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.
From the description, it appears that your abdominal pain could be due to gastritis or peptic ulcer disease (since the ââsymptoms increase with meals).
Gastritis occurs when the lining of the stomach becomes inflamed or swollen.â Gastritis can last for only âââa short time (acute gastritis), or linger for months to years (chronic gastritis).â
Gastritis pain occurs in the left upper portion of the abdomen and in the back. The pain seems to travel âââfrom the belly to the back. Other symptoms of gastritis include - Belching, Nausea and vomiting, âââBloating, Feeling of fullness or burning in the upper part of the belly. â
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 âlike - puddings, breads, bagels and pretzels are usually made with white flour and refined sugar â; ââvegetables such as broccoli, cabbage, all kinds of beans and legumes, full fat milk, onions and green ââpeas should be avoided. âCured meats and high fat meat products such as sausages, salami, ham, âbacon, and Red meats like beef and lambâ should be reduced in consumption or avoided totally. â
Juicy fruits such as pears, oranges, sweet limes, watermelons, cantaloupes etc help a lot to control the ââsymptoms. â
Treatment of your symptoms can be tried with over the counter antacids like Gelusil, tums, mylanta âââand acid reducing medications like omeprazole. â
If they do not help, then, stronger medications that protect the stomach's lining or lessen acid âââproduction in the stomach are available by prescription. You may consult your doctor for proper advice âââand treatment.â
In addition, a upper GI endoscopy can also be important to rule out presence of ulcers in the stomach.
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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