the Connection Between Stomach Discomfort and Emotions

Q: the Connection Between Stomach Discomfort and Emotions

Hello： Emotions can affect gastrointestinal motility and gastric acid secretion. <br>When experiencing stomach pain on an empty stomach, eating may alleviate the discomfort, possibly due to increased gastric acid secretion. <br>Gastric cancer is associated with genetics, diet, en

Stomach discomfort?

Hello! 1.
Can stomach discomfort be influenced by emotions? Recently, after taking allergy medication, I started experiencing stomach pain and a feeling of heaviness, and sometimes I also have a burning sensation of acid reflux.
However, I've noticed that when I don't think about my stomach, the pain tends to lessen.
Since a friend of mine has been diagnosed with stomach cancer, I feel anxious about the possibility of having it myself.
The more I think about it, the more uncomfortable I feel.
Sometimes, when I focus on other things, I forget about the discomfort, and my stomach doesn't hurt, nor do I feel chest tightness.
Is it necessary for me to get an endoscopy? 2.
Additionally, when I am particularly stressed, I find that I wake up hungry in the middle of the night, experiencing that acidic hunger sensation from not having breakfast in the morning, or I might feel a slight hunger before bed.
Later, drinking a lot of water alleviates this immediately.
What could be the reason for this? (I usually have dinner around 5 or 6 PM and go to bed at 11 PM.)

H, 10~19 year old female. Ask Date: 2020/08/21

Dr. Lin Minghui reply Gastroenterology and Hepatology

Hello: Emotions can affect gastrointestinal motility and gastric acid secretion.
When experiencing stomach pain on an empty stomach, eating may alleviate the discomfort, possibly due to increased gastric acid secretion.
Gastric cancer is associated with genetics, diet, environment, and Helicobacter pylori infection.
It is advisable to pay attention to dietary habits; if you frequently experience stomach pain, bloating, or acid reflux, it is recommended to seek medical evaluation at an outpatient clinic.
Wishing you peace and health! Sincerely, Dr.
Ming-Hui Lin, Attending Physician, Gastroenterology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2020/08/21

More Info

The connection between stomach discomfort and emotions is a well-documented phenomenon in the field of medicine, particularly in the realm of psychosomatic disorders. Your experience of stomach pain and discomfort correlating with emotional states is not uncommon. Stress, anxiety, and other emotional factors can significantly impact gastrointestinal function, leading to symptoms such as pain, bloating, and acid reflux.

1. Emotional Influence on Gastrointestinal Symptoms: The gastrointestinal (GI) tract is often referred to as the "second brain" due to its extensive network of neurons and its ability to communicate with the central nervous system. When you experience anxiety or stress, your body releases stress hormones like cortisol, which can affect gut motility and increase stomach acid production. This can lead to symptoms such as heartburn, stomach pain, and even nausea. In your case, the fact that your stomach discomfort seems to lessen when you distract yourself from it suggests a strong link between your emotional state and your physical symptoms. This is a classic example of how anxiety can manifest as physical discomfort.

2. Concerns About Gastric Cancer: It’s understandable to feel anxious about serious health conditions, especially when friends or family members are affected by them. However, while anxiety can exacerbate gastrointestinal symptoms, it does not directly cause conditions like gastric cancer. If your symptoms persist or worsen, it would be prudent to consult a healthcare professional. A gastroenterologist can perform diagnostic tests, such as an endoscopy, to rule out any serious conditions, including cancer. This can provide peace of mind and help you address any underlying issues.

3. Nighttime Hunger and Acid Production: The phenomenon of waking up hungry at night or experiencing hunger pangs can be attributed to several factors. When you eat dinner early in the evening and go to bed several hours later, your stomach may be empty by the time you sleep, leading to increased gastric acid production. This can cause sensations of hunger or discomfort. Drinking water may temporarily alleviate these feelings because it can help neutralize stomach acid and fill your stomach, reducing the sensation of hunger.
4. Managing Anxiety and Stomach Discomfort: To manage your symptoms, consider incorporating stress-reduction techniques such as mindfulness, meditation, or yoga into your routine. These practices can help lower anxiety levels and, in turn, may alleviate some of your gastrointestinal symptoms. Additionally, maintaining a balanced diet and regular eating schedule can help regulate stomach acid production and improve overall digestive health.

5. When to Seek Medical Attention: If your symptoms persist despite lifestyle changes, or if you experience alarming symptoms such as significant weight loss, persistent vomiting, or blood in your stool, it is essential to seek medical attention. A healthcare provider can evaluate your symptoms, perform necessary tests, and recommend appropriate treatment options.

In summary, there is a significant connection between emotional states and gastrointestinal discomfort. Your experience of stomach pain linked to anxiety is valid and reflects a common interaction between the mind and body. While it is essential to address your emotional well-being, do not hesitate to consult a healthcare professional if your symptoms persist or if you have concerns about your health.

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