[68F] Experiencing upper left abdominal pain with associated symptoms

What might be happening

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

• Gastritis or Gastric Ulcer: Given your history of ulcers, the pain you're experiencing could be due to gastritis or a gastric ulcer. These conditions occur when the lining of your stomach becomes inflamed or an ulcer forms on the stomach lining. They can cause upper abdominal pain, nausea, and burping.

  • Treatment typically involves medications to reduce stomach acid and protect the stomach lining. In some cases, antibiotics may be necessary if a bacteria called H. pylori is involved.

• Gastroesophageal Reflux Disease (GERD): This condition occurs when 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 and cause symptoms like upper abdominal pain and burping.

  • Treatment typically involves lifestyle changes and over-the-counter medications. If these don't help, stronger medications or even surgery might be necessary.

• Pancreatitis: This is inflammation of the pancreas, which can cause upper abdominal pain that may radiate to your back. Other symptoms can include nausea and vomiting.

  • Treatment often involves hospitalization for intravenous (IV) fluids, medications for pain, and sometimes surgery.

• Splenic Irritation or Enlargement: The spleen is located in the upper left part of the abdomen. Conditions that cause the spleen to enlarge or become irritated can cause pain in this area.

  • Treatment depends on the underlying cause of the splenic irritation or enlargement.

What you can do

While waiting for your doctor's appointment, here are some things you can do to help manage your symptoms:

1. Avoid foods and drinks that can irritate your stomach, such as spicy foods, alcohol, and caffeinated drinks.
2. Try to eat smaller, more frequent meals instead of three large meals a day.
3. Avoid lying down or going to bed immediately after eating.
4. Over-the-counter antacids may help relieve your symptoms. However, you should consult with your doctor before starting any new medication.

What you should look out for

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

• Severe abdominal pain
• Vomiting blood or having bloody or black stools
• Difficulty breathing
• Sudden, sharp pain in your left shoulder or in your chest

Please remember that while I strive to provide accurate information, I am an AI and not a doctor. It's important to consult with a healthcare professional who can evaluate your symptoms and condition properly.