Seeking Answers for Unexplained Stomach Pain
Age: 24 Gender: Female Height: 168 cm Weight: 65 kg Ethnicity: White Duration of Symptoms: Approximately one year Location: Germany and the Netherlands Existing Medical Conditions: Hypothyroidism Current Medication: L-Thyroxin 75mg Greetings, everyone. My girlfriend, who is 24 years old, has been suffering from increasingly severe stomach discomfort for nearly a year now, with no definitive diagnosis. Her condition has progressed to the point where it severely impacts her daily life, and any guidance or insights would be immensely helpful. She describes her pain as a persistent burning sensation accompanied by cramping, fluctuating in intensity from mild to excruciating. This pain induces nausea, disrupts her sleep, and confines her to bed for much of the day since upright positions exacerbate her discomfort (she finds lying down more bearable). She characterizes the pain as a "hot" sensation. While we have noticed that consumption of processed foods intensifies her symptoms, her discomfort does not appear to be closely linked to dietary choices. We have experimented with multiple, stomach-friendly dietary regimens, but they have yielded little to no improvement. At one point, she subsisted solely on steamed vegetables like broccoli, carrots, and potatoes for several months without any alleviation of her symptoms. The timing of her pain is erratic; it can occur after meals, on an empty stomach, or seemingly at random. Notably, there was a period of two weeks when her pain subsided completely, despite no noticeable changes in her lifestyle during that time. She has not experienced diarrhea or any other bowel issues. Upon our initial visit to the doctor, she was told that her symptoms were likely stress-related, and was prescribed over-the-counter antacids. However, this treatment did not bring relief, and her discomfort persisted even during stress-free periods, such as vacations. On a subsequent visit to a different physician, she received a similar diagnosis and the same medication, which resulted in no improvement. An ultrasound did reveal a small gallstone, but the doctor deemed it unlikely to be the source of her pain. Consequently, we decided it would be prudent to conduct a more thorough examination of her stomach. Aside from a minor inflammation, all looked normal during the examination, even the entry to the colon appeared healthy. Unfortunately, she was prescribed the same medication once again, yet her symptoms remain unchanged. We are currently considering removing the gallstone, but doubts linger about whether it is responsible for her issues since the symptoms do not match up. We are at a loss as to what our next steps should be or which specialist to consult. There’s likely much I haven’t mentioned, so please feel free to ask for any additional details!
Answers (1)
7/17/2025, 10:10:49 PM
OpenHealth AI
It sounds like your girlfriend is experiencing significant discomfort from her persistent stomach pain, which has been troubling for both of you. Given the complexity of her symptoms and the impact on her quality of life, it's important to explore this further.
Main Points:
- Unexplained Chronic Pain: Her symptoms, including persistent burning and cramping pains, need thorough reevaluation.
- Potential Recommendations: Further investigations and possibly seeing a specialist may provide clarity on her condition.
Explanation:
Chronic stomach pain can arise from various issues, such as gastritis, gastrointestinal reflux disease (GERD), functional dyspepsia, or even conditions like gastroparesis. Since her symptoms haven’t improved with antacids and dietary changes, it's clear that further investigation is necessary.
- The Symptoms: The burning, cramping, and nausea could suggest that there’s an abnormality in how her stomach processes food or how it responds to acidity.
- Stress Impact: While stress can exacerbate digestive issues, it's important that symptoms are not solely attributed to it, especially given her lack of improvement during stress-free situations.
Next Steps:
-
Keep a Symptom Diary: Tracking her symptoms, including when they occur, their intensity, and potential triggers (food, stress, activities) can help identify patterns and may assist healthcare providers in diagnosis.
-
Consult a Gastroenterologist: If you haven't already, consider seeing a specialist specifically in gastroenterology. They can perform further evaluations, such as:
- Endoscopy: A procedure to look directly at the stomach lining and potentially identify issues like ulcers or gastritis.
- Motility Studies: These tests evaluate how well the stomach moves its contents and can help diagnose conditions like gastroparesis.
-
Review All Medications: Ensure her healthcare providers are aware of all medications, including over-the-counter options. Sometimes, certain medications can cause gastric upset or interact negatively with her existing thyroid medication.
-
Consider Dietary Re-Evaluation: Even though dietary changes haven’t helped so far, consider consulting a nutritionist who specializes in digestive health. They can assist in creating a tailored diet plan that is closely monitored while exploring possible food sensitivities.
