Gastrointestinal discomfort
Hello Doctor, last Thursday evening after dinner, I started experiencing upper abdominal pain and bloating.
It improved over the weekend, but after dinner on Sunday, the pain became severe.
So on Monday morning, I went to the clinic, and the doctor said it was just indigestion.
However, after taking medication for a few days, there was no improvement, so I visited a gastroenterology clinic on Wednesday morning.
The gastroenterologist diagnosed me with gastritis and performed an ultrasound, which showed no issues with my stomach.
After a few days of medication, I felt some improvement, but I still have a slight sensation of bloating.
My diet has been somewhat bland these past few days.
On Friday evening, I had steak and pork chop, and around midnight, when I lay down to sleep, I suddenly felt bloated, in pain, and nauseous, but I didn’t vomit.
After resting for a while, the nausea subsided, but I started to panic, fearing it might be something serious.
However, the ultrasound showed no problems.
Could this be due to suddenly eating difficult-to-digest food, or could it be related to my menstrual period? (I have had no issues with bowel movements, and my weight has not decreased; I did have a bout of diarrhea on Thursday due to my period.) My family thinks it’s not gastroenteritis, but can gastroenteritis last for such a long time? I am still confused because the tests showed nothing wrong, so I really don’t know what to do.
Thank you, Doctor, for clarifying this.
C, 20~29 year old female. Ask Date: 2022/07/30
Dr. Chen Shidian reply Gastroenterology and Hepatology
Light diet, discussion with the attending physician during follow-up and outpatient visit.
Reply Date: 2022/07/30
More Info
Digestive discomfort, particularly stomach pain, can be a perplexing issue that many individuals face. Based on your description, it seems that you have been experiencing a range of symptoms including abdominal pain, bloating, and discomfort after meals, particularly after consuming heavier foods like steak and pork chops. It’s understandable to feel anxious about these symptoms, especially when diagnostic tests such as ultrasounds have not revealed any significant issues.
Possible Causes of Your Symptoms
1. Dyspepsia: This is a common term for indigestion, which can manifest as discomfort or pain in the upper abdomen, bloating, and nausea. It can be triggered by eating rich or fatty foods, which may explain your symptoms after consuming steak and pork.
2. Gastritis: You mentioned that a doctor diagnosed you with gastritis. This condition involves inflammation of the stomach lining and can lead to symptoms such as pain, bloating, and a feeling of fullness. It can be exacerbated by certain foods, stress, and lifestyle factors.
3. Food Intolerance: Sometimes, the body may react poorly to specific foods, leading to discomfort. This could be due to lactose intolerance, gluten sensitivity, or other food intolerances that may not be immediately apparent.
4. Hormonal Changes: You noted that your symptoms coincided with your menstrual cycle. Hormonal fluctuations can affect digestion and may lead to increased sensitivity in the gastrointestinal tract, causing bloating and discomfort.
5. Functional Gastrointestinal Disorders: Conditions such as Irritable Bowel Syndrome (IBS) can cause chronic abdominal pain and discomfort without any identifiable structural abnormalities. Stress and dietary choices often play a significant role in these conditions.
Recommendations for Management
1. Dietary Adjustments: Since you have experienced discomfort after consuming heavy meals, it may be beneficial to adopt a lighter diet. Focus on easily digestible foods such as lean proteins, vegetables, and whole grains. Avoid spicy, fatty, or fried foods, as well as caffeine and alcohol, which can irritate the stomach lining.
2. Eating Habits: Pay attention to your eating habits. Eating smaller, more frequent meals can help reduce the burden on your digestive system. Chewing food thoroughly and eating slowly can also aid digestion.
3. Hydration: Ensure you are drinking enough water throughout the day, as hydration is essential for digestive health. However, try to avoid drinking large amounts of water during meals, as this can contribute to bloating.
4. Over-the-Counter Medications: Antacids or medications that reduce stomach acid, such as H2 blockers or proton pump inhibitors, may provide relief. However, it's important to consult with a healthcare provider before starting any new medication.
5. Stress Management: Since stress can exacerbate digestive issues, consider incorporating stress-reducing activities into your routine, such as yoga, meditation, or regular exercise.
6. Follow-Up with Healthcare Providers: If symptoms persist or worsen, it’s crucial to follow up with your healthcare provider. They may recommend further testing, such as an endoscopy, to rule out other conditions.
Conclusion
Digestive discomfort can be multifactorial, and it often requires a comprehensive approach to identify the underlying causes and effective management strategies. Given your symptoms and the lack of significant findings on imaging studies, it’s essential to focus on dietary modifications, stress management, and regular follow-ups with your healthcare provider. If you continue to experience discomfort, do not hesitate to seek further evaluation to ensure that any potential issues are addressed promptly. Remember, your health is paramount, and understanding your body’s signals is key to finding relief.
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