Chronic Stomach Pain: Causes, Genetics, and When to Seek Help

Frequent stomach pain?

Hello doctor, I have had stomach issues since I was young and often visit the doctor due to abdominal pain.
Although I feel a bit better after using the restroom and taking medication, I still worry that there might be something wrong with my gastrointestinal tract.
I have seen a doctor who prescribed medication, and I have also undergone blood tests, urinalysis, abdominal X-rays, and ultrasounds, all of which showed no significant issues.
My mother also has gastrointestinal problems; could this be related to genetics? I sometimes experience abdominal pain due to emotional fluctuations.
Do I need to undergo a colonoscopy? However, I feel scared and hesitant about it.

Xiao Xi, 10~19 year old female. Ask Date: 2017/10/07

Dr. Lin Minghui reply Gastroenterology and Hepatology

Hello,
In response to case 129009, 19-year-old Xiao Xi, who frequently experiences abdominal pain that improves after taking medication and having a bowel movement: general examinations are normal, and it may be a case of irritable bowel syndrome (IBS).
Gastrointestinal issues can be related to genetics, diet, and lifestyle habits.
It is important for young individuals to develop good habits, such as avoiding spicy foods, eating regular and balanced meals, not rushing while eating, ensuring adequate hydration, maintaining a balanced diet, exercising, keeping a positive mindset, and establishing a daily bowel movement routine to improve gastrointestinal function.

Sometimes, gastrointestinal diseases require further testing, including blood tests, stool tests, endoscopy, imaging studies, or other diagnostic imaging, which can be evaluated in an outpatient setting.

Wishing you good health!
Sincerely,
Dr.
Lin Ming-Hui, Attending Physician, Gastroenterology Department, Taoyuan Hospital, Ministry of Health and Welfare

Reply Date: 2017/10/07

More Info

Chronic stomach pain can be a complex issue, often influenced by a variety of factors including genetics, lifestyle, and emotional health. Your concerns about the recurrent nature of your stomach pain, especially given your family history of gastrointestinal issues, are valid and warrant further exploration.

Understanding the Causes of Chronic Stomach Pain
1. Genetic Factors: Family history plays a significant role in gastrointestinal health. If your mother has experienced similar issues, it is possible that there is a genetic predisposition to gastrointestinal disorders in your family. Conditions such as irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), and even certain types of cancer can have hereditary components.
2. Lifestyle Factors: Your lifestyle choices, including diet, exercise, and stress management, can significantly impact your gastrointestinal health. A diet high in processed foods, sugars, and fats can exacerbate stomach issues. Additionally, sedentary behavior and lack of physical activity can contribute to digestive problems. Stress and emotional health are also critical; stress can lead to increased stomach acid production and exacerbate conditions like gastritis or peptic ulcers.

3. Psychosomatic Factors: Emotional health is closely linked to gastrointestinal function. Anxiety, depression, and stress can manifest as physical symptoms, including stomach pain. This is often referred to as psychosomatic pain, where emotional distress translates into physical discomfort.

When to Seek Help
Given your history of stomach pain and the fact that it has been persistent, it is advisable to consult a gastroenterologist. While your previous tests (blood tests, urinalysis, abdominal X-rays, and ultrasounds) have not indicated any significant issues, there are still several avenues to explore:
1. Endoscopy: A gastroscopy (upper endoscopy) can help visualize the esophagus, stomach, and duodenum, allowing for the detection of ulcers, inflammation, or other abnormalities that may not be visible on imaging studies. If your symptoms include significant pain, especially after eating, this may be a necessary step.

2. Colonoscopy: Given your family history of gastrointestinal issues, a colonoscopy may be warranted, especially if you experience changes in bowel habits, blood in stool, or unexplained weight loss. While it can be intimidating, it is a valuable tool for diagnosing conditions such as polyps, IBD, or colorectal cancer.

3. Dietary and Lifestyle Modifications: Consider keeping a food diary to identify any potential triggers for your stomach pain. You may also benefit from a diet rich in fiber, hydration, and regular meals. Reducing caffeine, alcohol, and spicy foods can also help.

4. Stress Management: Techniques such as mindfulness, yoga, or cognitive behavioral therapy (CBT) can be beneficial in managing stress, which may, in turn, alleviate some of your gastrointestinal symptoms.

Conclusion
Chronic stomach pain is a multifaceted issue that can stem from genetic, lifestyle, and emotional factors. Given your family history and the persistence of your symptoms, it is important to continue seeking medical advice. While the thought of procedures like a colonoscopy can be daunting, they are essential for ruling out serious conditions and ensuring your long-term health. Remember, addressing both the physical and emotional aspects of your health is crucial in managing chronic stomach pain effectively.

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