Severe Stomach Cramps: Causes and Solutions - Gastroenterology and Hepatology

The stomach feels severely twisted and painful, making it difficult to stand upright?

Hello Doctor, I would like to inquire about what diseases my symptoms might indicate and how I can improve my condition.
Over the past three years, I have experienced three episodes of severe stomach cramps/spasms that were extremely painful, making it impossible for me to stand or move.
As soon as I stood up, I would experience intense pain accompanied by strong nausea, and I had to lie on my side to alleviate the pain.

The first episode occurred without any apparent cause; I was in Australia at the time and was in so much pain that I broke out in a cold sweat and couldn't stand.
Unfortunately, I couldn't see a doctor immediately, so after resting for two to three days, the symptoms disappeared.
I didn't seek medical attention afterward because I thought it was a one-time event.

The second episode was accompanied by vomiting, and I suspected food poisoning since I felt significantly better after vomiting.
However, the next day, I still experienced nausea, and similar symptoms recurred after eating.
Again, the symptoms resolved after a few days, and I didn't see a doctor as I was in the UK at the time.

The third episode occurred just a few days ago.
It started with nausea and a sensation of stomach acid rising to my throat.
Due to work commitments, I had a glass of champagne, which triggered the stomach cramps.
This time, the pain was somewhat milder, but I still felt the onset of cramps the next day.
I only managed to eat a little, and now, a week later, my symptoms have improved significantly, but the feeling of nausea persists.

I am reaching out because I am concerned that these episodes may be related.
I have a history of gastrointestinal issues, often experiencing bloating and audible gas.
Additionally, I have had a persistent feeling of nausea for over a year and a half, which often arises without any clear reason.
Fresh air helps alleviate the discomfort somewhat.
Initially, I thought it might be related to taking birth control pills, so I stopped taking them in April of this year, but the nausea has not improved.

None of these symptoms have been accompanied by fever or diarrhea.
Thank you, Doctor, for your assistance.

J, 20~29 year old female. Ask Date: 2017/11/08

Dr. Lin Minghui reply Gastroenterology and Hepatology

Hello, frequent symptoms such as bloating, nausea, occasional stomach cramps, and acid secretion may indicate a warning from your body, suggesting that there could be a gastrointestinal dysfunction or even an organic disease.
It is advisable to pay attention to your lifestyle and dietary habits.
Avoid rushing meals, maintain a regular eating schedule, chew your food thoroughly, and limit the intake of irritants (such as alcohol, spicy foods, coffee, tea, and chocolate).
If discomfort persists, a gastrointestinal examination is recommended.
Wishing you good health! Sincerely, Dr.
Ming-Hui Lin, Attending Physician, Department of Gastroenterology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2017/11/08

More Info

Severe stomach cramps can be a distressing symptom and may arise from various underlying conditions. Based on your description, it seems you have experienced episodes of intense abdominal pain, nausea, and discomfort over the past three years. Let's explore potential causes and solutions.

Possible Causes
1. Gastroesophageal Reflux Disease (GERD): Your mention of acid reflux symptoms, such as the sensation of acid reaching your throat, suggests that GERD could be a contributing factor. GERD can cause severe discomfort and may lead to spasms in the stomach or esophagus.

2. Peptic Ulcers: Given your history of stomach cramps and nausea, peptic ulcers (which include both gastric and duodenal ulcers) could be a possibility. These ulcers can cause significant pain, especially when the stomach is empty or after eating certain foods.

3. Gastritis: Inflammation of the stomach lining, known as gastritis, can lead to symptoms like cramps and nausea. This condition can be acute or chronic and may be exacerbated by factors such as stress, alcohol consumption, or certain medications.

4. Food Intolerance or Allergies: Your symptoms following the consumption of specific foods or beverages (like champagne) could indicate a food intolerance or allergy. This can lead to gastrointestinal distress, including cramps and nausea.

5. Functional Dyspepsia: This is a common condition characterized by chronic or recurrent pain in the upper abdomen without any identifiable cause. Symptoms can include bloating, nausea, and discomfort.

6. Irritable Bowel Syndrome (IBS): Given your history of bloating and gas, IBS could be a consideration. This functional gastrointestinal disorder can cause abdominal pain, cramping, and changes in bowel habits.

7. Psychological Factors: Stress and anxiety can significantly impact gastrointestinal health, leading to symptoms like cramps and nausea. If you have a history of mental health issues, this could be a contributing factor.

Recommendations for Management
1. Dietary Modifications:
- Avoid Trigger Foods: Keep a food diary to identify and avoid foods that trigger your symptoms. Common culprits include spicy foods, caffeine, alcohol, and high-fat meals.

- Eat Smaller Meals: Instead of three large meals, try eating smaller, more frequent meals to reduce the burden on your digestive system.

- Stay Hydrated: Drink plenty of water throughout the day, but avoid large amounts during meals to prevent bloating.

2. Medications:
- Proton Pump Inhibitors (PPIs): If GERD or gastritis is suspected, medications like PPIs (e.g., omeprazole or esomeprazole) can help reduce stomach acid and alleviate symptoms.

- Antacids: Over-the-counter antacids can provide quick relief from heartburn and stomach discomfort.

- Antiemetics: If nausea is a persistent issue, medications to control nausea may be beneficial.

3. Lifestyle Changes:
- Stress Management: Engage in relaxation techniques such as yoga, meditation, or deep-breathing exercises to help manage stress, which can exacerbate gastrointestinal symptoms.

- Regular Exercise: Incorporate regular physical activity into your routine, as this can help improve digestion and reduce stress.

4. Medical Evaluation:
- Given the recurrent nature of your symptoms, it is advisable to consult a healthcare professional for a thorough evaluation. This may include blood tests, imaging studies, or endoscopy to rule out serious conditions such as ulcers or malignancies.

- If you suspect a food intolerance, consider working with a dietitian to identify potential triggers.

5. Monitor Symptoms: Keep track of your symptoms, including their frequency, duration, and any associated factors. This information can be invaluable for your healthcare provider in determining the underlying cause and appropriate treatment.

Conclusion
Your symptoms of severe stomach cramps, nausea, and bloating warrant a comprehensive evaluation to identify the underlying cause. While dietary and lifestyle modifications can provide relief, it is essential to seek medical advice for a tailored treatment plan. By addressing both the physical and psychological aspects of your symptoms, you can work towards improving your overall gastrointestinal health.

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