Gastrointestinal Issues: Causes and Remedies for Abdominal Pain - Gastroenterology and Hepatology

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Gastrointestinal issues


I apologize for the inconvenience, but I would like to ask about something.
A few nights ago, I ate three pieces of frozen sticky corn and a small bowl of brown rice within four to five hours.
Before going to bed, I felt something unusual in my stomach, and during the night, the pain became so severe that I had to lie on the floor and vomit.
For the next two days, I experienced cramping pain in my lower abdomen.
On the third night, I ate brown rice and a small amount of fried food again, and I experienced pain during the night, but I couldn't have a bowel movement.
The next day, I visited a doctor, who didn't say much but prescribed me medication and advised me to get an endoscopy if my condition didn't improve.
That evening, I took a medication, and the next morning, I was able to have a bowel movement.
However, throughout the day, I still occasionally felt cramping pain in my lower abdomen.
Could you please help me understand what might be causing this? I'm really worried.

Mxx, 40~49 year old female. Ask Date: 2020/06/10

Dr. Chen Shidian reply Gastroenterology and Hepatology


The initial assessment suggests a problem with gastrointestinal motility.
Medication or a modification to a easily digestible diet can be considered, followed by observation.
If necessary, a stool occult blood test may be performed.

Reply Date: 2020/06/10

More Info


Abdominal pain can be a complex and multifaceted issue, often requiring a thorough understanding of various potential causes and remedies. Based on your description, it seems that you have experienced significant discomfort following the consumption of certain foods, particularly sticky rice and fried items, which may suggest a gastrointestinal disturbance.


Possible Causes of Your Abdominal Pain
1. Dietary Factors: The foods you consumed, particularly sticky rice and fried items, can be difficult to digest for some individuals. Sticky rice is high in carbohydrates and can lead to bloating and discomfort, especially if consumed in large quantities. Fried foods are often high in fat, which can slow down digestion and exacerbate symptoms of gastrointestinal distress.

2. Gastrointestinal Disorders: Your symptoms could be indicative of several gastrointestinal issues, such as:
- Irritable Bowel Syndrome (IBS): This is a common condition that affects the large intestine and can cause symptoms like cramping, abdominal pain, bloating, gas, and diarrhea or constipation. Stress and certain foods can trigger symptoms.

- Gastritis: Inflammation of the stomach lining can cause pain, especially after eating. It can be exacerbated by certain foods, alcohol, or NSAIDs (non-steroidal anti-inflammatory drugs).

- Gastroenteritis: This is an inflammation of the stomach and intestines, often caused by infections. Symptoms include abdominal pain, vomiting, and diarrhea.

- Food Intolerance or Allergy: Some individuals may have intolerances to certain foods, leading to gastrointestinal symptoms after consumption.

3. Constipation: You mentioned difficulty in having a bowel movement, which can lead to abdominal pain. Constipation can cause discomfort and cramping as stool builds up in the intestines.

4. Acid Reflux or GERD: If you experience pain after eating, it could be related to acid reflux or gastroesophageal reflux disease (GERD), where stomach acid flows back into the esophagus, causing pain and discomfort.


Remedies and Recommendations
1. Dietary Adjustments: Consider keeping a food diary to identify any specific foods that trigger your symptoms. It may be beneficial to reduce your intake of high-fat and fried foods, as well as foods that are difficult to digest, such as sticky rice.

2. Hydration and Fiber: Ensure you are drinking plenty of water and consuming a diet rich in fiber to help prevent constipation. Foods like fruits, vegetables, and whole grains can aid digestion.

3. Over-the-Counter Medications: Depending on your symptoms, over-the-counter medications such as antacids for acid reflux, laxatives for constipation, or anti-diarrheal medications may provide relief. However, consult with your healthcare provider before starting any new medication.

4. Stress Management: Since stress can exacerbate gastrointestinal issues, consider incorporating stress-reducing techniques such as mindfulness, yoga, or regular exercise into your routine.

5. Follow-Up with Your Doctor: Since your symptoms have persisted, it is crucial to follow up with your healthcare provider. If the initial medications do not alleviate your symptoms, further diagnostic tests, such as an endoscopy or imaging studies, may be necessary to rule out more serious conditions.

6. Seek Specialist Care: If your symptoms continue or worsen, consider consulting a gastroenterologist who specializes in digestive disorders. They can provide a more comprehensive evaluation and tailored treatment plan.


Conclusion
Abdominal pain can arise from various causes, and understanding the underlying issue is key to finding effective remedies. By making dietary changes, managing stress, and seeking appropriate medical care, you can work towards alleviating your symptoms and improving your overall gastrointestinal health. Remember, it’s essential to listen to your body and seek medical attention if your pain persists or worsens.

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