Unexplained Abdominal Pain: When to Seek Medical Attention?

Unexplained pain

Hello, doctor: On Monday, I experienced a loss of appetite, and eating caused vomiting.
After lunch and dinner, I felt nauseous, which means I haven't had a normal meal all day.
However, after vomiting in the evening, I felt pain in the area between my ribs, near the upper abdomen, and this discomfort has persisted.
It's a dull, aching sensation.
A friend suggested that it might be an injury at the junction of the esophagus and stomach.
However, I have been very busy with work these past few days and haven't been able to seek medical attention.
I would like to ask the doctor if this condition requires a visit to the hospital.

Jack, 20~29 year old female. Ask Date: 2009/03/12

Dr. Chen Qifeng reply Gastroenterology and Hepatology

Hello, if you do not usually experience these symptoms, your condition may be acute gastritis.
If the discomfort persists, please seek medical attention.
Best wishes, Dr.
Chen Qifeng, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2009/03/12

More Info

When experiencing unexplained abdominal pain, especially when accompanied by symptoms such as loss of appetite and vomiting, it is crucial to seek medical attention promptly. Your description indicates that you have been unable to eat normally, which can lead to dehydration and other complications. The pain you are feeling in the upper abdomen, particularly around the area near the ribs, could be indicative of several potential issues, including gastrointestinal problems, which may require further evaluation.

There are several possible causes for your symptoms. The pain you describe could be related to gastritis, which is inflammation of the stomach lining, or it could be due to gastroesophageal reflux disease (GERD), where stomach acid frequently flows back into the esophagus, causing irritation. Another possibility is a peptic ulcer, which can cause pain and discomfort, especially after eating. Additionally, if you are experiencing significant vomiting, it could lead to a condition known as Mallory-Weiss syndrome, where there are tears in the esophagus due to severe retching or vomiting.

Given that your symptoms have persisted and are affecting your ability to eat, it is advisable to consult a healthcare professional. They may recommend diagnostic tests such as blood tests, an abdominal ultrasound, or an endoscopy to visualize the gastrointestinal tract and identify any underlying issues. Early intervention is key, as some conditions can worsen over time if left untreated.

In the meantime, it is essential to stay hydrated. If you are unable to keep food down, try sipping on clear fluids like water or broth. Avoiding solid foods until you can see a doctor may also help prevent further vomiting. If you experience additional symptoms such as severe abdominal pain, fever, or blood in your vomit, seek emergency medical care immediately, as these could be signs of a more serious condition.

In summary, your symptoms warrant a medical evaluation. Do not delay seeking care, as timely diagnosis and treatment can significantly improve your health outcomes. Remember, your health is a priority, and addressing these symptoms sooner rather than later is crucial.

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