Stomach Pain: Insights on Acute Gastroenteritis and H. Pylori

Abdominal pain occurs almost once a week?

I am experiencing severe stomach pain that lasts for about 1-2 days.
I underwent some tests, but the doctors have conflicting opinions.
Three doctors diagnosed me with acute gastroenteritis, while one doctor mentioned Helicobacter pylori.
My stomach still feels uncomfortable.
If it is Helicobacter pylori, what should I pay attention to, especially regarding my diet?

sheng, 20~29 year old female. Ask Date: 2001/08/30

Dr. Yang Guojun reply Gastroenterology and Hepatology

There are many causes of abdominal pain, so it is important to undergo an examination first.
If your pain subsides after taking antacids, it may indicate gastritis, but it could also be a gastric ulcer or a duodenal ulcer.
If you have a loss of appetite or have lost four to five kilograms in the past ten weeks without dieting, you should see a doctor without delay! This could be a sign of gastric cancer, especially in individuals over the age of forty, where the risk is higher.
Although you have not yet been examined, I believe the aforementioned doctors may be incorrect; you might have irritable bowel syndrome (IBS).
IBS often causes frequent abdominal pain, diarrhea, constipation, or bloating, which can be difficult to treat.
It is important to note that psychological stress may contribute to IBS.
Testing for Helicobacter pylori in the blood is not very helpful in Taiwan; however, H.
pylori is associated with duodenal ulcers, and the best approach is to check for H.
pylori during an endoscopy.
For patients with IBS, a gentle diet should be the primary principle.
A gentle diet refers to low-fat, non-irritating seasonings, and easily digestible cooking methods.
Drinking yogurt containing probiotics can promote the dominance of beneficial bacteria such as Bifidobacteria in the gut, inhibit the proliferation of harmful bacteria, and reduce the production of putrefactive or carcinogenic substances.
Furthermore, research has shown that it can be effective in treating gastrointestinal discomfort.

Reply Date: 2001/08/30

More Info

Understanding stomach pain can be quite complex, especially when it involves conditions like acute gastroenteritis and Helicobacter pylori (H. pylori) infection. Based on your description, it seems that you have experienced significant discomfort, and the differing opinions from multiple doctors can understandably lead to confusion. Let's break down the potential causes and management strategies for your symptoms.

Acute Gastroenteritis vs. H. Pylori Infection
Acute Gastroenteritis is often characterized by inflammation of the stomach and intestines, typically caused by viral or bacterial infections. Symptoms usually include abdominal pain, diarrhea, vomiting, and sometimes fever. The pain can be sharp and may last for a few days, often resolving on its own as the body fights off the infection.
On the other hand, H. pylori is a type of bacteria that can infect the stomach lining and is a common cause of peptic ulcers. It can lead to chronic gastritis and is associated with symptoms such as abdominal pain, bloating, and nausea. If left untreated, it can lead to more serious complications, including ulcers and even gastric cancer.

Management and Dietary Considerations
If your diagnosis leans towards H. pylori infection, it is crucial to follow your doctor's recommendations, which may include a course of antibiotics and proton pump inhibitors (PPIs) to reduce stomach acid and help heal the stomach lining. Here are some dietary and lifestyle considerations to help manage your symptoms:
1. Avoid Irritating Foods: Stay away from spicy, acidic, or fried foods, as these can exacerbate stomach irritation. Foods like citrus fruits, tomatoes, and vinegar should be limited.

2. Eat Soft, Bland Foods: Focus on easily digestible foods such as bananas, rice, applesauce, and toast (often referred to as the BRAT diet). These can help soothe your stomach.

3. Stay Hydrated: Drink plenty of fluids, especially water, to stay hydrated, particularly if you have experienced vomiting or diarrhea. Avoid caffeinated and alcoholic beverages, as they can irritate the stomach.

4. Probiotics: Incorporating probiotics, such as yogurt with live cultures or supplements, can help restore the balance of good bacteria in your gut, which may be beneficial after antibiotic treatment.

5. Frequent, Small Meals: Instead of three large meals, try eating smaller, more frequent meals throughout the day to avoid overwhelming your stomach.

6. Avoid NSAIDs: Non-steroidal anti-inflammatory drugs (like ibuprofen) can irritate the stomach lining. If you need pain relief, consult your doctor for safer alternatives.

7. Monitor Symptoms: Keep track of your symptoms and any food triggers. If you notice that certain foods consistently cause discomfort, it may be best to avoid them.

Follow-Up Care
If your symptoms persist or worsen, it is essential to follow up with your healthcare provider. They may recommend further testing, such as an endoscopy, to assess the condition of your stomach lining and check for ulcers or other issues. Additionally, if you have been diagnosed with H. pylori, ensure you complete the full course of treatment as prescribed, and follow up with your doctor to confirm that the infection has been eradicated.

Conclusion
In summary, understanding the underlying cause of your stomach pain is crucial for effective management. Whether it is acute gastroenteritis or an H. pylori infection, dietary modifications and appropriate medical treatment can significantly alleviate your symptoms. Always consult with your healthcare provider for personalized advice and treatment options tailored to your specific condition.

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