[39F] Experiencing epigastric pain and nausea

What might be happening

Based on the information provided, possible diagnoses include:

• Gastritis or Peptic Ulcer Disease: These conditions are characterized by inflammation or damage to the lining of the stomach or upper small intestine. This can cause a burning pain in the upper abdomen, nausea, bloating, and early satiety. The pain can sometimes feel like a dull ache or a sharp, stabbing sensation.

  • Treatment typically involves medications to reduce stomach acid and protect the stomach lining. In some cases, antibiotics may be needed if a bacterial infection is present.

• Gallstones or Cholecystitis: These conditions involve the gallbladder, which is located in the upper right part of the abdomen. Gallstones can block the bile ducts, causing sharp pain, nausea, and bloating. Cholecystitis is inflammation of the gallbladder, often caused by gallstones.

  • Treatment can range from dietary changes to medications to dissolve gallstones, or surgery to remove the gallbladder.

• Gastroesophageal Reflux Disease (GERD): This is a chronic condition where stomach acid flows back into the esophagus, causing heartburn and other symptoms. It can also cause a burning sensation in the upper abdomen and nausea.

  • Treatment typically involves lifestyle changes and medications to reduce stomach acid.

• Functional Dyspepsia: This is a chronic disorder of sensation and movement in the upper digestive tract, which can cause symptoms like pain in the upper abdomen, bloating, and early satiety.

  • Treatment typically involves dietary changes, medications to help the stomach empty more quickly, reduce acid or help control pain, and stress management techniques.

What you can do

While waiting for a formal diagnosis from a healthcare professional, you can try the following to manage your symptoms:

1. Eat smaller, more frequent meals instead of three large meals a day.
2. Avoid foods and drinks that can irritate your stomach, such as spicy foods, alcohol, and caffeine.
3. Try to reduce stress as much as possible, as stress can worsen many digestive conditions.
4. Over-the-counter antacids may help with temporary relief of your symptoms.
5. Continue taking your prescribed medications, but discuss with your healthcare provider if they could be contributing to your symptoms.

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
• Unintentional weight loss
• Difficulty swallowing
• Persistent vomiting

Please remember that 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.