Stomach Pain After Alcohol: When to Seek Further Treatment

Q: Stomach Pain After Alcohol: When to Seek Further Treatment

Hello Shawn： Prilosec is a good medication for the stomach, as it significantly reduces gastric acid and accelerates the healing of ulcers at the junction of the stomach and esophagus (caused by severe vomiting leading to mucosal tears and bleeding). <br>Changhua Hospital cares a

There is a sensation of pain in the stomach?

Hello Doctor,
I do not have a habit of excessive drinking, but recently I drank too much hard liquor while out with friends, which led to vomiting.
After vomiting, I experienced discomfort at the junction of my stomach and esophagus, along with pain and black stools.
However, I have not had any issues with black stools in the past few days.
Every time I burp, I still feel mild pain in my stomach.
I went to the hospital yesterday, and the doctor only performed a blood test, stating that my stomach's blood condition was normal.
I also showed him the medication I purchased at the pharmacy (Prilosec), and he said it was a good medication and advised me to continue taking it for two weeks.
I would like to ask if I need to take any additional medication for the pain issue.
P.S.
Since I am in the United States, I am not very confident in American doctors, so I am seeking help here.
Best Regards,
Shawn

Shawn, 20~29 year old female. Ask Date: 2006/03/31

Dr. Li Zhengqi reply Gastroenterology and Hepatology

Hello Shawn: Prilosec is a good medication for the stomach, as it significantly reduces gastric acid and accelerates the healing of ulcers at the junction of the stomach and esophagus (caused by severe vomiting leading to mucosal tears and bleeding).
Changhua Hospital cares about your health.
Chen Shidian

Reply Date: 2006/03/31

More Info

Hello Shawn,
Thank you for sharing your concerns regarding your stomach pain and the symptoms you've experienced after consuming excessive alcohol. It's understandable to feel anxious about your health, especially after such an incident. Let's break down your situation and explore the appropriate steps you can take.

Firstly, the symptoms you described—stomach pain, discomfort at the esophagus-stomach junction, and the presence of black stools—are significant. Black stools, or melena, can indicate bleeding in the upper gastrointestinal tract, which may be caused by irritation or injury to the stomach lining or esophagus, often due to excessive alcohol consumption and vomiting. The fact that you no longer have black stools is a positive sign, but it does not completely rule out the possibility of underlying issues.

The medication you mentioned, Prilosec (omeprazole), is a proton pump inhibitor (PPI) that reduces stomach acid production. This can help heal any irritation or ulcers in the stomach lining and esophagus, particularly after episodes of vomiting. Continuing this medication for the recommended duration can be beneficial. However, if you are still experiencing pain, especially when burping, it may indicate that your stomach lining is still irritated or that there are other underlying issues that need to be addressed.

In terms of additional medications, it is essential to consult with your healthcare provider. They may consider prescribing an antacid or another type of medication to help alleviate your symptoms. If the pain persists or worsens, further evaluation may be necessary, including an endoscopy to visualize the esophagus and stomach directly. This can help identify any ulcers, erosions, or other abnormalities that may require specific treatment.

It's also important to monitor your symptoms closely. If you experience any of the following, you should seek immediate medical attention:
1. Severe or worsening abdominal pain: If the pain becomes unbearable or significantly increases in intensity, it could indicate a more serious condition.

2. Persistent vomiting: If you find yourself vomiting again, especially if it is blood or resembles coffee grounds, this is a medical emergency.

3. Signs of dehydration: Such as excessive thirst, dry mouth, or reduced urination.

4. Unexplained weight loss: If you notice significant weight loss without trying, this could be a sign of a more serious issue.

5. Difficulty swallowing: If you have trouble swallowing or experience pain while swallowing, this warrants further investigation.

In addition to medication, lifestyle modifications can also play a crucial role in managing your symptoms. Consider the following:
- Avoid alcohol: Given your recent experience, it would be wise to abstain from alcohol until you have fully recovered and your doctor has assessed your condition.

- Dietary changes: Eating smaller, more frequent meals can help reduce the burden on your stomach. Avoid spicy, acidic, or fatty foods that can exacerbate irritation.

- Stay upright after eating: This can help prevent acid reflux and reduce discomfort.

- Manage stress: Stress can exacerbate gastrointestinal symptoms, so incorporating relaxation techniques such as deep breathing, meditation, or gentle exercise may be beneficial.

Lastly, while it's understandable to feel uncertain about the healthcare system in a new country, it's important to communicate openly with your healthcare provider. If you feel your concerns are not being addressed, seeking a second opinion or consulting a gastroenterologist may provide you with the reassurance and care you need.

In conclusion, while your symptoms may improve with continued use of Prilosec and lifestyle changes, it is crucial to remain vigilant and seek further medical evaluation if your symptoms persist or worsen. Your health and well-being are paramount, and taking proactive steps will help ensure a full recovery.

Best regards,
Doctor Q&A Teams

Similar Q&A

Understanding Lower Abdominal Pain After Excessive Drinking

Last month, the patient experienced vomiting and diarrhea due to excessive alcohol consumption. Although the diarrhea has resolved, they have been feeling discomfort in the lower abdomen, including bloating. There are episodes of cramping pain in the lower abdomen after eating, b...

Dr. Li Zhengqi reply Gastroenterology and Hepatology
Hello QUEEN: The symptoms mentioned may be due to the intestines not having returned to normal motility after gastroenteritis, and it is also possible that they are indicative of other functional gastrointestinal disorders, including symptoms of irritable bowel syndrome. It is re...

Understanding Left Upper Abdominal Pain After Heavy Drinking

I haven't consumed much alcohol before, but once I drank a lot during a social event, and I didn't feel any discomfort that day. However, a few days later, I occasionally experience sharp pain in the upper left abdomen, which sometimes feels normal, but the sharp pain c...

Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: After drinking alcohol, pain in the upper left abdomen is most likely due to gastritis or a gastric ulcer. Additionally, there is a possibility of pancreatitis. If there is also vomiting on the same day, consider the possibility of a tear at the esophagogastric junction. I...

Understanding Abdominal Pain: Possible Causes and When to Seek Further Help

Hello Doctor, my father has been experiencing abdominal pain when moving or lightly pressing on his abdomen for the past few days. When he is still, he feels a vague discomfort. However, his bowel movements and appetite are normal. He previously visited a small clinic where the d...

Dr. Yang Peizhen reply Gastroenterology and Hepatology
Hello! The question you asked is quite complex and covers a wide range of issues. First, there are many diseases related to the abdomen, and abdominal pain can involve various organs. Therefore, you need to specify the location of the pain and whether there is a fever. Typically,...

Left Chest Pain After Alcohol: Causes and When to Seek Help

Dear Doctor: Whenever I consume food or beverages containing alcohol, I experience pain and even cramping in the lower left chest area and adjacent abdomen. It feels like muscle tightness and there is a slight swelling sensation. Once the effects of the alcohol wear off, I return...

Dr. Cai Dongqi reply Family Medicine
Hello, alcohol can affect neuronal transmission or related bodily tissues. It is recommended that you first consult a family medicine physician or a specialist in neurology.