HomeAnswersMedical GastroenterologygerdI have been experiencing a burning sensation and pain in my upper and middle abdomen after eating food. Why?

Can the pain in the upper and middle abdomen after eating food be due to GERD?

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Published At May 12, 2023
Reviewed AtDecember 8, 2023

Patient's Query

Hi doctor,

After eating food, I get burning pain in my upper and middle abdomen many times. It does not seem to be a food allergy as it happens with all different foods. But it happens when food is slightly heavy. The problem started about one month ago. Earlier it was one or two times a week, but now it is much more frequent. Currently, I am eating very light food to avoid the problem. The ultrasound test and stool bacteria tests are normal. Tablet Pantoprazole 40 mg does not seem to be effective.

Could you suggest the possible causes and treatment?

Hi,

Welcome to icliniq.com.

I understand your concern.

Based on your symptoms and the tests you have already undergone, it is possible that you may be experiencing acid reflux or gastroesophageal reflux disease (GERD). GERD is a condition in which the muscle at the bottom of the esophagus, called the lower esophageal sphincter, weakens and allows stomach acid to flow back up into the esophagus, causing irritation and inflammation. There are several factors that can contribute to the development of GERD, including:

  1. Diet: Eating large meals, consuming fatty or spicy foods, and drinking alcohol or caffeine can all contribute to GERD symptoms.
  2. Weight: Being overweight or obese can put pressure on the stomach, leading to acid reflux.
  3. Smoking: Smoking can weaken the lower esophageal sphincter and increase the risk of GERD.
  4. Certain medical conditions: Hiatal hernia, pregnancy, and scleroderma can all contribute to GERD symptoms.

Treatment for GERD typically involves making lifestyle changes and taking medications to reduce the amount of acid in the stomach. If tablet Pantoprazole is not working for you, I can prescribe you another drug which can help you alleviate your symptoms. In addition to taking tablet Pantoprazole and antacids, you should try:

  1. Eat smaller, more frequent meals throughout the day.
  2. Avoid foods that trigger your symptoms, such as spicy or fatty foods.
  3. Elevate the head of your bed to prevent stomach acid from flowing back up into your esophagus while you sleep.
  4. Quitting smoking, if you smoke.
  5. Losing weight, if you are overweight.

Feel free to contact me for further queries.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Kanani Darshan Jayantilal
Dr. Kanani Darshan Jayantilal

Family Physician

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