Stomach pain

For several months I have had a dull pain in my stomach (just below my left rib). My stomach makes a frequent load gurgling sounds after I eat or drink. My impression is that it is caused by gas, because the dull pain is less when I stand up. If I wake at night, I usually need to stay up because the pain persist.
I am 62 years old.
Bill

[Kevin Pho, MD]

Most common causes for upper GI discomfort (known as dyspepsia) can include GERD, inflammation of the upper digestive tract, an ulcer or a bacteria known as H Pylori.  You may also want to consider pancreatic or gallbladder disease.  

Tests to evaluate for this would include an upper GI series or upper endoscopy (which is the more comprehensive test).  I would also be tested for H Pylori (can be done as a blood test or during the upper endoscopy).  

If those tests are negative, further tests to consider would be an abdominal ultrasound or CT scan.  A 24-hr pH study can be considered to evaluate for GERD.

I would discuss these considerations wtih your personal 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.

Thanks,
Kevin, M.D.

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