Managing Stomach Discomfort: Tips for Better Sleep and Well-Being

Q: Managing Stomach Discomfort: Tips for Better Sleep and Well-Being

Hello： If symptoms mostly occur at night, gastroesophageal reflux, duodenal ulcers, or gallstones are common conditions to consider. <br>Currently, you are taking gastric medications (vonoprazan + ganaton); it is recommended to stop them one at a time to identify which medication

I am experiencing discomfort in my stomach, feeling a sense of pressure (not entirely sure if it's bloating), which has affected my daily life and sleep?

Hello, I am Xiaoxiong.
First of all, I would like to thank you for your thoughtful responses in the past.
I really want to see you for a consultation, but I am currently abroad and unable to return.
I have done some research on hyperthyroidism and endocrine disorders, and I do not seem to have most of the symptoms.
I am not very sure about excessive anxiety, as I am currently unemployed and taking a break.
The main issue is that I have been experiencing stomach discomfort and bloating, which affects my sleep and energy levels, leading to low mood.
Since I am not working, I prefer to avoid stress and focus on relaxation.

Aside from the discomfort in my stomach (I am not sure if it is bloating, but it feels like constant pressure), I have also started having trouble sleeping at night (due to stomach discomfort).
I used to be able to sleep because the symptoms were milder at night.
Now, it feels almost the same as during the day.
Do you have any good suggestions? I have lost confidence in my previous doctor.
Do you think it is necessary to undergo another gastroscopy to confirm whether my gastric antritis has improved?
Also, since I started taking Ganaton tablets, today is the second day, and after having breakfast this morning, I felt even more nauseous, with more frequent episodes than before.
Do you think I should stop taking all my stomach medications, including Vonoprazan and Ganaton? (I started taking them two days ago because I began to feel nauseous.) This has already affected my daily life (since February 1) and my sleep (I haven’t slept well for five days; previously, I could sleep for 5-6 hours).

Since I live in a small town with limited specialist options, going to a big city is also a financial burden.
What do you suggest? Should I switch to a different department? Perhaps gastroenterology? My previous doctor was in surgery and gastroenterology.
Thank you again for your valuable advice.

Xiao Xiong, 40~49 year old female. Ask Date: 2022/04/05

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: If symptoms mostly occur at night, gastroesophageal reflux, duodenal ulcers, or gallstones are common conditions to consider.
Currently, you are taking gastric medications (vonoprazan + ganaton); it is recommended to stop them one at a time to identify which medication may be causing the issue.
If symptoms persist, a repeat endoscopy would be advisable.
If visiting a physician is inconvenient, you can start by adjusting your lifestyle and dietary habits: avoid overeating at dinner, and refrain from high-fat or high-protein foods.
Elevate your shoulders by about 15 degrees while sleeping to prevent acid reflux, avoid late-night snacks, and try to maintain a fasting state before bedtime.
Additionally, engage in moderate exercise during the day.
Avoid tea, coffee, milk tea, etc.
You may consider consulting a gastroenterologist.
Changhua Hospital cares about your health.
Dr.
Tsai An-Shun.

Reply Date: 2022/04/05

More Info

Hello, 小雄. Thank you for reaching out with your concerns regarding your stomach discomfort and sleep issues. It sounds like you are experiencing a challenging situation, and I appreciate your willingness to seek advice despite being overseas. Let’s break down your concerns and explore some potential strategies for managing your symptoms and improving your overall well-being.

Understanding Your Symptoms
From what you've described, it seems that your primary issues are stomach discomfort, which you characterize as a feeling of pressure or bloating, and difficulty sleeping. These symptoms can indeed be interrelated; gastrointestinal discomfort can significantly impact sleep quality, leading to a cycle of poor rest and increased anxiety or low mood.

Potential Causes
1. Gastrointestinal Issues: Conditions such as gastritis, gastroesophageal reflux disease (GERD), or functional dyspepsia could be contributing to your symptoms. Since you mentioned that you have previously undergone an endoscopy, it may be worth considering whether your current symptoms are a recurrence or a new issue.

2. Medication Side Effects: You mentioned taking Ganaton (which is used to treat gastrointestinal motility issues) and Vonoprazan (a proton pump inhibitor). Both medications can have side effects, including nausea and abdominal discomfort. If you are experiencing increased nausea since starting these medications, it may be wise to consult with a healthcare provider about adjusting your treatment plan.

3. Anxiety and Stress: Even though you are currently not working and are trying to relax, underlying anxiety can manifest physically, particularly in the gastrointestinal tract. Stress can exacerbate feelings of bloating and discomfort, creating a cycle that affects both your physical and mental health.

Recommendations for Improvement
1. Dietary Adjustments: Consider keeping a food diary to identify any potential triggers for your stomach discomfort. Common culprits include spicy foods, caffeine, alcohol, and high-fat meals. Eating smaller, more frequent meals rather than large ones can also help reduce bloating.

2. Hydration: Ensure you are drinking enough water throughout the day. Dehydration can lead to digestive issues and exacerbate feelings of discomfort.

3. Relaxation Techniques: Incorporate relaxation techniques such as deep breathing exercises, meditation, or gentle yoga into your daily routine. These practices can help reduce anxiety and improve your overall sense of well-being.

4. Sleep Hygiene: Establish a calming bedtime routine to signal to your body that it’s time to wind down. This might include dimming the lights, reading a book, or taking a warm bath. Avoid screens for at least an hour before bed, as blue light can interfere with your sleep cycle.

5. Consult a Specialist: Given your ongoing symptoms and the impact on your quality of life, it may be beneficial to consult a gastroenterologist. They can provide a thorough evaluation and determine whether further testing, such as another endoscopy, is necessary. If anxiety continues to be a concern, consider speaking with a mental health professional who can help you develop coping strategies.

6. Medication Review: If your current medications are causing more discomfort than relief, it’s crucial to discuss this with a healthcare provider. They can help you find alternatives that may be more suitable for your situation.

Conclusion
Your health and well-being are paramount, and it’s essential to address both the physical and emotional aspects of your symptoms. By making some lifestyle adjustments, seeking appropriate medical advice, and focusing on relaxation techniques, you may find relief from your stomach discomfort and improve your sleep quality. If your symptoms persist or worsen, please do not hesitate to seek further medical attention. Take care, and I wish you the best on your journey to better health.

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