[44F] Experiencing abdominal bloating, pain, and swelling

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

• Gastritis or Gastric Ulcer: Inflammation, irritation, or erosion of the lining of the stomach, which can be caused by various factors, including long-term use of certain painkillers, excessive alcohol consumption, stress, or infections. Symptoms can include bloating, abdominal pain, and a burning sensation in the stomach.

  • Treatment typically involves medications to decrease stomach acid, which allows the stomach lining to heal. In some cases, antibiotics may be needed to clear up an infection.

• Gastroesophageal Reflux Disease (GERD): 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, causing symptoms such as heartburn, regurgitation of food, and bloating.

  • Treatment often includes lifestyle modifications (such as avoiding trigger foods, not eating close to bedtime, and maintaining a healthy weight) and over-the-counter or prescription medications to reduce or block stomach acid.

• Irritable Bowel Syndrome (IBS): A common disorder that affects the large intestine and can cause cramping, abdominal pain, bloating, gas, and diarrhea or constipation.

  • Treatment focuses on long-term management of symptoms and can include changes in diet, lifestyle, and stress management. In some cases, medication or counseling may be recommended.

• Anxiety: Anxiety can sometimes cause physical symptoms, including gastrointestinal issues like bloating and abdominal pain. Given your history of anxiety, it's possible that this could be contributing to your symptoms.

  • Treatment typically involves a combination of psychotherapy (counseling), medications, and coping strategies to manage symptoms.

Please note that these are just possibilities and not a definitive diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis and treatment.

What you can do

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

1. Keep a symptom diary: Note down when your symptoms occur, what you're eating and drinking, and any other factors that might be relevant (like stress levels). This can help identify any patterns or triggers.

2. Try dietary changes: Some people find that certain foods can exacerbate their symptoms. Common culprits include spicy foods, caffeine, alcohol, and fatty foods. Try eliminating these from your diet to see if your symptoms improve.

3. Stay hydrated: Drinking plenty of water can help with digestion and reduce bloating.

4. Try relaxation techniques: Given your history of anxiety, techniques such as deep breathing, meditation, or yoga might help manage 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
• Unexplained weight loss
• Difficulty swallowing
• Persistent vomiting
• Symptoms that persist despite dietary changes and over-the-counter treatments

Remember, while I strive to provide accurate information, I'm not a doctor. Always consult with a healthcare provider for a formal diagnosis and treatment.