Thanks for posting your query at DoctorSpring.com
I am Dr.R.K and I am pleased to assist you.
There are three possibilities - Muscular pain, peptic ulcer disease and pancreatitis.
Since CT scan of the abdomen was normal, pancreatitis is ruled out. Since it worsens after taking food, muscle pain is also less likely. So the most likely cause is peptic ulcer disease.
An upper GI endoscopy may be done for confirmation.
Meanwhile you can take prilosec. If it is due to peptic ulcer disease, you will find relief.
I hope that answers your query.
Let me know if I can assist you further.
Patient replied :
Dear Dr. Kini,
Thank you for your response. I work in China where patients are generally expected to "self-refer" themselves to a specialist if they visit a clinic. Since I will probably do so if the symptoms worsen, which type of specialist do you recommend I request to see?
Secondly, will prilosec cause the ulcer to go away, or just provide temporary relief?
Finally, any thoughts on how to modify one's diet to reduce the discomfort (apart from removing alcohol, obviously).
Thanks for getting back to me with more questions.
If symptoms persists, consult a gastroenterologist.
If it is a simple ulcer or gastritis, it will go away with prilosec. But if the ulcer is due to H.pylori infection, prilosec will provide only temporary relief. You need to treat the infection for complete relief.
In addition to avoiding alcohol, avoid smoking (If you smoke) and avoid coffee, citrus, tomatoes, chocolates, fatty food.