Gastrointestinal Discomfort: Causes and Solutions - Gastroenterology and Hepatology

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Gastrointestinal discomfort


Hello Dr.
Tsai, recently I have been feeling bloated in the area above my navel and below my sternum every morning, with a slight feeling of nausea.
There is mild tenderness when I press on that area, and my appetite has not been great.
After each meal, the same area feels bloated and warm, and I experience some dry heaving and nausea.
My bowel movements are normal, and I am not constipated.
These symptoms have been ongoing for two weeks.
I would like to ask if this could be related to a lack of exercise, as I have been staying at home due to the level 3 alert, or if there could be another underlying cause?

Niming, 10~19 year old female. Ask Date: 2021/07/16

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: The symptoms seem to be indicative of gastroesophageal reflux disease (GERD).
Avoid late-night snacks and refrain from consuming irritant foods such as tea (black/green/milk tea), coffee, fried foods, spicy foods, sweets, and chocolate.
Exercise can help normalize gastrointestinal function; if you cannot exercise outdoors, pay attention to your diet.
If there is no improvement, it is advisable to consult a gastroenterologist.
Changhua Hospital cares about your health.
Dr.
Tsai An-Shun.

Reply Date: 2021/07/16

More Info


Understanding gastrointestinal discomfort can be quite complex, as it often involves multiple factors that can contribute to symptoms such as bloating, nausea, and abdominal pain. Based on your description, it seems that you are experiencing discomfort in the area above your navel and below your sternum, accompanied by a feeling of fullness, slight pain upon pressure, and nausea after meals. These symptoms have persisted for two weeks, and you are concerned that a lack of exercise due to restrictions may be a contributing factor.

First, it’s important to recognize that gastrointestinal symptoms can arise from various causes, including dietary habits, stress, and lifestyle changes. In your case, the prolonged period of staying at home due to health restrictions may have led to changes in your eating patterns, physical activity levels, and even stress management techniques. Lack of exercise can indeed contribute to gastrointestinal issues, as regular physical activity is known to promote healthy digestion and can help alleviate symptoms of bloating and discomfort.

The symptoms you describe could be indicative of several conditions. One possibility is functional dyspepsia, which is characterized by discomfort or pain in the upper abdomen without any identifiable organic cause. This condition can be exacerbated by stress, anxiety, and changes in diet or routine. Additionally, the sensation of bloating and nausea may suggest that your stomach is not emptying as efficiently as it should, a condition known as gastroparesis. This can lead to feelings of fullness and discomfort after eating.

Another consideration is the possibility of gastritis or an ulcer, especially since you mention slight pain upon pressure. These conditions can cause inflammation of the stomach lining, leading to symptoms such as nausea, bloating, and pain. It’s also worth noting that dietary factors, such as the consumption of spicy foods, alcohol, or caffeine, can irritate the stomach lining and exacerbate symptoms.

Given that your bowel movements are normal and you are not experiencing constipation, it’s less likely that your symptoms are directly related to a significant gastrointestinal obstruction or severe functional bowel disorder. However, the presence of nausea and discomfort after meals suggests that further evaluation may be necessary to rule out any underlying conditions.

To address your symptoms, consider the following strategies:
1. Dietary Adjustments: Pay attention to your diet and try to identify any foods that may trigger your symptoms. A diet rich in fiber, along with adequate hydration, can help promote digestive health. Avoiding heavy, greasy, or spicy foods may also alleviate discomfort.

2. Regular Exercise: Incorporating regular physical activity into your routine can significantly improve gastrointestinal function. Even simple activities like walking or stretching can help stimulate digestion and reduce feelings of bloating.

3. Stress Management: Since stress can exacerbate gastrointestinal symptoms, consider practicing relaxation techniques such as deep breathing, meditation, or yoga to help manage anxiety.

4. Consult a Healthcare Professional: If your symptoms persist or worsen, it is crucial to consult a healthcare provider. They may recommend diagnostic tests, such as an endoscopy or imaging studies, to evaluate your gastrointestinal tract and rule out any serious conditions.

In summary, while a lack of exercise and changes in routine may contribute to your symptoms, it is essential to consider a comprehensive approach that includes dietary modifications, physical activity, and stress management. If symptoms persist, seeking medical advice is crucial for proper diagnosis and treatment.

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