My stomach?
Hello! I have never had an endoscopy before, but sometimes when I haven't eaten, my head feels a bit dizzy and uncomfortable, and it might hurt.
Usually, when this happens, I drink a cup of warm milk and after a few minutes, I eat a little bit of food (carbohydrates), and I feel a bit better.
Why does this happen? The pain is located where I can touch my stomach with my left hand, just below the left sternum, in that area...
it was the same place that hurt last time.
However, once when I had a cold, I just got up and walked to the bathroom, and I felt very nauseous, my face was pale, and I felt like my stomach was empty.
I couldn't throw up, but I kept feeling a sense of reflux.
What does this mean? Please help me understand.
FIONA, 10~19 year old female. Ask Date: 2000/09/05
Dr. Li Huixiong reply Internal Medicine
Hello Miss Fiona: Experiencing dizziness while fasting may raise suspicion for "hypoglycemia" symptoms; however, there may also be other signs such as palpitations, tremors, and cold sweats, which is another issue altogether.
If fasting makes you uncomfortable but eating alleviates the symptoms, and if you have been unwell with gastrointestinal discomfort, your age cannot rule out the possibility of a duodenal ulcer.
Of course, a definitive diagnosis cannot be made solely based on symptoms, especially since ulcers can also heal naturally.
It is advisable to seek medical attention early and arrange for necessary and appropriate examinations to identify your issues.
Reply Date: 2000/09/05
More Info
Understanding stomach discomfort can be quite complex, as it can stem from various causes, and the symptoms can manifest in different ways. Based on your description, it seems you are experiencing discomfort that may be related to your gastrointestinal system, particularly your stomach. Let's break down the potential causes and remedies for your symptoms.
Possible Causes of Stomach Discomfort
1. Gastritis: This is an inflammation of the stomach lining, which can cause pain, nausea, and a feeling of fullness. It can be triggered by various factors, including stress, excessive alcohol consumption, certain medications (like NSAIDs), and infections (such as Helicobacter pylori).
2. Peptic Ulcers: These are sores that develop on the lining of the stomach or the upper part of the small intestine. Symptoms can include burning stomach pain, bloating, and nausea. The pain often improves after eating but can return a few hours later.
3. Functional Dyspepsia: This is a common condition that causes recurring indigestion and discomfort without any identifiable cause. Symptoms can include bloating, nausea, and a feeling of fullness after eating.
4. Gastroesophageal Reflux Disease (GERD): This condition occurs when stomach acid frequently flows back into the esophagus, leading to symptoms such as heartburn, regurgitation, and discomfort in the chest area.
5. Dietary Factors: Certain foods can trigger discomfort, especially if consumed on an empty stomach. Foods that are spicy, acidic, or high in fat can exacerbate symptoms.
6. Stress and Anxiety: Emotional factors can significantly impact gastrointestinal health. Stress can lead to increased stomach acid production and changes in gut motility, contributing to discomfort.
Remedies and Management Strategies
1. Dietary Adjustments: Since you mentioned that consuming warm milk and starchy foods helps alleviate your discomfort, it may be beneficial to continue this practice. Eating smaller, more frequent meals can also help prevent the stomach from becoming too empty, which can trigger discomfort.
2. Hydration: Staying well-hydrated is essential. Drinking water can help dilute stomach acid and aid digestion.
3. Avoiding Triggers: Identify and avoid foods that seem to worsen your symptoms. Keeping a food diary can help you track what you eat and how it affects your stomach.
4. Over-the-Counter Medications: Antacids or medications that reduce stomach acid production (like proton pump inhibitors) may provide relief. However, it’s important to consult with a healthcare provider before starting any medication.
5. Stress Management: Since you mentioned feeling stressed, incorporating stress-reducing techniques such as mindfulness, meditation, or gentle exercise can be beneficial for both your mental and gastrointestinal health.
6. Consulting a Healthcare Provider: Given your symptoms and their persistence, it would be wise to consult a gastroenterologist. They may recommend diagnostic tests such as an endoscopy to evaluate your stomach lining and rule out conditions like ulcers or gastritis.
Conclusion
Your symptoms of discomfort, particularly when your stomach is empty, suggest that there may be an underlying issue that needs to be addressed. While dietary changes and stress management can provide relief, it is crucial to seek medical advice for a thorough evaluation. Understanding the root cause of your discomfort is key to finding effective treatment and improving your overall well-being. If you experience severe symptoms, such as persistent vomiting, significant weight loss, or blood in your stool, seek immediate medical attention.
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