Post-Endoscopy Abdominal Pain: Causes and When to Seek Further Evaluation - Gastroenterology and Hepatology

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Post-endoscopy abdominal pain can be a common concern for patients who undergo procedures such as gastroscopy. In your case, it seems that you experienced significant discomfort following the endoscopy, which can be attributed to several factors.

Firstly, it is important to understand that during a gastroscopy, air is often introduced into the stomach to provide a clearer view of the gastrointestinal tract. This can lead to temporary discomfort or pain as the air stretches the stomach walls. Additionally, the procedure itself can sometimes cause minor trauma to the lining of the esophagus or stomach, especially if there was difficulty during the examination, such as excessive gagging or vomiting, which you mentioned occurred during your procedure.

The fact that you are experiencing pain that worsens with pressure suggests that there may be some localized irritation or inflammation in the area. While the endoscopy did not reveal any ulcers or inflammation, it is still possible that the procedure caused some transient irritation. This is typically self-limiting and should resolve within a few days. However, if the pain persists or worsens, it is essential to seek further evaluation.

In your case, since you are experiencing significant pain that is not improving after a day, it would be prudent to follow up with your healthcare provider. They may recommend additional imaging studies, such as an ultrasound or CT scan, to rule out any complications such as perforation or significant inflammation that may not have been evident during the endoscopy.
Moreover, if you notice any additional symptoms such as fever, persistent vomiting, or changes in bowel habits, these could be signs of a more serious condition that requires immediate attention. It is also worth considering that anxiety and stress during medical procedures can exacerbate physical symptoms, so addressing any underlying anxiety may also be beneficial.

In summary, while some discomfort after an endoscopy can be normal, your symptoms warrant further investigation, especially given the severity of your pain. It is always better to err on the side of caution when it comes to abdominal pain, as the underlying causes can vary widely and may require different management strategies. Please consult your physician for a thorough assessment and appropriate management of your symptoms.