The symptoms described by the 24-year-old man, including a burning feeling in the upper abdomen after meals, are most consistent with a peptic ulcer. Medical consultation and possibly an endoscopy are recommended for a proper diagnosis and treatment plan.
The 24-year-old man's symptoms of intermittent, centrally located "burning" sensation in the upper abdomen, especially after meals, are suggestive of a peptic ulcer. Peptic ulcers, which can present in either the stomach (gastric) or duodenum, cause abdominal pain often described as burning and this pain can frequently be relieved by eating. Besides eating, peptic ulcers can cause pain during the night and additional symptoms such as belching, vomiting, and weight loss. The bacteria H.pylori is often the underlying cause of these ulcers.
However, stress and certain foods can also contribute to the development of peptic ulcers. It is important for the individual to consult a healthcare provider for proper diagnosis and treatment.
Considering the detailed symptoms, the man’s history is most consistent with the diagnosis of a peptic ulcer. Further medical investigation like endoscopy and testing for H.pylori may be needed to confirm the diagnosis and begin appropriate treatment.