-
Explore Stress Management Techniques: Even if stress isn’t the primary cause, relaxation strategies such as mindfulness, yoga, or therapy might help alleviate some symptoms.
-
Follow-Up on Gallstone Evaluation: If surgical removal of the gallstone is being considered, it might be worthwhile to get a second opinion on whether it could be contributing to her symptoms.
Conclusion:
It’s encouraging that you’re advocating for your girlfriend's health, and seeking a deeper diagnosis is a great step forward. Remember to approach each healthcare visit prepared with her history and symptom diary. Let me know if you need more information or specific types of specialists to consider!
Related Questions
Can Eating More Fiber Alleviate Menstrual Cycle-Related Constipation?
Every month, during the week and a half leading up to my menstrual period, I experience constipation. I'm curious if boosting my fiber consumption might ease this issue. I already ensure that I drink plenty of water throughout the day. I am a woman in my mid-20s.
Seeking Relief from Mild Fecal Impaction: Should I Go to the ER?
At 20 years old, I find myself dealing with a frustrating issue: fecal impaction. It's not something I've faced before, or at least I can’t recall, but I’ve had chronic stomach difficulties throughout my childhood, including constipation from ages four to twelve. Recently, I've been experiencing more digestive challenges after a few years of feeling normal. Currently, I’m under the care of a gastroenterologist, and we’re working on diagnosing the underlying problems. For about five days now, I haven't been able to relieve myself. While I’ve had considerable gas, that’s been the only symptom. Today has been particularly difficult; I’ve spent the last 11 hours in the bathroom grappling with severe discomfort and impaction. Each attempt to relieve the situation is excruciating, to the point where my body is resisting the effort—it’s so painful that I find myself in tears. I imagine this is what birth must feel like. I suspect this intense fear and pain are remnants of my past struggles, as for many years I’ve feared using the bathroom due to the agony it causes. Despite trying various remedies like Miralax mixed with coffee, a bullet suppository, and even a manual approach with gloves, nothing is yielding results. I’m genuinely tempted to head to the emergency room and ask them to put me under so they can help me without the pain. My mother suggests they would likely opt for a liquid suppository treatment like they did during my childhood, which was quite traumatic. I’m torn—it feels like the ER might be my last resort, but I'm concerned they won’t take me seriously since my situation doesn’t seem dire. How foolish would it be to bring up wanting sedation? I desperately want to avoid this pain; it’s becoming increasingly difficult, and I’m fighting back tears from the frustration. Can they truly provide sedation for this type of issue even when it isn’t severe? I worry that my parents might react negatively to my quest for relief and think I’m being dramatic. I’m utterly drained and don’t know where to turn. When there’s no painful push against my body, I can’t even sense the severity of the issue, yet, I am experiencing leakage, leaving me unsure. Would it be unreasonable to pose this question to the doctors in the ER? I apologize if this message is jumbled; I’m also dealing with a migraine, making it hard to focus. For context, my daily medications include phentermine, iron supplements, and vitamin D. I stand at 5’4” and currently weigh 204 pounds as part of my ongoing weight loss journey.
Did My Appendectomy Resolve My Digestive Issues?
I’m a 27-year-old non-binary person who had their appendix surgically removed due to appendicitis early last October. Since that procedure, I’m experiencing something I never thought possible: regular bowel movements. Remarkably, this newfound routine hasn’t faded away, contrary to what my doctors predicted. Historically, I have struggled with constipation throughout my life. As a child, I often felt compelled to mislead healthcare professionals about my bowel habits, claiming I had daily movements out of fear that something was amiss. In reality, I would only have a bowel movement every three to five days. I also live with autism, ADHD, dysthymia, and PTSD. Given my history of burnout, it would be logical to attribute my digestive struggles to stress. However, these issues persisted even during holidays and rarely intensified during particularly stressful times. Most of the medications I tried, including SSRIs and various birth control options, had no impact, except for Ritalin, which occasionally provided some relief when not taken consistently. Prior to the appendectomy, I underwent two surgeries: one for a fractured arm and the other a double procedure to remove my uterus and breasts. Unfortunately, neither operation had any effect on my bowel function. Since my surgery, my dietary, hydration, exercise, and substance use habits have remained unchanged. A bit of additional context: My thyroid hormone levels are normal, although I occasionally have low Vitamin D, for which I take supplements. I receive B12 injections to address low levels since dietary sources aren’t effective for me. Additionally, I deal with a persistent mystery of chronic fatigue that shows no signs of improvement post-surgery. This leads to my question: Could my appendix have been the source of my gastrointestinal issues? Alternatively, did the surgery trigger some other change that resolved my long-standing problem? I’m curious if anyone else has encountered similar experiences. What are the chances that I’ll revert back to my past issues with constipation? Any insights on this would be greatly appreciated, mostly out of interest.
