Abdominal Pain and Vomiting: Nutritional Insights - Nutrition

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Abdominal pain and vomiting?


Recently, my diet has not been very good, and now I often have trouble sleeping.
I occasionally experience acid reflux and frequently have stomach pain after eating, or even when I haven't eaten anything.
I have been intimate with my boyfriend before, but pregnancy tests have come back negative.
What could these symptoms indicate?

Zhang Xiansheng, 20~29 year old female. Ask Date: 2020/04/09

Dr. Cai Xiuwen reply Nutrition


Hello! You mentioned experiencing stomach pain and vomiting bile.
I recommend that you maintain regular meal times and portion sizes, eat a light diet, and chew your food thoroughly.
You may also consider eating smaller, more frequent meals.
If your symptoms do not improve, I suggest visiting a gastroenterologist for a proper evaluation to identify the underlying issue.
This message is from Dietitian Tsai Hsiu-Wen at Nantou Hospital, Ministry of Health and Welfare.
Wishing you safety and good health.

Reply Date: 2020/04/09

More Info


Abdominal pain and vomiting can be distressing symptoms that often indicate underlying gastrointestinal issues. Given your description of poor dietary habits, sleep disturbances, and the occurrence of acid reflux (vomiting stomach acid), it’s essential to consider several factors that could be contributing to your symptoms.

Firstly, the relationship between diet and gastrointestinal health is significant. A diet high in processed foods, sugars, and unhealthy fats can lead to digestive issues such as gastritis, acid reflux, and even irritable bowel syndrome (IBS). If you have been consuming a lot of fast food, sugary snacks, or other unhealthy options, this could be irritating your stomach lining and leading to inflammation, which may cause pain and discomfort after eating.

Moreover, the timing of your meals plays a crucial role. Eating large meals or lying down shortly after eating can exacerbate acid reflux symptoms. It’s advisable to eat smaller, more frequent meals and to remain upright for at least two to three hours after eating to help reduce the likelihood of acid reflux.

Your symptoms of abdominal pain occurring both after eating and when you haven’t eaten may suggest a few possibilities. One common condition is gastritis, which is the inflammation of the stomach lining. This can be triggered by poor dietary choices, stress, or even certain medications. Another possibility is peptic ulcers, which can cause pain when the stomach is empty or after eating, particularly if the food irritates the ulcer.

Additionally, stress and anxiety can significantly impact gastrointestinal health. Stress can lead to increased stomach acid production and can also affect gut motility, leading to symptoms like pain and discomfort. If you are experiencing anxiety or stress, it may be beneficial to incorporate stress-reducing techniques such as mindfulness, yoga, or regular physical activity into your routine.

Regarding your mention of having had sexual intercourse, it’s important to note that while pregnancy tests can be reliable, they are not infallible. If you have concerns about pregnancy or if your symptoms persist, it may be wise to consult a healthcare provider for further evaluation. They may recommend a pelvic exam or additional tests to rule out any gynecological issues that could be contributing to your abdominal pain.

In summary, your symptoms could be related to dietary choices, stress, or other gastrointestinal conditions. It’s crucial to maintain a balanced diet rich in fruits, vegetables, whole grains, and lean proteins while avoiding excessive processed foods. Staying hydrated and managing stress are also vital components of maintaining gastrointestinal health. If your symptoms persist or worsen, seeking medical advice is essential to rule out any serious conditions and to receive appropriate treatment.

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