[43M] Experiencing severe, persistent stomach pain

What might be happening

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

• Gastroenteritis: This is an inflammation of the stomach and intestines, usually resulting from a bacterial or viral infection. Symptoms typically include abdominal pain, nausea, and diarrhea. However, you did not report having diarrhea which is common in gastroenteritis.

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

• Gastritis: This is an inflammation of the stomach lining, which can cause severe stomach pain and nausea. It can be caused by various factors, including long-term use of NSAIDs, infection with Helicobacter pylori, or excessive alcohol consumption.

  • Treatment usually involves medications to reduce stomach acid and possibly antibiotics if an infection is present.

• Peptic Ulcer Disease: This condition is characterized by sores or ulcers in the lining of the stomach or the first part of the small intestine (the duodenum). It can cause severe stomach pain and nausea, and the pain is often described as burning or gnawing.

  • Treatment usually involves medications to reduce stomach acid, protect the lining of the stomach and duodenum, and possibly antibiotics if an infection is present.

• Gallstones: These are hard deposits in the gallbladder that can cause severe abdominal pain if they block the bile ducts. The pain is often described as sharp and crampy, and it can be worse after meals.

  • Treatment may involve medications to dissolve the gallstones or surgery to remove the gallbladder.

• Pancreatitis: This is an inflammation of the pancreas, which can cause severe abdominal pain and nausea. The pain is often worse after eating and may radiate to the back.

  • Treatment usually involves hospitalization for pain management and treatment of the underlying cause.

Please note that this is not an exhaustive list and other conditions may also explain your symptoms.

What you can do

Given the severity and duration of your symptoms, it's important to seek medical attention as soon as possible. A healthcare professional can evaluate your condition, order appropriate tests, and provide the necessary treatment.

In the meantime, try to stay hydrated and avoid any foods or drinks that seem to worsen your symptoms. Over-the-counter antacids may provide some relief, but they should not be used as a substitute for medical evaluation and treatment.

What you should look out for

Seek immediate medical attention if you experience any of the following:

• Severe abdominal pain that is worsening or not improving
• Vomiting blood or having bloody or black stools
• High fever (temperature over 100.4°F)
• Signs of dehydration, such as dry mouth, decreased urination, or feeling faint

Remember, I'm an AI and this advice is based on the information you've provided. It's always important to consult with a healthcare professional for an accurate diagnosis and treatment.