A dull stomach pain, strong enough, to wake me up

Patient

Q: A dull stomach pain, strong enough, to wake me up this morning. Its right in my center upper area, the xyphloid. I admit to eating some junk before bed & taking a sleeping pill. Also I admit to being a heavy binge drinker lately, not eating for days, not sleeping, all do to severe personal stress. The stress so bad I was getting heavy prickle hot flashes. Now, is this pain an ulcer? Did I trigger something worse?.........I was drinking a bottle a night for about a week and a half at my peak ending this Sunday until nipping my stress problem. Should I worry now about this dull,knawing pain? On a 1-10 its a 6.

Doctor

A:   Hi.

Thanks for admitting history, all going to the same destination of Gastric ulcer or gastritis.
The drinks, the junk food and to top of all the stress.
I would advise in such a situation to get an Upper GI Endoscopy urgently to see the effects of what you did to your stomach.
Then to get started with proper treatment:
- First of all avoidance of the instigating factors- the alcohol and junk foods.
- Take PPI and Ranitidine
- Antacid liquid 3 hourly.
- Small frequent foods.
Medicines for stress and anxiety.
Rest of the treatment after the tests under the guidance of a Gastroenterologist.

Hope this helps you.

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