[46M] Experiencing persistent upper abdominal bloating

What might be happening

Based on the information you have provided, possible diagnoses include:

• Functional Dyspepsia: This is a common condition characterized by chronic or recurrent pain or discomfort centered in the upper abdomen. It is not related to any identifiable, structural, or biochemical abnormality. Bloating, belching, and nausea are common symptoms.

  • Treatment typically involves lifestyle modifications, such as eating smaller, more frequent meals, and avoiding triggering foods. Medications such as proton pump inhibitors or H2 receptor blockers may also be prescribed to reduce stomach acid and alleviate symptoms.

• Gastroparesis: This is a condition in which the stomach cannot empty itself of food in a normal fashion. It can be caused by damage to the vagus nerve, which regulates the digestive system. A key symptom is feeling full shortly after starting a meal.

  • Treatment typically involves dietary changes, medication, and, in severe cases, surgery or procedures.

• Gastritis: This is an inflammation, irritation, or erosion of the lining of the stomach. It can occur suddenly (acute) or gradually (chronic). Bloating, belching, and a feeling of fullness or burning in the upper part of the belly are common symptoms.

  • Treatment typically involves antacids and other medications to decrease stomach acid, and avoiding hot and spicy foods.

• Irritable Bowel Syndrome (IBS): You have a history of IBS, which can cause symptoms such as bloating, gas, and other changes in your bowel habits. However, your current symptoms do not seem to be related to any changes in your bowel habits.

  • Treatment typically involves dietary changes, medication, and managing stress.

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 relieve your symptoms:

1. Try eating smaller, more frequent meals instead of three large meals a day.
2. Avoid foods and drinks that stimulate the intestines, such as caffeine, tea, or colas.
3. Drink plenty of fluids to help prevent constipation.
4. Exercise regularly to help keep your digestive system working well.

What you should look out for

Reasons to see a doctor more urgently:

• If you notice blood in your stool or vomit
• If you have severe abdominal pain
• If you have unexplained weight loss
• If your symptoms worsen or do not improve with dietary changes

Please remember that while I strive to provide accurate and helpful information, I am an AI and not a doctor. Always consult with a healthcare professional for a formal diagnosis and treatment.