Bloating and Cold Sensations in the Abdomen - Internal Medicine

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Abdominal bloating and issues related to coldness in the body?


When I stay up late, I often feel bloated and experience pain near my navel.
Sometimes it feels like stomach acid is about to overflow, and when I wake up, I keep burping and feel a fullness in my stomach.
I also feel weakness in my abdomen and a sensitivity to cold, almost like I want to shiver.
Is this normal for my stomach?

Xiao Zhao, 10~19 year old female. Ask Date: 2006/12/19

Dr. Cai Yaozhou reply Internal Medicine


It is likely a problem related to the stomach and duodenum, and a gentle diet should be adopted.
Meals should be served in small, frequent portions.
It is important to relax and maintain a pleasant mood during meals.
A gentle diet is one that is non-irritating, low in fiber, easy to digest, and provides adequate nutrition.

Non-irritating: Foods that do not stimulate gastric acid secretion or damage the gastric mucosa.

Low in fiber: Most fiber comes from plant-based foods, which are not easily digested or absorbed by the human body, such as bran from grains, skins and seeds of fruits, outer skins of legumes, and coarse tissues in vegetables.
These rough substances can easily harm the gastrointestinal tract and should be avoided.
However, if an individual has healthy oral and dental conditions, they can adequately chew food and mix it thoroughly with saliva, complete restriction is not necessary.

Easy to digest: In addition to fiber, some animal tendons and gelatin are also difficult to digest.
Cooking methods are also important; steaming, boiling, stewing, and pureed foods are generally easier to digest.
Fried, baked, and deep-fried foods are harder to digest.

Adequate nutrition: Although dietary adjustments may be necessary due to illness, it is essential that the nutrients provided are sufficient.
The diet should still focus on the six major food groups, with a wide variety of foods selected to obtain a range of nutrients.

Reply Date: 2006/12/19

More Info


Bloating and cold sensations in the abdomen can be quite uncomfortable and may indicate underlying issues that warrant further investigation. Your symptoms of abdominal bloating, pain near the navel, and sensations of coldness or weakness in the abdomen could be attributed to several factors, including dietary habits, lifestyle choices, and potential gastrointestinal disorders.

Firstly, bloating is often caused by the accumulation of gas in the digestive tract. This can occur due to various reasons, such as eating too quickly, consuming carbonated beverages, or eating foods that are difficult to digest. Certain foods, particularly those high in fiber, can also lead to gas production, which may result in a feeling of fullness or pressure in the abdomen. In your case, if you are experiencing bloating after staying up late, it could be related to irregular eating patterns or consuming foods that your body struggles to digest at odd hours.

The sensation of pain near the navel, especially if it is intermittent, can be associated with conditions such as gastritis, which is inflammation of the stomach lining, or even functional gastrointestinal disorders like irritable bowel syndrome (IBS). These conditions can cause discomfort, bloating, and changes in bowel habits. If you are also experiencing acid reflux or a sensation of acid rising in your throat, it may suggest that your stomach is producing excess acid, which can be exacerbated by late-night eating or lying down shortly after meals.

The cold sensation in your abdomen, coupled with feelings of weakness or shivering, could be indicative of several things. One possibility is that your body is reacting to discomfort or pain, which can sometimes lead to a feeling of coldness. Additionally, if your digestive system is not functioning optimally, it may lead to a sensation of coldness in the abdomen due to reduced blood flow or energy being diverted to the digestive process.

It is also important to consider lifestyle factors. Lack of sleep, as you mentioned, can significantly impact your overall health, including your digestive system. Sleep deprivation can lead to increased stress levels, which can exacerbate gastrointestinal symptoms. Furthermore, if you are consuming caffeine or other stimulants to stay awake, these can also irritate the stomach and lead to bloating and discomfort.

To address these symptoms, consider the following recommendations:
1. Dietary Adjustments: Pay attention to your diet, particularly late at night. Try to avoid heavy, greasy, or spicy foods before bedtime. Instead, opt for lighter meals that are easier to digest.

2. Eating Habits: Slow down while eating and avoid talking or consuming carbonated drinks during meals to minimize gas production.

3. Hydration: Ensure you are drinking enough water throughout the day, as dehydration can lead to digestive issues.

4. Sleep Hygiene: Establish a regular sleep schedule and create a relaxing bedtime routine to improve the quality of your sleep.

5. Stress Management: Engage in stress-reducing activities such as yoga, meditation, or gentle exercise, which can help improve digestive function.

6. Medical Consultation: If your symptoms persist or worsen, it is advisable to consult a healthcare professional. They may recommend tests such as blood work or imaging studies to rule out any underlying conditions.

In summary, while occasional bloating and discomfort can be common, persistent symptoms warrant a closer look to ensure there are no serious underlying issues. By making some lifestyle and dietary changes, you may find relief from your symptoms. However, do not hesitate to seek medical advice if your condition does not improve or if you have concerns about your health.

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