[41M] Experiencing severe upper stomach pain with gastrointestinal symptoms

What might be happening

Based on the information you've provided, possible diagnoses include:

• Gastroenteritis: This is inflammation of the stomach and intestines, usually due to a viral or bacterial infection. It can cause symptoms like stomach cramps, nausea, vomiting, and diarrhea.

  • Treatment typically involves rest, hydration, and over-the-counter remedies. Antibiotics may be prescribed if a bacterial infection is suspected.

• Gastritis: This is inflammation of the stomach lining, which can be caused by factors like excessive alcohol consumption, chronic vomiting, stress, or the use of certain medications like aspirin or other anti-inflammatory drugs.

  • Treatment usually involves taking antacids and other drugs to decrease stomach acid, which can help speed the healing process.

• Peptic Ulcer Disease: These are 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 typically involves medications to decrease stomach acid, which can help speed the healing process. In some cases, surgery may be necessary.

• Gallstones: These are hardened deposits in the gallbladder that can cause stomach pain. Your risk of developing gallstones may increase if you're overweight or if you're trying to lose weight quickly.

  • Treatment may not be necessary if you're not in pain or other complications. If you're in pain, your doctor may recommend surgery.

Given your history of acid reflux and a perforated intestine, these conditions could also be contributing to your symptoms.

What you can do

While waiting for your appointment with your doctor, here are some things you can do:

1. Try to rest and stay hydrated. Drink plenty of fluids, but avoid alcohol and caffeine as these can irritate your stomach.
2. Try eating small, bland meals. Avoid spicy, fatty, or fried foods.
3. Continue taking your Prevacid as prescribed by your doctor.

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
• High fever (over 101°F)
• Signs of dehydration, such as dark urine, dry skin, or feeling lightheaded when standing up

Please remember that while I strive to provide accurate information, I'm an AI and not a doctor. It's important to consult with a healthcare professional who can evaluate your symptoms and medical history to provide a diagnosis and treatment plan.