Stomach Discomfort: Symptoms and Relief for Gastritis - Gastroenterology and Hepatology

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Stomach discomfort?


Hello, Dr.
Tsai.
I am the junior high school student who had gastritis last time.
I took a more cautious approach and underwent an endoscopy and ultrasound.
The doctor confirmed that it is gastritis.
After taking medication, the bloating and loss of appetite after meals have improved somewhat.
However, when I stand and push my stomach out, I feel a sharp pain in the area of my stomach, and I often feel a dull ache in my stomach.
Sometimes, the pain radiates to the area below my left rib cage, and it hurts when I press on it.
Is it normal for gastritis to present with these symptoms, or am I overthinking it? The doctor also advised me not to stress too much.
My stool color is normal, and I haven't had diarrhea.
Are there any methods to relieve the pain when my stomach feels bloated? Thank you, doctor, for your hard work.
(=^▽^=)

Jinwei, 10~19 year old female. Ask Date: 2021/02/19

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: Try to avoid applying external pressure to the abdomen.
Under natural conditions, the gastrointestinal tract already contains air, so there is no need to be overly concerned about whether it is distended or not.
As long as the abdomen feels soft to the touch, there is no need to worry too much.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2021/02/19

More Info


Understanding stomach discomfort, particularly in the context of gastritis, can be quite complex. Gastritis, which is the inflammation of the stomach lining, can manifest through a variety of symptoms, including abdominal pain, bloating, and discomfort after eating. Your experience of feeling pain when you exert pressure on your abdomen, as well as the sensation of heaviness or dull pain in your stomach, can indeed be associated with gastritis.


Symptoms of Gastritis
1. Abdominal Pain: This can vary from a dull ache to sharp pain, often exacerbated by certain foods or stress.

2. Bloating: Many individuals with gastritis report a feeling of fullness or bloating, especially after meals.

3. Nausea and Vomiting: Some may experience nausea, which can sometimes lead to vomiting.

4. Changes in Appetite: A decreased appetite is common, as eating may trigger discomfort.

5. Pain Radiating to Other Areas: It’s not uncommon for pain from gastritis to radiate to the left side of the abdomen or even to the back.


Your Symptoms
The symptoms you describe—pain when pressing on your abdomen, a feeling of heaviness, and pain radiating to the left side—can indeed be related to gastritis. The inflammation can cause sensitivity in the stomach area, making it painful to apply pressure. Additionally, the discomfort you feel when standing and tightening your abdomen may be due to the increased pressure on an already inflamed stomach lining.


Normalcy of Symptoms
While your symptoms can be typical for someone with gastritis, it’s essential to monitor them closely. The fact that your doctor has advised you to manage stress is also significant, as stress can exacerbate gastrointestinal issues. If your symptoms persist or worsen, it would be prudent to follow up with your healthcare provider for further evaluation.


Relief Strategies
Here are some strategies that may help alleviate your symptoms:
1. Dietary Modifications:
- Avoid Irritants: Stay away from spicy foods, acidic foods, caffeine, and alcohol, as these can aggravate gastritis.

- Eat Smaller Meals: Instead of three large meals, try eating smaller, more frequent meals to reduce the burden on your stomach.

- Incorporate Soft Foods: Foods that are easy to digest, such as bananas, rice, applesauce, and toast, can be soothing.

2. Medications:
- Proton Pump Inhibitors (PPIs): If you haven’t already, discuss with your doctor the possibility of using PPIs, which can help reduce stomach acid and promote healing.

- Antacids: Over-the-counter antacids may provide quick relief from discomfort.

3. Stress Management:
- Engage in relaxation techniques such as deep breathing, meditation, or yoga, which can help reduce stress and its impact on your gastrointestinal health.

4. Hydration:
- Ensure you are drinking plenty of water throughout the day, as hydration is crucial for overall digestive health.

5. Follow-Up Care:
- Regular follow-ups with your healthcare provider are essential to monitor your condition and adjust treatment as necessary.


Conclusion
In summary, while your symptoms can be associated with gastritis, it’s important to keep an open line of communication with your healthcare provider. If your symptoms persist despite treatment, further investigation may be warranted to rule out other underlying conditions. Remember to take care of your mental health as well, as stress can significantly impact your gastrointestinal symptoms. If you have any further concerns or if your symptoms change, do not hesitate to reach out to your doctor for guidance.

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