[64F] Experiencing nausea and abdominal pain with a history of cardiovascular issues

What might be happening

Based on the information you've provided, the following conditions could be causing your symptoms:

• Gastroesophageal Reflux Disease (GERD): This is a condition in which 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. Symptoms include a burning sensation in your chest (heartburn), usually after eating, which might be worse at night, and difficulty swallowing.

  • Treatment usually involves lifestyle changes and over-the-counter medications. If these don't help or you have GERD symptoms twice a week or more, you might need stronger medications or surgery.

• Gastritis: This is an inflammation, irritation, or erosion of the lining of the stomach. It can occur suddenly (acute) or gradually (chronic). Symptoms include an upset stomach or pain, and feeling full quickly during a meal.

  • Treatment usually involves taking antacids and other drugs to reduce stomach acid, which can help speed the healing of the stomach lining.

• Peptic Ulcer: These are sores that develop on the inside lining of your stomach and the upper portion of your small intestine. The most common symptom of a peptic ulcer is stomach pain.

  • Treatment usually involves medications to decrease stomach acid. If an H. pylori infection is causing your peptic ulcer, you'll need antibiotics.

• Esophageal Spasm: This is a rare disorder characterized by abnormal muscle contractions in the esophagus. Symptoms can include difficulty swallowing and chest pain.

  • Treatment can include medications to relax the muscles in the esophagus, and procedures to dilate the esophagus or disrupt the nerves causing the spasms.

Please note, these are potential explanations for your symptoms, but other conditions could also be responsible. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

Here are some steps you can take while you wait for your appointment:

1. Avoid foods and drinks that trigger heartburn. Everyone has specific triggers. Common triggers such as fatty or fried foods, tomato sauce, alcohol, chocolate, mint, garlic, onion, and caffeine may make heartburn worse.
2. Eat smaller meals. Avoid overeating by eating smaller meals.
3. Don't lie down after a meal. Wait at least three hours after eating before lying down or going to bed.
4. Elevate the head of your bed. If you regularly experience heartburn while trying to sleep, put gravity to work for you. Place wood or cement blocks under the feet of your bed so that the head end is raised by 6 to 9 inches.

What you should look out for

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

• Severe, persistent abdominal pain
• Bloody or black stools
• Bloody or black vomit or vomit that looks like coffee grounds
• Difficulty breathing
• Sweating or pain radiating to your jaw, neck or arm

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 recommendations.