instruction: hello doctor I am a 25 year old male I am 210 labs and it 10 in lately I have been having really bad upper abdominal pain and tenderness I get really sharp pains in the same area when I lift heavy things it is so uncomfortable at all times I have a history of peptic ulcers from the time I was 16 but this pain is different and constant
output: hello well the pain which comes in or worsen after doing physical movements is highly likely secondary to muscle and bone related the pain of peptic ulcer however can be knowing and usually worsens after meals but given the fact that you have been using omeprazole which is a strong acid suppressant is helpful in healing peptic ulcer the presence of peptic ulcers in your stomach seems to be a rare possibility I suggest you to take tablet orphanderine plus paracetamol combination one tablet three times daily for a few days and avoid doing heavy lifting or any thing that you think will worsen the pain and see how does it go if your pain does not solve then I suggest you to increase the omeprazole dose to 40 my twice daily half an hour before meals this would certainly improve the pain if it secondary to peptic ulcer disease lastly there are other conditions which tend to cause pain which worsen with exercise and bearing weight and one such condition is called nerve entrapment pain but I want you to start with step and let me know how things go musculoskeletal pain functional abdominal pain or nerve entrapment pain musculoskeletal pain follow in a few days and update if pain settles if not then I will recommend some testing