[39M] Experiencing epigastric pain and pressure

What might be happening

Based on the information you've provided, possible diagnoses 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. Symptoms include a burning sensation in your chest (heartburn), usually after eating, which might be worse at night, and chest pain.

  • Treatment typically starts with over-the-counter medications that control acid. If you don't experience relief within a few weeks, your doctor might recommend prescription medication or surgery.

• Gastritis: This is an inflammation of the stomach lining. The inflammation of gastritis is most often the result of infection with the same bacterium that causes most stomach ulcers. Regular use of certain pain relievers and drinking too much alcohol can also contribute to gastritis.

  • Treatment of gastritis depends on the specific cause. Acute gastritis caused by nonsteroidal anti-inflammatory drugs or alcohol may be relieved by stopping use of those substances.

• Peptic Ulcer: Peptic ulcers are open sores that develop on the inside lining of your stomach and the upper portion of your small intestine. The most common symptom of a peptic ulcer is stomach pain.

  • Treatment usually involves killing the bacteria, eliminating or reducing use of NSAIDs, if possible, and helping your ulcer to heal with medication.

What you can do

It would be best to consult a doctor about your symptoms so that they can provide a formal assessment and order relevant tests if necessary. 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. Place wood or cement blocks under the feet of your bed so that the head end is raised by 6 to 9 inches.

What you should look out for

Reasons to see a doctor more urgently:

• If you experience severe abdominal pain or discomfort that doesn't go away
• If you have black or tarry stool or vomit that looks like coffee grounds
• If you have a decreased appetite or unintentional weight loss
• If you have trouble swallowing

Remember, I'm an AI and this advice is not a substitute for professional medical advice. Please consult a healthcare professional for a formal diagnosis.