Weight Loss and Stomach Pain: Possible Causes and Solutions

Stomach pain and weight loss?

At the end of March, I went to the hospital's family medicine department due to severe bloating and abdominal pain.
A urinalysis and stool occult blood test were performed because the doctor suspected a urinary tract infection, but the tests showed no issues.
During that time, I was eating only three meals a day, and my portion sizes significantly decreased.
It took about three weeks for my appetite to gradually return, and I lost around 1 kilogram in weight.
About 40 days before the college entrance exam, I occasionally experienced stomach pain, which lasted about a minute each time.
However, this week, the frequency of stomach pain has increased, and I have also experienced bloating.
There were a few days when I woke up with pain in the epigastric region, but my appetite is still good; I just don't eat much white rice, consume a lot of vegetables, and also snack.
Despite this, I have lost two kilograms over the past two months and occasionally experience acid reflux.

1.
Could this be an ulcer? I am quite afraid of being hungry; although it doesn't hurt, I feel uncomfortable.

2.
Can I continue to monitor the situation to see if there are any issues? I often experience bloating, and I always burp after eating enough.

Kitri, 10~19 year old female. Ask Date: 2017/06/18

Dr. Chen Qifeng reply Gastroenterology and Hepatology

It is recommended to consult a gastroenterologist.
If necessary, undergo an upper gastrointestinal endoscopy.

Reply Date: 2017/06/18

More Info

Understanding the relationship between weight loss and stomach pain can be complex, as various factors may contribute to these symptoms. Based on your description, it seems that you have been experiencing significant gastrointestinal discomfort, including stomach pain, bloating, and changes in appetite and weight. Let's break down the potential causes and solutions.

Possible Causes of Your Symptoms
1. Gastric Ulcers: Your intermittent stomach pain, especially if it occurs after meals, could indeed be indicative of a gastric ulcer. Ulcers can cause a burning sensation and may lead to bloating and discomfort. The fact that you have experienced increased pain and bloating, along with acid reflux (as indicated by your occasional acid regurgitation), suggests that your stomach lining may be irritated.

2. Dietary Changes: You mentioned that your food intake has decreased significantly, which can lead to nutritional deficiencies and gastrointestinal issues. A sudden change in diet can upset your digestive system, leading to symptoms like bloating and discomfort. Additionally, if your diet is low in carbohydrates and high in vegetables, it may not provide enough energy or fiber, which could contribute to digestive issues.

3. Stress and Anxiety: The timing of your symptoms coincides with a stressful period (pre-exams), which can exacerbate gastrointestinal issues. Stress can lead to increased stomach acid production and may contribute to conditions like gastritis or exacerbate existing ulcers.

4. Bloating and Gas: The frequent bloating and belching you experience after meals could be due to the types of foods you are consuming. Certain vegetables, especially cruciferous ones, can cause gas. Eating quickly or not chewing food thoroughly can also lead to swallowing air, which contributes to bloating.

5. Weight Loss: The weight loss you have experienced (2 kg over two months) may not be alarming, but it is essential to ensure that it is not due to an underlying health issue. Unintentional weight loss can sometimes indicate a more serious condition, especially when accompanied by gastrointestinal symptoms.

Recommendations
1. Consult a Gastroenterologist: Given your symptoms, it would be prudent to consult a gastroenterologist. They may recommend diagnostic tests such as an endoscopy to check for ulcers or other gastrointestinal issues.
2. Dietary Adjustments: Consider keeping a food diary to identify any specific foods that may trigger your symptoms. Gradually reintroducing carbohydrates and ensuring a balanced diet rich in fiber, proteins, and healthy fats can help improve your digestive health. Avoiding overly spicy, acidic, or fried foods may also alleviate symptoms.

3. Stress Management: Incorporate stress-reducing techniques such as mindfulness, yoga, or regular physical activity. These practices can help manage stress levels and improve overall well-being, which in turn may alleviate gastrointestinal symptoms.

4. Monitor Symptoms: Keep track of your symptoms, including when they occur and their severity. If you notice a pattern or if symptoms worsen, it is crucial to seek medical attention promptly.

5. Hydration and Nutrition: Ensure you are adequately hydrated and consider small, frequent meals instead of large ones. This approach can help manage hunger and reduce the likelihood of bloating.

6. Over-the-Counter Medications: Antacids or medications that reduce stomach acid may provide temporary relief from symptoms, but they should not replace a consultation with a healthcare provider.

Conclusion
In summary, while your symptoms could be related to gastric ulcers or dietary changes, it is essential to seek professional medical advice for a proper diagnosis and treatment plan. Monitoring your symptoms and making dietary adjustments can help manage your discomfort, but a thorough evaluation by a gastroenterologist is crucial to rule out any serious conditions. Remember, maintaining a balanced diet and managing stress are key components of digestive health.

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