abdominal pain in the morning

[sportgrl1488]

I am a relatively healthy 22 year old female (despite hypothyroidism and celiac disase).  Over the past few month I have been waking up during the night and having pain in my mid to upper abdomen whenever I take a deep breath in (occasionally it hits my lower abdomen as well).  I have also noticed incerased frequency of urination during the night hours only.  After emptying my bladder and getting back into bed the pain seems to subside.  Sometimes just waking up and walking around in the morning without using the restroom eases the pain as well.  I have mentioned this to my pulmonologist and primary care physician but neither seemed to know what it was and said simply to "monitor it".  Some days the pain is worse than others and some days there is not pain at all.  Has anyone had a similar experience or have any ideas what may be causing this?

[sportgrl1488]

I had an endoscopy the end of october when they diagnosed me with celiac disease.  When I got my hands on a copy of the report it also said I had mild gastritis.  There was however no mention of GERD, hiatal hernia or H pylori infection.  Would these have been tested for during the endoscopy?

[Dr. Kokil Mathur]

Hi
Welcome to the MedHelp forum!
The symptoms could be exacerbation of the GERD.  It could also be hiatal hernia. Treatment is a combination of drugs to reduce the acid and lifestyle changes. You will need to take a combination of medications (under medical supervision) like a proton pump inhibitor such as omeprazole, lansoprazole or pantoprazole empty stomach in the morning and an antacid gel after meals for complete relief. Possibility of H pylori infection too should be looked into by a carbon urea breath test and a combination antibiotic tried. Many a times a persisting H pylori infection can be the cause behind acidity not responding to treatment.
Life style changes that will help include: Avoid heavy meals and eat frequent small meals. Avoid too much of caffeine, tea, smoking, fried food and drinks both alcoholic and non alcoholic fuzzy ones. Avoid heavy exercises within 4 hours of a heavy meal. Raise the head end of the bed by pillows to 30 degrees. Avoid lying down for least 2 hours after food. Maybe these tips will help you.
Take care!

[ihavequestions21]

I'm a male so obviously we experience different things because of our anatomies, but being from a large family of mostly females and being the only male in my imediate family, I hear certain symptoms go around sometimes.  It sounds like you might have a urinary tact infection.  Im not 100% but thats what it sounds like too me.  I hope this helps bestof luck