Is this likely an ulcer?

I've had stomache pains on my left side right under the rib cage occasionally after meals for a few years.  About a month ago, I had a burning there that lasted for hours.  My general doctor diagnosed me with an ulcer since he said he had no reason to run other tests because he felt around and said everything looked fine.  He said I seem to be a very stressed individual and this is consistant.

I've recently (spring ) had other tests (blood work, lung x-ray, etc) and all came back fine.  There is no vomiting and stools are normal.  I'm feeling a touch tired but that could just be life or the stress of this.

I've been taking 1 acidphex every day for about 10 days and the pain doesnt' seem to get much better?  Actually it was better over the weekend but last night after dinner (perhaps too spicy meatloaf with corn and green beans) it hurt badly until I fell asleep.  

It never hurts in the morning but I feel heartburn in my throat this am.  It doesnt' hurt this am but I'm affraid to eat, and affraid not to eat.  This is really scaring me - if it is likely an ulcer and will get better eventually, I can deal, but it has never taken this long to clear up.

I do have a gasto appointment but not for 6 weeks (they couldnt' get me in sooner).  

Please tell me if an ulcer is a likely culprit and if so, how might I find relief?  I wondering about taking 2 acidphex daily for a few days and eating a bland diet?

Thank you.

[Kevin Pho, MD]

An ulcer, as well as inflammation of the upper digestive tract, are possibilities.  

The most comprehensive test to evaluate for this would be an upper endoscopy.  

If GERD is suspected, a 24-hr pH study would be the most definitive test, and can be considered if the endoscopy is negative.  

Normally ulcers will heal with the appropriate anti-acid therapy.  The above options should be discussed with your personal physician, or in conjunction with a GI physician.

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.
www.kevinmd.com

[twinkies99]

Also, forgot to add, I had my gallbladder out about 12 years ago.

[teripec]

I'm no doc but in personal experience, the left side under the rib is intestines, I am going to say abit of large intestine, you might have ulcers in there or a polyp. This can cause backing up of stomach acids thus causing your heartburn. Heartburn then can cause holes in your esophogus. Be careful anti-acids can prevent the symptom but they can also mask the true problem as it worsens.