your upper abdomen, and can also be relieved by antacids or other similar medications.

  • Treatment typically involves medications to decrease stomach acid, which can help speed healing.

Please note that these are just possibilities based on your symptoms. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

In the meantime, you can try the following to alleviate your symptoms:

1. Avoid foods and drinks that trigger heartburn. Common triggers include fatty or fried foods, tomato sauce, alcohol, chocolate, mint, garlic, onion, and caffeine.
2. Eat smaller meals. Avoid overeating by eating smaller meals.
3. Don't lie down after a meal. Wait at least three hours after eating before lying down or going to bed.
4. Elevate the head of your bed. If you regularly experience heartburn while trying to sleep, put gravity to work for you.
5. Don't smoke, and if you already do, try to quit. Smoking decreases the lower esophageal sphincter's ability to function properly.

What you should look out for

Reasons to see a doctor more urgently:

• If your symptoms persist despite lifestyle changes and over-the-counter medications
• If you have severe, persistent abdominal pain
• If you have bloody or black stools
• If you have bloody or black vomit or vomit that looks like coffee grounds
• If you have difficulty swallowing

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.