Abdominal Pain: Causes and Remedies for Discomfort - Gastroenterology and Hepatology

Lower abdominal pain?

Hello, doctor.
I have a question I would like to ask you.
Last night, I only had a cup of milk tea, and as a result, I experienced severe abdominal pain that radiated from the middle of my abdomen to the lower abdomen.
The pain comes in waves; sometimes it hurts, and sometimes it doesn't.
This morning, after eating three slices of white toast, I felt fine, but after lunch (a typical buffet), the severe abdominal pain returned, similar to last night.
My bowel movements have been normal for the past two days, with no diarrhea, and I have not experienced anything like this before.
The pain only occurs after eating; it does not happen when I haven't eaten.
What could be causing this? Are there any methods to alleviate it? Thank you.

Tian, 20~29 year old female. Ask Date: 2020/03/18

Dr. Chen Shidian reply Gastroenterology and Hepatology

Further observation is recommended, and in terms of dietary considerations, it is generally advised to reduce the intake of milk and fatty foods.
During an episode, local heat application may be beneficial.

Reply Date: 2020/03/18

More Info

Abdominal pain can be a complex issue with a variety of potential causes, and understanding these can help in managing discomfort effectively. Based on your description, it seems that your pain is triggered by food intake, which may suggest a gastrointestinal issue. Here are some possible causes and remedies for your discomfort.

Possible Causes of Abdominal Pain
1. Gastritis or Stomach Ulcers: Inflammation of the stomach lining (gastritis) or the presence of ulcers can cause pain after eating. This is often characterized by a burning sensation in the stomach.

2. Food Intolerance or Allergy: Sometimes, specific foods can trigger abdominal pain. Lactose intolerance, for example, can cause discomfort after consuming dairy products. If your milk tea contains lactose, this could be a factor.

3. Irritable Bowel Syndrome (IBS): IBS is a functional gastrointestinal disorder that can cause cramping, abdominal pain, bloating, gas, and diarrhea or constipation. Symptoms often worsen after eating.

4. Gallbladder Issues: Conditions such as gallstones can lead to pain after meals, particularly if the meal is high in fat. This pain is usually located in the upper right abdomen but can radiate to other areas.

5. Pancreatitis: Inflammation of the pancreas can cause severe abdominal pain that may worsen after eating, especially if the meal is rich in fats.

6. Intestinal Obstruction: Although less common, a blockage in the intestines can cause intermittent pain and is often accompanied by changes in bowel habits.

Remedies and Management
1. Dietary Modifications: Keeping a food diary can help identify any specific foods that trigger your pain. Consider eliminating dairy, spicy foods, or high-fat meals to see if symptoms improve.

2. Smaller, Frequent Meals: Instead of large meals, try eating smaller portions more frequently throughout the day. This can help reduce the burden on your digestive system.

3. Hydration: Ensure you are drinking enough fluids, especially water. Staying hydrated can aid digestion and help prevent constipation.

4. Over-the-Counter Medications: Antacids or medications like simethicone can help relieve gas and bloating. If you suspect gastritis or ulcers, proton pump inhibitors (PPIs) or H2 blockers may be beneficial, but these should be used under the guidance of a healthcare provider.

5. Stress Management: Since stress can exacerbate gastrointestinal symptoms, consider incorporating relaxation techniques such as yoga, meditation, or deep-breathing exercises into your routine.

6. Consult a Healthcare Provider: If your symptoms persist or worsen, it is essential to seek medical advice. A healthcare provider may recommend tests such as blood work, an ultrasound, or an endoscopy to determine the underlying cause of your pain.

Conclusion
In summary, your abdominal pain appears to be related to food intake, which suggests a gastrointestinal issue. By monitoring your diet, making some lifestyle changes, and consulting with a healthcare provider, you can work towards identifying the cause and finding relief. It’s crucial to address any persistent symptoms promptly, as they can indicate more serious conditions that may require medical intervention.

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