[53F] Experiencing abdominal pain and GERD symptoms

Patient Description

A 53-year-old female presents with a 6-month history of consistent dull aches and tenderness across the middle front torso, between the ribs and hips, above the belly button. The pain is rated as a 5 out of 10 in severity and is described as a consistent dull ache. The patient also reports long-standing GERD symptoms, which have recently been rated as severe (7 out of 10), including regurgitation or vomiting when lying down after consuming dairy, spicy, or fried foods. This has been accompanied by esophageal spasms. The patient has been experiencing increased thirst and a dry mouth for the past month. Additionally, there is a sensation of pressure and cramping in the bladder or uterus area for the past 8 months. The patient has a diagnosis of fibromyalgia and reports significant tiredness, which has been present for over 10 years, with a high sedimentation rate noted. Vomiting occurs approximately 3 to 4 times a month, triggered by dietary choices. No alleviating factors for the abdominal pain have been identified. The patient's stool is described as brown and formed, with no recent changes. There is no report of fever or chills.

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Arora's Assessment

What might be happening

Based on the information you've provided, there are several possibilities to consider:

  • Gastroesophageal Reflux Disease (GERD): This is 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. Your symptoms of regurgitation and vomiting, especially after eating certain foods, are consistent with GERD.

    • Treatment typically involves lifestyle changes and over-the-counter medications to reduce stomach acid. If these don't help, prescription-strength medications or even surgery might be recommended.
  • Gallstones: These are hardened deposits in the gallbladder that can cause abdominal pain if they block the ducts leading out of the gallbladder. The location and nature of your pain could potentially be due to gallstones.

    • Treatment may involve medication to dissolve the gallstones or surgery to remove the gallbladder.
  • Urinary Tract Infection (UTI): This is an infection in any part of your urinary system — your kidneys, bladder, ureters, and urethra. UTIs can cause pressure and discomfort in the lower abdomen and increased thirst.

    • Treatment typically involves antibiotics to clear the infection.
  • Fibromyalgia: This is a disorder characterized by widespread musculoskeletal pain accompanied by fatigue, sleep, memory and mood issues. Your symptoms of fatigue and pain could be related to this condition.

    • Treatment often involves a combination of medications, exercise, stress-reduction measures, and counseling.
  • Diabetes: This is a chronic condition that affects the way your body processes blood sugar (glucose). Increased thirst and frequent urination are common symptoms of diabetes.

    • Treatment typically involves lifestyle changes, medication, and regular monitoring of blood sugar levels.

Please note that these are possibilities based on the information you've provided, and not a definitive diagnosis. It's important to consult with a healthcare professional for an accurate diagnosis.

What you can do

  1. For GERD, try avoiding foods that trigger your symptoms, eat smaller meals, avoid lying down for at least two hours after a meal, and maintain a healthy weight. Over-the-counter antacids may also help.

  2. Stay hydrated and maintain a balanced diet.

  3. Monitor your symptoms and note any changes or patterns. This information will be helpful when you consult with a healthcare professional.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Severe abdominal pain
  • Persistent vomiting or inability to keep down fluids
  • Blood in your vomit or stool
  • Unexplained weight loss
  • Severe fatigue or weakness

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care.

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1 yr ago

Top picked over-the-counter products for Acid Reflux (GERD): American College of Gastroenterology Guidelines

People Also Ask


What lifestyle changes can help manage GERD symptoms?

To manage GERD symptoms, avoid trigger foods such as dairy, spicy, or fried foods, eat smaller meals, avoid lying down for at least two hours after eating, and maintain a healthy weight. Over-the-counter antacids may also provide relief.


How are gallstones diagnosed and treated?

Gallstones are typically diagnosed using imaging tests such as an ultrasound or CT scan. Treatment may involve medication to dissolve the gallstones or surgery to remove the gallbladder if they cause significant symptoms.


What are common symptoms of a urinary tract infection (UTI)?

Common symptoms of a UTI include a strong, persistent urge to urinate, a burning sensation when urinating, cloudy or strong-smelling urine, and pelvic pain. Increased thirst and pressure in the lower abdomen can also occur.


How is fibromyalgia typically managed?

Fibromyalgia is usually managed with a combination of medications, physical therapy, exercise, stress-reduction techniques, and counseling. Treatment focuses on reducing symptoms and improving quality of life.


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