Abdominal Pain: Insights on Digestive Issues and Vomiting

Abdomen and stomach

After dinner on April 12, I induced vomiting due to abdominal pain.
Since then, I've been experiencing a dull ache in a small area just below my right chest (about one finger width).
It's not a constant pain, but certain positions, like bending over or moving around, and pressing on that area with my fingers can elicit some discomfort.
There’s no hard sensation, so I believe a physician's examination is necessary for further evaluation.

Regarding my stomach issues, sometimes when I haven't overeaten or after having a small snack, my abdomen feels somewhat hard to the touch.
My eating habits involve binge eating and consuming food quickly, primarily fast food, and I tend to be a picky eater.
About three years ago, I started to induce vomiting immediately after feeling overly full, which makes my stomach feel empty.
I feel better physically and sleep more comfortably when I do this, as it seems I have a psychological aversion to having food in my stomach, even though my brain and body still require calories.
This leads me to induce vomiting even if I’m only about 70% full.
A nurse friend of mine mentioned that feeling full after just one snack and having a hard abdomen could indicate bloating or indigestion, which can lead to premature gastric issues if it occurs frequently.
Is this situation serious? If I need to see a doctor, how should I explain my condition? Should I focus solely on the abdominal pain, or should I also mention the vomiting and my imbalanced eating habits that I believe are affecting the function of my organs?

Liu Shi, 20~29 year old female. Ask Date: 2017/04/25

Dr. Chen Shidian reply Gastroenterology and Hepatology

Hello, you may start with local heat application and please visit the gastroenterology outpatient clinic to confirm your condition.
Additionally, inducing vomiting is not recommended as it can harm the esophagus.
Changhua Hospital cares about your health.
Chen Shidian

Reply Date: 2017/04/25

More Info

Understanding abdominal pain, especially in the context of digestive issues and vomiting, requires a comprehensive approach that considers both physical and psychological factors. Based on your description, it seems that your symptoms may be linked to a combination of dietary habits, potential gastrointestinal distress, and possibly underlying psychological issues related to eating behaviors.

Firstly, the pain you are experiencing in the right upper quadrant of your abdomen, particularly after eating, could be indicative of several gastrointestinal issues. Given your history of binge eating and subsequent vomiting, it is plausible that you are experiencing symptoms related to gastritis, which is inflammation of the stomach lining, or even a more serious condition such as gastroparesis, where the stomach cannot empty properly. The sensation of hardness in your abdomen may suggest bloating or distension, which can occur due to overeating or rapid eating, leading to gas accumulation and discomfort.

Your eating habits, characterized by rapid consumption and a preference for fast food, can significantly impact your digestive health. Eating quickly often leads to swallowing air, which can contribute to bloating and discomfort. Additionally, a diet lacking in variety and rich in processed foods may lead to nutritional deficiencies, which can affect overall health and digestion. The fact that you have been inducing vomiting after meals suggests a potential eating disorder, which can have serious physical and psychological consequences.

It is crucial to address both the physical and psychological aspects of your condition. The psychological component, particularly if you are experiencing anxiety or distress related to food intake, can exacerbate physical symptoms. Anxiety can lead to increased muscle tension and gastrointestinal motility issues, which may contribute to your abdominal pain and discomfort.

When you visit a healthcare provider, it is essential to communicate your symptoms clearly and comprehensively. Here are some points to consider when discussing your condition with your doctor:
1. Describe Your Symptoms: Clearly explain the location, intensity, and nature of your abdominal pain. Mention any patterns you have noticed, such as pain after eating or specific movements that exacerbate the discomfort.

2. Discuss Your Eating Habits: Be open about your eating patterns, including the frequency of binge eating, the types of foods you consume, and your tendency to induce vomiting. This information is crucial for your doctor to understand the potential impact on your digestive health.

3. Mention Psychological Factors: If you feel comfortable, discuss any anxiety or stress related to food and eating. This can help your doctor consider a holistic approach to your treatment.

4. List Any Other Symptoms: If you experience additional symptoms such as nausea, vomiting, changes in bowel habits, or weight loss, be sure to mention these as well.

5. Ask Questions: Inquire about potential tests that may be necessary to rule out any underlying gastrointestinal conditions, such as an ultrasound or endoscopy, and discuss possible referrals to a nutritionist or mental health professional if needed.

In summary, your abdominal pain and discomfort are likely multifactorial, stemming from both your dietary habits and potential psychological factors. It is essential to seek medical advice to explore these issues further and develop a comprehensive treatment plan that addresses both your physical and mental health. By being open and thorough in your communication with your healthcare provider, you can work together to find effective solutions for your symptoms.

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