Persistent Upper Left Abdominal Pain After Ulcer Diagnosis

Persistent stabbing pain in the upper left abdomen below the rib cage?

Hello, Dr.
Chen.
Three days ago, I underwent an abdominal ultrasound and gastroscopy at the hospital, and the doctor diagnosed me with a peptic ulcer.
I was prescribed a month’s supply of enteric-coated omeprazole to take daily.
However, after three days of taking the medication, I still feel a sharp pain that hasn't decreased.
When I am still, there is a slight pain, but any movement, such as walking, making larger movements, or even turning over in bed, causes significant sharp pain.
It also hurts when I touch or apply slight pressure.
I would like to know if this is a normal symptom of a peptic ulcer and how long it typically takes for the pain to improve with medication.

Mr. Yang, 40~49 year old female. Ask Date: 2021/10/03

Dr. Chen Shidian reply Gastroenterology and Hepatology

Unlike an ulcer, please return for a follow-up consultation with your physician.

Reply Date: 2021/10/03

More Info

Persistent upper left abdominal pain can be concerning, especially after a diagnosis of peptic ulcer disease. It is essential to understand that while peptic ulcers can cause significant discomfort, the symptoms you are experiencing may not solely be attributed to the ulcer itself.
Peptic ulcers are sores that develop on the lining of the stomach, small intestine, or esophagus, primarily due to the effects of stomach acid, Helicobacter pylori infection, or the prolonged use of nonsteroidal anti-inflammatory drugs (NSAIDs). The typical symptoms of peptic ulcers include burning stomach pain, bloating, and indigestion. However, the pain can vary significantly from person to person, and some individuals may experience more severe or atypical symptoms.

In your case, the persistent stabbing pain, especially when moving or touching the area, raises the possibility of other underlying conditions that may need to be evaluated. While it is common for ulcers to cause discomfort, the intensity and nature of your pain could suggest complications or other gastrointestinal issues. For instance, if the ulcer has led to perforation or bleeding, this could result in more severe pain and requires immediate medical attention. Additionally, conditions such as gastritis, pancreatitis, or even issues related to the spleen or kidney could present with similar symptoms.

Regarding your question about the duration of treatment and when you might expect relief, it is important to note that while some individuals may start to feel better within a few days of starting proton pump inhibitors (like the medication you were prescribed), others may take longer to notice significant improvement. Generally, it may take several weeks of consistent medication use to heal the ulcer and alleviate symptoms. However, if you do not notice any improvement after a week or if your symptoms worsen, it is crucial to follow up with your healthcare provider. They may recommend further diagnostic tests, such as an upper gastrointestinal series, CT scan, or even repeat endoscopy, to assess the ulcer's healing process and rule out other potential issues.

In summary, while your symptoms may be related to peptic ulcer disease, the nature and persistence of your pain warrant further evaluation. It is essential to maintain open communication with your healthcare provider, report any changes in your symptoms, and seek further investigation if necessary. Early intervention can help prevent complications and ensure appropriate management of your condition.

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