Sudden Stomach Pain: Causes, Remedies, and Dietary Tips - Internal Medicine

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Sudden abdominal pain?


Doctor, I suddenly felt a burning pain in my stomach after dinner last night.
I noticed I gained weight, and it hurt a lot when I lay down to sleep, but it was more tolerable when I was standing.
I drank some milk, which helped ease the pain and allowed me to sleep, but I woke up in the middle of the night with pain again.
After drinking more milk, I was able to fall asleep.
When I woke up in the morning, I still felt some pain, and after breakfast, I continued to feel discomfort and pain.
I have been burping more than usual and feel hungrier than normal.
Since it's inconvenient to see a doctor while abroad, could you recommend any over-the-counter medications I can take or dietary considerations I should keep in mind? Thank you.

Fang, 30~39 year old female. Ask Date: 2017/03/02

Dr. Xiao Yongxun reply Internal Medicine


Dear Miss Fang:
1.
Based on your description, most physicians would likely consider conditions such as gastroesophageal reflux disease (GERD), gastric ulcers, duodenal ulcers, and acute gastritis; of course, gallstones, acute cholecystitis, acute pancreatitis, and other less common diseases should also be taken into account.
2.
It is advisable to avoid coffee, tea, smoking, alcohol, processed beverages, glutinous rice, non-steroidal anti-inflammatory drugs (NSAIDs), steroids, and other foods that may stimulate gastric acid secretion or damage the gastric mucosa.
You should chew your food thoroughly and eat slowly, avoiding overeating; taking a walk after meals can help prevent gastric discomfort from overeating.
3.
You may consider purchasing antacids, antacid gel, H2 blockers, or proton pump inhibitors (PPIs); however, the latter two are typically prescription medications and must be prescribed by a physician.
4.
If discomfort persists, you should consult a physician for an upper gastrointestinal endoscopy (commonly known as a "gastroscopy") and possibly undergo abdominal ultrasound or other examinations.

Reply Date: 2017/03/02

More Info


Sudden stomach pain can be quite distressing, and it’s essential to understand the potential causes, remedies, and dietary recommendations to manage the discomfort effectively. Based on your description, it seems that you are experiencing symptoms that could be related to several gastrointestinal issues, such as gastritis, gastroesophageal reflux disease (GERD), or even peptic ulcers.

Possible Causes of Sudden Stomach Pain
1. Gastritis: This is the inflammation of the stomach lining, which can cause pain, especially after eating. It can be triggered by irritants such as alcohol, spicy foods, or nonsteroidal anti-inflammatory drugs (NSAIDs).

2. Gastroesophageal Reflux Disease (GERD): This condition occurs when stomach acid flows back into the esophagus, leading to symptoms like heartburn, regurgitation, and discomfort after meals.

3. Peptic Ulcers: These are sores that develop on the lining of the stomach or the first part of the small intestine. They can cause a burning pain that may improve after eating but worsen when the stomach is empty.

4. Food Intolerance or Allergies: Sometimes, certain foods can trigger stomach pain, especially if you have an intolerance or allergy to them.

5. Stress and Anxiety: Emotional factors can also contribute to gastrointestinal discomfort, leading to symptoms like stomach pain and increased hunger.


Remedies for Sudden Stomach Pain
1. Over-the-Counter Medications: You may consider taking antacids (like Tums or Maalox) to neutralize stomach acid. H2 blockers (like ranitidine or famotidine) can reduce acid production, while proton pump inhibitors (like omeprazole) are effective for more severe symptoms. However, the latter two usually require a prescription.

2. Dietary Adjustments:
- Avoid Trigger Foods: Stay away from spicy, fatty, or fried foods, as well as caffeine, alcohol, and carbonated beverages, which can exacerbate symptoms.

- Eat Smaller, More Frequent Meals: Instead of three large meals, try eating smaller portions more frequently to avoid overwhelming your stomach.

- Stay Hydrated: Drink plenty of water, but avoid drinking large amounts during meals, as this can increase stomach pressure.

3. Lifestyle Modifications:
- Avoid Lying Down After Eating: Try to remain upright for at least two to three hours after meals to prevent acid reflux.

- Manage Stress: Engage in relaxation techniques such as deep breathing, meditation, or yoga, which can help alleviate stress-related stomach issues.

4. Monitor Symptoms: Keep a diary of your food intake and symptoms to identify any patterns or specific triggers that may be causing your discomfort.


When to Seek Medical Attention
If your symptoms persist or worsen, it is crucial to seek medical attention. Persistent stomach pain, especially if accompanied by other symptoms such as vomiting, blood in stool, or significant weight loss, may indicate a more serious condition that requires further investigation, such as an endoscopy or imaging studies.


Conclusion
While it can be challenging to manage sudden stomach pain, especially when access to healthcare is limited, making dietary changes and using over-the-counter medications can provide relief. However, always listen to your body, and if symptoms persist, do not hesitate to seek professional medical advice. Your health is paramount, and addressing these issues early can prevent more severe complications down the line.

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