Patient's question:
I have long since retired from the frontline. Two weeks ago, I had a medical episode with upper abdominal bloating and pain. The pains when walking normally. After multiple thorough examinations, including chest X-ray, electrocardiogram, echocardiography, and abdominal ultrasound, all results were normal. The final conclusion from the endoscopy was chronic non-atrophic gastritis. The doctor prescribed four medications: esomeprazole magnesium enteric-coated tablets, colloidal bismuth capsules, amoxicillin capsules, and clindamycin.After taking the medication for a week, there has been no significant improvement. The upper abdominal bloating and pain are less noticeable when I am inactive at home, but I still feel discomfort. Walking more than 100 meters outside causes pain, which worsens as I continue to walk. Resting for 30 minutes after sitting down is the only way to relieve the pain. There is no difference in sensation before or after meals. I suspect that the pain is caused by chronic non-atrophic gastritis. How can other causes be ruled out, and what further examinations should be conducted? I look forward to expert advice.
Doctor's answer:
This chronic non-atrophic gastritis generally will never reappear with pain during exercise, and if this abdominal pain recurs, be mindful of conditions such as pancreatitis or abdominal aortic disease that may cause it. Additionally, pay attention to duodenal ulcers. It is recommended to undergo an abdominal CT or MRI for diagnosis. Alternatively, you can continue taking your original medication while sending over your test results for review, particularly your full abdominal CT scan, which will provide a clearer and more direct understanding.