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Abdominal Pain and vomiting for 3 Months

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Hello, I am a 27 year old female and I have been suffering from abd pain every day since 12/25/11. It's epigastric, center and right sided. My stomach hurts all the time, but is made worse when I eat, usually 5-10 minutes after. If I eat until I am full, I will usually throw up. Alcohol and greasy food make it way worse, and chocolate gives me heartburn. I have never had heartburn before. On 12/25 I was woken from my sleep with intense abd pain and vomiting and it hasn't stopped. I have had negative Ultrasound and Barium Swallow tests, I am not pregnant. My doctor won't give me a GI consult. I have lost 19lbs since onset.
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replied March 25th, 2012
Hello and welcome to e health forum. ‎

From the description, it appears that your abdominal pain could be due to gastritis or peptic ulcer disease (since the ‎‎symptoms increase with meals).

Gastritis occurs when the lining of the stomach becomes inflamed or swollen.‎ Gastritis can last for only ‎‎‎a short time (acute gastritis), or linger for months to years (chronic gastritis).‎

Gastritis pain occurs in the left upper portion of the abdomen and in the back. The pain seems to travel ‎‎‎from the belly to the back. Other symptoms of gastritis include - Belching, Nausea and vomiting, ‎‎‎Bloating, Feeling of fullness or burning in the upper part of the belly. ‎

Presence of ulcers in the stomach, can cause pain when you eat, hence reducing the appetite and over a long time, can cause loss of weight.

For the time being, you may need to avoid foods that are spicy and with high fat content. Avoid foods ‎like - puddings, breads, bagels and pretzels are usually made with white flour and refined sugar ‎; ‎‎vegetables such as broccoli, cabbage, all kinds of beans and legumes, full fat milk, onions and green ‎‎peas should be avoided. ‎Cured meats and high fat meat products such as sausages, salami, ham, ‎bacon, and Red meats like beef and lamb‎ should be reduced in consumption or avoided totally. ‎

Juicy fruits such as pears, oranges, sweet limes, watermelons, cantaloupes etc help a lot to control the ‎‎symptoms. ‎

Treatment of your symptoms can be tried with over the counter antacids like Gelusil, tums, mylanta ‎‎‎and acid reducing medications like omeprazole. ‎

If they do not help, then, stronger medications that protect the stomach's lining or lessen acid ‎‎‎production in the stomach are available by prescription. You may consult your doctor for proper advice ‎‎‎and treatment.‎

In addition, a upper GI endoscopy can also be important to rule out presence of ulcers in the stomach.

I hope the information is helpful.



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replied March 30th, 2012
The Barium Swallow test I had on 3/12 ruled out ulcers. There aren't any in my stomach or upper small intestines and my pain still persists. I am trying to get to GI to see if I can get an Endoscopy or other tests to try and get a diagnosis. I will try to eat some juicy fruits to see if they help to ease my symptoms. I currently am prescribed 40 mg of omeprazole every day (2 20mg doses) and while they do not take the pain away completely, I have intense pain without it if I eat. I am already avoiding spicy and fatty foods. When the pain is less severe it is usually in my stomach area, but at it's worst I will be in pain from the bottom of my sternum to my pelvis with stabbing pain on the upper right side. It is usually only that bad if I eat until I am full. I don't eat much anymore. I do not have gall stones, an abdominal Ultrasound test ruled that out. I am still at a loss. I am still losing weight.
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