Could I have a Ulcer?

Im 28 in shape male. I take 80mg of nexium daily. I started drinking a  few beers again about a month ago. Now after I drink I have some stomach acid like pains on my right side. My Dr says its impossible to get a ulcer while on 80mg of nexium. He seems to think it could be nerves getting stimulated to cause the stomach pain. He wrote a perscription for iymipramine 10mg. I find this crazy. Is it possible that my stomach is very sensitive to alchohol and the drinking has caused another ulcer. Or what could this be? Is there anything I should check into? Why is my stomach so sensitive?

[Kevin Pho, MD]

Certainly an ulcer may be possible.  Without further testing (i.e. an upper GI series or upper endoscopy), it is impossible to tell for sure.  

You can also be tested for a bacteria known as H Pylori - which is associated with inflammation and ulcers.  

I would consider one of the aforementioned tests for further evaluation, and if negative, consider a 24-hr pH study which can definitively rule out GERD.  

If the symptoms continue, a referral to a GI specialist can be considered.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
Medical Weblog:
kevinmd_b

[yoshi]

may be you dont have enough stomach acid .