[48M] With abdominal pain and fullness

Patient Description

A 48-year-old male reports experiencing abdominal pain below the rib cage for the past three days. The pain feels like bad gas, but the patient is still passing gas and having normal bowel movements. The pain began suddenly and is constant, with no relief from Tums or Pepto. The patient feels bloated and has a decreased appetite, resulting in a slight weight loss over the past few days. There are no additional symptoms such as nausea, vomiting, fever, chills, or jaundice. The patient has a history of brain surgery a year ago to remove a cancerous tumor and is currently on oral chemotherapy (Temizilomude) and seizure medication (Lorastat). There is ongoing stress but no specific triggers. The patient does not consume alcohol, has not taken any over-the-counter pain relievers recently, and has no known allergies.

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Arora's Assessment

What might be happening

Based on your symptoms and medical history, here are some possibilities:

  • Gastritis or Peptic Ulcer Disease: This involves inflammation of the stomach lining or an ulcer, which can cause pain below the rib cage, bloating, and a feeling of fullness. Stress and certain medications can contribute to this condition.

    • Treatment typically involves medications to reduce stomach acid and lifestyle changes.
  • Pancreatitis: Inflammation of the pancreas can cause upper abdominal pain and bloating. This is less likely without nausea or vomiting, but it's worth considering given your symptoms.

    • Treatment usually requires medical evaluation and may involve dietary changes and medications.
  • Medication Side Effects: Your chemotherapy or seizure medications might contribute to gastrointestinal symptoms.

    • Discussing these side effects with your doctor could lead to adjustments in your treatment plan.

What you can do

  • Consult Your Doctor: It's important to discuss these symptoms with your healthcare provider, especially given your medical history and current medications.
  • Dietary Adjustments: Try eating smaller, more frequent meals and avoid foods that can irritate your stomach, like spicy or acidic foods.
  • Stress Management: Techniques such as deep breathing, meditation, or gentle exercise might help alleviate stress-related symptoms.
  • Symptom Tracking: Use MDandMe to journal your symptoms, track any changes, and share this information with your healthcare provider.

What you should look out for

Seek medical attention if you experience:

  • Severe or worsening pain
  • Vomiting or inability to keep food down
  • Yellowing of the skin or eyes
  • Blood in your stool or vomit

Remember, it's important to consult a healthcare professional for a formal diagnosis and treatment plan.

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4 mo ago

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People Also Ask


What are the common symptoms of gastritis or peptic ulcer disease?

Common symptoms of gastritis or peptic ulcer disease include abdominal pain, bloating, a feeling of fullness, nausea, and sometimes vomiting. The pain is often located in the upper abdomen and may be relieved by eating or taking antacids.


Can chemotherapy or seizure medications cause abdominal pain?

Yes, chemotherapy and seizure medications can cause gastrointestinal side effects, including abdominal pain, bloating, and changes in appetite. It's important to discuss any new or worsening symptoms with your doctor.


What lifestyle changes can help manage gastritis or peptic ulcer disease?

Lifestyle changes that can help manage gastritis or peptic ulcer disease include eating smaller, more frequent meals, avoiding spicy or acidic foods, reducing stress, and avoiding alcohol and smoking. Medications to reduce stomach acid may also be recommended.


When should I seek medical attention for abdominal pain?

You should seek medical attention for abdominal pain if it is severe or worsening, if you experience vomiting or are unable to keep food down, if you notice yellowing of the skin or eyes, or if there is blood in your stool or vomit.


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