Is It Normal for Stomach Pain to Last for Weeks? Your Symptoms

Is it normal for stomach pain to persist for several weeks?

Hello, doctor.
After I asked you my question last time, I went to the hospital to see a doctor.
That doctor advised me to take medication for a month to see if my symptoms improve.
However, it has been over three weeks since the initial severe stomach pain, and I still feel pain in the upper left abdomen, especially when pressing on the left upper rectus abdominis, which is more pronounced.
I also experience pain when lying on my stomach.
Additionally, the pain sometimes radiates to the lower left abdomen and the lower part of the rectus abdominis.
Recently, I have also had symptoms of gastroesophageal reflux, which I find quite strange.
Generally, I read online that gastritis should improve in about 3 to 7 days.
Although my symptoms have improved, they have not completely resolved.
Is this normal? I am really worried that I might have a gastric perforation or pancreatitis, especially since I have never had these symptoms before.
I would like to know if it is normal for stomach pain to last this long.
Will it get better? I have been controlling my diet for quite some time now.
Thank you, doctor.

Niming, 20~29 year old female. Ask Date: 2021/04/05

Dr. Chen Shidian reply Gastroenterology and Hepatology

Don't worry, just follow the medication regimen and be mindful of your movements to avoid straining your abdominal muscles.

Reply Date: 2021/04/05

More Info

It's understandable to be concerned about persistent stomach pain, especially when it lasts for over three weeks. While some gastrointestinal issues, like gastritis or mild indigestion, may resolve within a week, others can take longer to heal or may indicate a more serious underlying condition.
In your case, the ongoing pain in the left upper abdomen, particularly when pressing on the abdominal muscles, along with symptoms of gastroesophageal reflux (GERD), suggests that there may be more than just a simple case of gastritis at play. It's important to recognize that while some individuals may experience quick recovery from stomach issues, others may have a more prolonged course due to various factors, including the severity of the condition, individual health status, and adherence to treatment protocols.

Conditions such as peptic ulcers (which include both gastric and duodenal ulcers), pancreatitis, or even functional gastrointestinal disorders can lead to prolonged abdominal pain. The fact that your pain sometimes radiates to the lower abdomen and is associated with GERD symptoms raises the possibility of a more complex gastrointestinal issue.
It's also worth noting that while you may have seen improvement in some symptoms, the persistence of pain and the new onset of reflux symptoms should not be overlooked. These could indicate complications or a need for further evaluation. For instance, if the pain is severe and unrelenting, it could suggest complications like perforation or pancreatitis, which are medical emergencies. However, these conditions often present with additional symptoms such as fever, significant changes in bowel habits, or severe nausea and vomiting.

In terms of management, it is crucial to follow up with your healthcare provider, especially since your symptoms have not fully resolved after a month of treatment. They may recommend further diagnostic tests, such as imaging studies (like an abdominal ultrasound or CT scan) or additional endoscopic evaluations, to rule out other potential causes of your symptoms.
Dietary modifications can also play a significant role in managing symptoms. While you mentioned that you have been controlling your diet, it may be beneficial to keep a food diary to identify any specific triggers that exacerbate your symptoms. Eating smaller, more frequent meals and avoiding known irritants (like spicy foods, caffeine, and alcohol) can help alleviate discomfort.

In conclusion, while it is not uncommon for stomach pain to last for several weeks, especially in cases of gastritis or ulcers, the persistence of your symptoms warrants further investigation. It is essential to maintain open communication with your healthcare provider, adhere to prescribed treatments, and seek immediate medical attention if your symptoms worsen or new symptoms arise. Your health and well-being are paramount, and addressing these concerns promptly can lead to better outcomes.

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