Interpreting My Gastrointestinal Discomfort
A 26-year-old female, weighing 155 pounds, has a background of experiencing gastroesophageal reflux disease (GERD) and anxiety. She has been using marijuana for several years and is currently taking venlafaxine at a dosage of 150 mg each day. Residing in the Midwest USA, she identifies as white. On January 20th, she experienced what she initially believed to be a low blood sugar episode. Due to being preoccupied and busy, she had not consumed much food throughout the day. Consequently, she felt lightheaded, nauseated, pale, and was sweating. To alleviate these symptoms, she consumed around 60 to 80 grams of carbohydrates once they began, but it took roughly 2.5 hours for her to start feeling better. The following day, she faced additional discomforts including nausea, heartburn, body aches, trembling with chills and sweats, along with diarrhea. These symptoms persisted for a few days. By January 23rd, she consulted urgent care, where the medical team suspected a stomach virus and advised her to let it run its course. Regrettably, her stomach has not returned to its normal state since that incident. She has been experiencing occasional heartburn and indigestion reminiscent of her previous severe GERD episodes. Additionally, she is suffering from lower abdominal cramps, particularly triggered by consuming items like popcorn or spicy foods, which feels akin to irritable bowel syndrome (IBS) symptoms. During the height of her symptoms on January 20th, she ceased smoking. She partook in smoking a few times between January 24th and 28th, without noticing any changes in her symptoms – positive or negative – and has refrained from smoking since then. It is worth noting that she has not experienced any vomiting or severe abdominal pain typically associated with cannabinoid hyperemesis syndrome (CHS). Are her symptoms indicative of CHS? She intends to abstain from smoking yet seeks clarity on the underlying cause of her discomfort. She has read about post-viral IBS and is curious if the suspected stomach virus has reignited her GERD, which had been stable for several years.
Exploring Probiotic Effects and Antibiotic Strategies in Gut Health
Greetings, M30. Is it possible that consuming an excess of probiotics could lead to SIBO or a similar condition? Earlier this summer, I suffered from a campylobacter infection, and in an attempt to remedy that without realizing its full extent, I resorted to high doses of probiotics. This approach, however, only aggravated my situation. I experienced severe bloating, intensified brain fog—especially after consuming carbohydrates—and following a comprehensive examination of possible causes, including an initially misleading negative test for c. jejuni that later revealed IgG antibodies in my blood, I was prescribed rifaximin (200mg four times a day). Unfortunately, after five days of rifaximin treatment, my symptoms escalated dramatically, resulting in excruciating lower abdominal pain and a marked intolerance to carbohydrates. Through my research, I discovered that the probiotic strains I had been using were sensitive to antibiotics, so I requested that my physician switch my medication to amoxicillin, which promptly resolved the issues I was facing. Complicating matters, I later learned that I had been contending with an acute bartonella infection, which likely contributed to my motility problems. As the year progressed, I indulged in kimchi after having been on antibiotics for bartonella treatment for about a month. However, I had to stop the antibiotics over the Christmas holidays when I developed rashes from herpes on my face and required alternative treatment. Following my kimchi overindulgence, I began to experience bloating again, cognitive fog intensified, and I felt a toxin-like sensation after consuming larger amounts of carbohydrates, alongside a newfound intolerance to wheat products. My doctor once again prescribed rifaximin as the primary treatment, but I am starting to notice that familiar acidic sensation in my abdomen returning. Is this reaction indicative of die-off symptoms, or could it mean that rifaximin is targeting competitors of the kimchi bacteria in my gut, resulting in their proliferation and creating a cycle where lactic acid bacteria alter the colon's pH, promoting further growth of lactic acid producers? I suspect this situation mirrors what transpired during the summer months. Would switching back to amoxicillin be advisable, or might I need to consider amoxiclav instead, given that the kimchi contained fish sauce which might be a source of beta-lactamase? Best wishes,