How Can I Alleviate Gastritis Pain While Waiting for PPIs to Take Effect?
F43, average height and weight Taking sertraline, propranolol, and lansoprazole Although I have never been officially diagnosed with gastritis, I have experienced multiple episodes over the past few years that present symptoms like: - Intense localized discomfort at the upper part of my stomach, right under the rib cage - Pain radiating to both shoulders - A sensation of a "lump" in my throat, similar to having a burp trapped - Frequent burping - A diminished appetite, feeling full after just a few bites Typically, these episodes last a few days before resolving either on their own or after a short period of taking lansoprazole. I underwent an endoscopy recently which yielded normal results, but the medical professionals suggested it might be gastritis. It’s important to note that I no longer have a gallbladder, as it was removed in August 2023. My latest episode began just a week ago, and although I resumed taking lansoprazole three days ago, my condition seems to be worsening rather than improving. The most distressing symptom is the discomfort in my shoulder blades, which alternates from one side to the other, accompanied by near-constant "waves" of stomach pain. I've been experiencing relentless burping and have hardly consumed anything today aside from a few carrot sticks and cucumbers since I struggle to eat anything else. I feel bloated, yet the shoulder blade pain and the stomach's rhythmic discomfort are overwhelming. The waves of pain mimic intense hunger pangs, even though I don't feel hungry and, in fact, feel quite full. Gaviscon hasn’t been effective for me; it seems to exacerbate the stomach discomfort instead of alleviating it. Fortunately, I have no signs of a bleeding ulcer, and my blood pressure is normal. However, the ongoing pain and discomfort are becoming increasingly untenable after a week. It’s not excruciating pain, rated around a 5 out of 10 for both my shoulders and stomach, but it is undeniably uncomfortable. Is there anything I can do to ease my symptoms, or am I just meant to endure until the lansoprazole starts to work? I had hoped to see some improvement after being on it for three days. Initially, I worried about possible heart attack symptoms due to the shoulder blade pain, but given that it's persisted for a week, I suspect the pain originates from my stomach. I realize going to the hospital would be unproductive, as I would likely waste their time without any signs of bleeding ulcers, and I'm uncertain if there’s much they could do for gastritis. However, there must be some options, even minor ones, that could provide relief until my stomach settles down? This situation feels quite disheartening 😬
Answers (1)
3/20/2025, 11:10:47 PM
OpenHealth AI
It sounds like you're experiencing significant discomfort due to symptoms that may be related to gastritis. While it's great that your recent endoscopy showed no severe issues, I understand how distressing and frustrating ongoing pain and discomfort can be. Here are some tailored strategies to help alleviate your symptoms while you await the full effect of lansoprazole.
Understanding Your Symptoms
Gastritis can lead to inflammation in the stomach lining, resulting in pain, bloating, discomfort, and issues like burping. The sensation of a lump and discomfort in your shoulder blades can sometimes be referred pain stemming from the stomach. Since you're already on lansoprazole, which is designed to reduce stomach acid, it's important to utilize additional self-care techniques to help relieve your symptoms.
Immediate Steps for Relief
Here are some actionable steps to help ease your discomfort:
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Dietary Adjustments:
- Small, Frequent Meals: Instead of larger meals, try consuming smaller amounts of easily digestible foods throughout the day. Options like bananas, rice, applesauce, or toast may help.
- Avoid Trigger Foods: Stay away from spicy, acidic, fatty, or fried foods, as these can worsen gastritis symptoms. Also, limit caffeine and alcohol.
- Stay Hydrated: Drink clear liquids like water or herbal teas (like chamomile or ginger) to help soothe your stomach.
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Positioning for Comfort:
- Elevate Your Upper Body: When resting or sleeping, propping yourself up with pillows can help reduce pressure on your stomach and minimize discomfort.
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Gentle Heat Application:
- Warm Compress: Applying a warm compress or heating pad to your stomach may help relax the area and relieve some pain. Just ensure it’s not too hot to prevent burns.
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Relaxation Techniques:
- Stress Management: Engage in gentle activities like deep breathing exercises, meditation, or mindfulness to help manage stress, which can exacerbate gastrointestinal symptoms.
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Over-the-counter Options:
- If you're comfortable doing so, consider trying an antacid different from Gaviscon, such as Tums or Maalox, to see if it provides temporary relief. However, avoid prolonged use without consultation.
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Track Your Symptoms:
- Keep a symptom diary noting what you eat, your symptoms, and any triggers. This can help you identify patterns or food intolerances and can be useful information when discussing with healthcare professionals in the future.
Monitor and Adjust
If your symptoms do not improve in the next few days or worsen, or if you notice new symptoms (like vomiting, severe pain, or changes in stool color), consider reaching out to your healthcare provider. While I understand you feel it may not warrant emergency care, any significant changes should be taken seriously.
It's understandable to feel discouraged during this time, but implementing these strategies can help manage your symptoms effectively until your medication kicks in. Take care, and know you're on the right track by seeking help and learning how to support your body.
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