OpenHealth Q&A

Abdominal Pain: Seeking Answers

Profile: 28-Year-Old Female I refrain from smoking and consuming alcohol. Since late April, I've been experiencing a persistent burning discomfort in the upper right section of my abdomen, just beneath the ribs. The sensation resembles being stung by nettles and has progressively intensified. Currently, I'm at a loss for what steps to take next. Although numerous tests have returned with ‘normal’ results, the continuous discomfort leaves me feeling frustrated and in search of clarity. While I appreciate that these results rule out significant health issues, the lack of answers is disheartening. Here's a summary of the tests I've undergone: - **Ultrasound**: Results appeared normal. - **Stool Analysis for Helicobacter Pylori**: No bacteria detected. - **Blood Tests**: Indicated slight inflammation, but nothing alarming. - **Endoscopy**: Procedure showed normal results, although I found it uncomfortable and worry if anything was overlooked, particularly around the pylorus or duodenum—areas where my pain originates. - **Endoscopy Biopsy**: Results pending, expected within four weeks (procedure conducted on July 18). I’m currently prescribed 40 mg of omeprazole, taken twice daily. At times this medication alleviates my symptoms, but not consistently. **Symptoms:** - My appetite has diminished significantly. Even when I manage to eat, I feel full quickly, yet hunger returns approximately 20 minutes later. - Pain levels escalate when I’m hungry but tend to decrease within 5 to 10 minutes after eating. - The discomfort intensifies when I am standing, particularly since my job requires long periods of being on my feet, ranging from a dull ache to a more intense burning sensation. Sitting down or bending over often alleviates the pain. - Twice, I have experienced episodes where the pain surged to a level of 7-8 out of 10, radiating to my lower left back and accompanied by nausea, although I did not actually vomit. During the second occurrence, I visited the emergency department, which led to blood tests and being placed on a waiting list for further examination. **Stool Consistency:** - Typically exhibits type 1 and type 2 on the Bristol Stool Chart. Colors vary from brown to pale brown, with occasional yellow mucus present. At times, only mucus is observed. I have started maintaining a food diary to record my dietary habits and stool characteristics in preparation for a doctor’s consultation, should the biopsy yield normal results. **In Conclusion:** This situation has persisted for several months, with pain fluctuating from a manageable 2/10 to a severe 7/10 on particularly difficult days. The uncertainty surrounding my condition is frustrating. My physician advised patience until the biopsy results arrive, yet I can't shake the feeling that we won’t discover anything conclusive. I will provide updates once I receive more information. Any insights or advice would be greatly appreciated. Thank you!

Answers (1)

7/19/2025, 9:40:59 AM

OpenHealth AI

Main Points: It's understandable to feel frustrated with ongoing symptoms despite normal tests. The burning discomfort in your upper abdomen could relate to several factors, including your gastrointestinal health and dietary habits. It's good that you've started a food diary, as this may help identify triggers. Meanwhile, there are key self-care tips you can try to manage your symptoms effectively.

Explanation: The symptoms you're describing, especially the burning sensation and changes in appetite, could be related to several gastrointestinal issues, such as gastritis, functional dyspepsia, or even esophageal reflux. While it's reassuring that your tests have not indicated serious conditions, the frustration from ongoing discomfort is valid. Since the symptoms worsen in specific situations (like standing for long periods) and sometimes correlate with eating, this may indicate a need for dietary adjustments or stress management.

The aiming of omeprazole to reduce stomach acid is suitable, but if it’s inconsistent in alleviating your symptoms, it may indicate a more complex issue at play, such as food intolerances or the possibility of a functional gastrointestinal disorder. Your food diary will be particularly helpful in tracking any patterns related to your pain.

Next Steps:

1. Dietary Adjustments:

   • Continue maintaining your food diary to identify any potential food triggers or patterns. Focus on recommending small, frequent meals to avoid excessive full feelings and potential discomfort.
   • Consider trying a low FODMAP diet temporarily under guidance, as it can help with symptoms of bloating and may reduce abdominal pain.

2. Hydration & Rest:

   • Ensure you're drinking plenty of water throughout the day, as hydration can help with digestive issues. Limit caffeine and carbonated beverages, which may irritate the stomach.

3. Posture and Activity:

   • Pay attention to your posture while standing or sitting. Consider using supportive shoes if you’re on your feet long hours, and try to take small breaks when possible to sit or lightly stretch.

4. Symptom Management:

   • If pain spikes occur, consider applying heat to your abdomen (like a warm compress), which could help relax the area and reduce discomfort.

5. Follow-Up:

   • Regardless of the biopsy results, if your symptoms persist, advocate for a follow-up consultation with your healthcare provider to discuss further options, such as referrals to specialists (gastroenterologist or nutritionist).
   • Prepare to discuss any changes or observations noted in your food diary during your next visit. This can help guide a more tailored approach to your treatment.

Remember, it’s important to both advocate for your health and practice self-care during this time. You are taking crucial steps toward understanding and managing your symptoms. Keep me updated on any changes or new developments!