Stomach Pain When Hungry: Causes and Solutions - Gastroenterology and Hepatology

Q: Stomach Pain When Hungry: Causes and Solutions

Hello： Pain during hunger may be a symptom of an ulcer. <br>It is recommended to undergo an upper gastrointestinal endoscopy first, and then treatment can be based on the results. <br>Regarding degenerative arthritis, taking painkillers may pose a risk to the stomach. <br>The bes

It is common to experience stomach pain when feeling hungry?

Hello Dr.
Chen,
1) I have never smoked or consumed alcohol.
I maintain a regular diet with three meals at consistent times and avoid spicy foods.
However, in recent years, I often experience stomach pain when I am hungry, which is quite uncomfortable.
I have visited a gastroenterology clinic, and the doctor assured me that it could be treated.
I was prescribed medication for about a week, and the pain subsided.
However, after one or two months, the symptoms returned.
I often feel hungry about an hour after eating, and I want to eat but fear gaining weight.
I have heard that this phenomenon may be related to "duodenal ulcers." Is that correct? Can medication help? Since this situation occurs frequently, I feel discouraged.
I would appreciate your guidance.
2) Additionally, I have "knee osteoarthritis," and my doctor often prescribes painkillers for me.
However, after taking them, I also experience stomach pain.
Although I take stomach medication beforehand, it does not seem to help.
When I mentioned this to my doctor, he said that taking stomach medication may reduce the effectiveness of the painkillers, but not taking them could harm my liver and stomach.
The stomach pain is truly distressing.
As a result, I am hesitant to take painkillers and often end up enduring knee and back pain.
It feels like a dilemma where one medication counteracts another, leaving me feeling lost.
I hope you can clarify this for me.
I would be very grateful and look forward to your prompt response.
Thank you!
LION
February 16, 2012

Lai Weng, 60~69 year old female. Ask Date: 2012/02/16

Dr. Chen Qifeng reply Gastroenterology and Hepatology

Hello: Pain during hunger may be a symptom of an ulcer.
It is recommended to undergo an upper gastrointestinal endoscopy first, and then treatment can be based on the results.
Regarding degenerative arthritis, taking painkillers may pose a risk to the stomach.
The best approach is, of course, to avoid painkillers and seek alternative solutions.
For instance, if the condition has progressed to the point where joint replacement is necessary, surgery should be considered.
If painkillers are absolutely necessary, there are options available that are less harmful to the stomach.
Wishing you good health, Dr.
Chen Chih-Feng, Taoyuan Hospital, Department of Health.

Reply Date: 2012/02/16

More Info

Understanding stomach pain when hungry can be quite complex, as it may stem from various underlying conditions. Based on your description, it seems you have been experiencing recurrent stomach pain when hungry, which can be uncomfortable and concerning. Let's delve into the potential causes and solutions for your symptoms.

Potential Causes of Stomach Pain When Hungry
1. Peptic Ulcers: One of the most common causes of stomach pain when hungry is peptic ulcers, which can occur in the stomach (gastric ulcers) or the first part of the small intestine (duodenal ulcers). These ulcers are often exacerbated by an empty stomach, as the secretion of gastric acid can irritate the ulcerated area. Symptoms may include a burning sensation in the stomach, which can improve temporarily after eating but return as the stomach empties.

2. Gastritis: Inflammation of the stomach lining, known as gastritis, can also lead to pain when hungry. This condition can be caused by various factors, including excessive alcohol consumption, prolonged use of NSAIDs (non-steroidal anti-inflammatory drugs), or infections such as Helicobacter pylori.

3. Gastroesophageal Reflux Disease (GERD): If you experience heartburn or acid reflux, GERD could be a contributing factor. This condition occurs when stomach acid flows back into the esophagus, causing discomfort, especially when the stomach is empty.

4. Functional Dyspepsia: This is a term used to describe chronic indigestion without an identifiable cause. Symptoms can include bloating, nausea, and pain, particularly when hungry.

5. Dietary Factors: Your eating habits can also influence stomach pain. Skipping meals or not eating enough can lead to increased gastric acid production, which may irritate the stomach lining and cause pain.

Solutions and Recommendations
1. Medication: Since you mentioned that you have previously taken medication prescribed by a gastroenterologist, it is essential to follow up with them regarding your recurring symptoms. Medications such as proton pump inhibitors (PPIs) or H2-receptor antagonists can help reduce stomach acid production and promote healing of ulcers or gastritis. However, these medications should be taken under medical supervision, especially if you have been experiencing recurrent symptoms.

2. Dietary Adjustments: Maintaining a balanced diet is crucial. Avoiding spicy, acidic, or fried foods can help reduce irritation. Instead, focus on consuming smaller, more frequent meals that are rich in fiber, such as fruits, vegetables, and whole grains. This can help regulate digestion and prevent excessive gastric acid production.

3. Avoid NSAIDs: Given your history of knee osteoarthritis and the use of pain medications, it is important to discuss alternatives with your physician. NSAIDs can exacerbate stomach issues, so your doctor may recommend other pain management strategies that are less irritating to the stomach.

4. Lifestyle Changes: Incorporating stress management techniques, such as mindfulness or yoga, can also be beneficial, as stress can exacerbate gastrointestinal symptoms. Additionally, staying hydrated and avoiding smoking and excessive alcohol consumption can improve overall digestive health.

5. Regular Follow-ups: Since your symptoms have recurred, it may be beneficial to have regular follow-ups with your healthcare provider. They may recommend further diagnostic tests, such as an endoscopy, to assess the condition of your stomach and rule out any serious issues.

Conclusion
In summary, stomach pain when hungry can arise from various conditions, including peptic ulcers, gastritis, and functional dyspepsia. It is essential to work closely with your healthcare provider to determine the underlying cause and develop an appropriate treatment plan. By making dietary adjustments, managing stress, and adhering to prescribed medications, you can help alleviate your symptoms and improve your quality of life. If your symptoms persist or worsen, seeking further medical evaluation is crucial to ensure proper care.

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