Is Spicy Food Causing My Stomach Issues? Appendicitis Symptoms - Gastroenterology and Hepatology

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Eating too spicy, extremely spicy, makes my stomach feel weird?


Two days ago, I ate extremely spicy stinky tofu, and at that time, I felt a burning sensation in my stomach, but I still finished it.
My stomach felt strange, and I thought it would be fine the next day.
However, since yesterday, I've been feeling something unusual on the right side of my abdomen near the navel.
I looked it up and wondered if it could be appendicitis, but there’s no pain, just a weird sensation.
When I press on my abdomen, I only feel something on the right side, and I can feel it when I exert myself.
Could this be appendicitis, or is it just a result of eating too spicy food that will resolve in a few days? It can't be appendicitis, right?

??, 20~29 year old female. Ask Date: 2014/03/03

Dr. Chen Qifeng reply Gastroenterology and Hepatology


Hello: Typical appendicitis presents with pain in the lower right abdomen, which is severe and progressively worsens, often accompanied by fever.
Based on the symptoms, it seems to be a result of consuming excessively spicy food.
Sincerely, Dr.
Chi-Feng Chen, Gastroenterology Department, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2014/03/03

More Info


It sounds like you're experiencing some discomfort after eating spicy food, specifically stinky tofu, and you're concerned about the possibility of appendicitis. Let's break this down and address your concerns.

Firstly, spicy foods can indeed cause gastrointestinal discomfort for some individuals. Spices, particularly chili peppers, can irritate the stomach lining and lead to symptoms such as burning sensations, bloating, or even nausea. This irritation can be exacerbated if you have a sensitive stomach or if you consume a large quantity of spicy food in one sitting. In your case, the burning sensation you felt after eating the stinky tofu could be attributed to the spiciness of the dish, especially if it was particularly hot.

Now, regarding your concern about appendicitis, it's important to understand the typical symptoms associated with this condition. Appendicitis usually presents with a combination of symptoms, including:
1. Abdominal Pain: This often starts around the belly button and then shifts to the lower right abdomen. The pain typically becomes sharper and more localized.

2. Tenderness: When pressure is applied to the lower right abdomen, it may feel tender or painful.

3. Nausea and Vomiting: Many individuals with appendicitis experience nausea and may vomit.

4. Loss of Appetite: A common symptom is a decreased desire to eat.

5. Fever: A low-grade fever may accompany the other symptoms.

In your case, you mentioned that you feel a "weird" sensation around your belly button and to the right, but you do not have significant pain or other classic symptoms of appendicitis. The fact that you are not experiencing sharp pain, tenderness upon pressure, or nausea suggests that appendicitis may not be the cause of your discomfort. However, it's essential to monitor your symptoms closely.

If the discomfort persists or worsens, or if you develop any additional symptoms such as fever, vomiting, or significant pain, it would be wise to seek medical attention. A healthcare professional can perform a physical examination and possibly imaging studies, such as an ultrasound or CT scan, to rule out appendicitis or other gastrointestinal issues.

In the meantime, here are some tips to help manage your symptoms:
1. Stay Hydrated: Drink plenty of water to help flush out your system.

2. Avoid Spicy Foods: Until your stomach settles, it might be best to avoid spicy and greasy foods that could further irritate your stomach.

3. Eat Bland Foods: Consider consuming bland foods like rice, bananas, or toast, which are less likely to irritate your stomach.

4. Over-the-Counter Antacids: If you experience heartburn or acid discomfort, over-the-counter antacids may provide relief.

5. Rest: Allow your body to recover by getting plenty of rest.

In conclusion, while spicy foods can cause stomach discomfort, the symptoms you're describing do not strongly indicate appendicitis at this time. However, it's crucial to remain vigilant about any changes in your condition and consult a healthcare provider if you have any concerns. Your health and well-being are paramount, and a professional can provide the most accurate diagnosis and treatment options.

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