Concerns About Gastric Symptoms
To provide some background, I'm an 18-year-old male, standing at 5 feet 11 inches and weighing 230 pounds. I manage diabetes and anxiety, for which I take buspirone and insulin. I don't smoke, but I've been facing some troubling symptoms for the past few weeks. About a year and a half ago, I underwent an endoscopy that yielded normal results. Currently, I'm dealing with symptoms that may be indicative of gastric cancer, including acid reflux, nausea, and stomach discomfort. Although I have prior experience with digestive issues, these particular symptoms are unfamiliar to me. I'm curious about the potential likelihood of these being serious.
Answers (1)

6/14/2025, 11:20:37 AM
OpenHealth AI
It's understandable to feel concerned about your current gastric symptoms, especially given your diabetes and anxiety. While symptoms like acid reflux, nausea, and stomach discomfort can be alarming, they are often caused by less serious conditions rather than gastric cancer, particularly in someone your age. However, it is important to address these symptoms thoughtfully.
Explanation:
Your symptoms could arise from several common digestive issues, such as gastroesophageal reflux disease (GERD), gastritis, or even food intolerances. Stress and anxiety can also impact digestion, potentially worsening symptoms. While gastric cancer cannot be completely ruled out, especially given your family history or changes in symptoms, it's more common in older adults and those with specific risk factors.
Next Steps:
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Monitor Your Diet: Keep track of what you eat and drink, as certain foods can trigger acid reflux and discomfort. Try to avoid spicy, fatty, or acidic foods, and consume smaller, more frequent meals.
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Hydration: Ensure you're drinking enough water throughout the day. Staying hydrated can help your digestive system function better.
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Positioning: After meals, avoid lying down immediately. Staying upright for at least two to three hours can help prevent reflux.
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Over-the-Counter Antacids: Consider trying an over-the-counter antacid for temporary relief of acidity and discomfort, but avoid using these long-term without professional guidance.
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Track Symptoms: Keep a symptom diary to note when your symptoms occur, their intensity, and any possible triggers. This can help identify patterns and inform any future discussions with a healthcare provider.
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Manage Stress: Implementing relaxation techniques, such as deep breathing or mindfulness, may help ease anxiety, which can worsen gastric symptoms.
If symptoms persist or worsen, or if you experience alarming signs like vomiting blood, significant weight loss, or severe pain, you should seek professional medical advice to further investigate the cause. Remember, taking these proactive steps can help you gain better control over your symptoms.
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