[41F] Experiencing bloating and a palpable lump

What might be happening

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

• Gastroesophageal Reflux Disease (GERD): You've mentioned that you were diagnosed with GERD five years ago. GERD is a chronic 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 can include heartburn, regurgitation, and an uncomfortable feeling in the stomach, often described as bloating.

• Gastritis: This is an inflammation of the stomach lining. Symptoms can include bloating, nausea, and a feeling of fullness in your upper abdomen, especially after eating.

• Gallstones: These are hardened deposits in the gallbladder that can cause a blockage. Symptoms can include bloating, nausea, and a feeling of fullness.

• Peptic Ulcer: This is a sore on the lining of your stomach, upper small intestine or esophagus. Symptoms can include bloating, nausea, and a feeling of fullness.

• Functional Dyspepsia: This is a chronic disorder of sensation and movement in the upper digestive tract. Symptoms can include bloating, nausea, and a feeling of fullness.

Please note that these are possibilities based on the symptoms you've described, and not a definitive diagnosis. It's important to consult with a healthcare professional for an accurate diagnosis.

What you can do

Here are some general suggestions that might help with your symptoms:

1. Dietary Changes: Avoid foods and drinks that trigger your symptoms. Common triggers include fatty or fried foods, tomato sauce, alcohol, chocolate, mint, garlic, onion, and caffeine.

2. Eat Smaller Meals: Large meals can increase pressure in your stomach and cause acid reflux. Try eating smaller meals more frequently throughout the day.

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. Elevate your bed by placing a wedge between your mattress and box spring.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

• Severe, persistent abdominal pain
• Bloody or black stools
• Bloody or black vomit or vomit that looks like coffee grounds

Remember, these are general suggestions and not a substitute for professional medical advice. Please consult with a healthcare professional for an accurate diagnosis and treatment.