Stomach Pain: Why Eating Relieves Discomfort - Gastroenterology and Hepatology

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Understanding stomach pain, particularly in relation to eating, can be quite complex. Based on your description, it seems you are experiencing symptoms that are commonly associated with gastritis or peptic ulcers. The location of your pain, just below the sternum, along with the relief you feel after eating, suggests that your stomach lining may be inflamed or that you might have an ulcer.

When you eat, food acts as a buffer to stomach acid, which can temporarily alleviate pain caused by irritation or inflammation of the stomach lining. This is why you experience relief after meals. However, the pain returning a few hours later indicates that your stomach may be producing acid in response to hunger, which can exacerbate the irritation if there is an underlying condition like gastritis or an ulcer.

Your symptoms of not feeling hungry but experiencing pain, along with the need to eat small amounts frequently, align with typical behaviors seen in individuals with gastric issues. The fact that you are not experiencing other symptoms such as nausea, vomiting, or significant changes in bowel habits is somewhat reassuring, but it does not rule out the possibility of a more serious condition.

The medications you are taking, such as Ranitidine (潰克定), are designed to reduce stomach acid production, which can help in managing symptoms associated with gastritis and ulcers. It’s important to take these medications as prescribed, as they can help promote healing of the stomach lining. However, if you find that your symptoms are not improving or are worsening, it may be necessary to consult a healthcare professional for further evaluation, possibly including an endoscopy to directly visualize the stomach lining.

In terms of lifestyle modifications, it is wise to avoid irritants such as caffeine, spicy foods, and alcohol, as these can increase stomach acid production and worsen your symptoms. You mentioned that you have reduced your coffee intake and spicy foods, which is a positive step. Additionally, maintaining hydration is crucial, but ensure that your water intake does not replace meals, as this can lead to further discomfort.

Stress can also play a significant role in gastrointestinal health. If you are experiencing stress due to work or other factors, it may be beneficial to incorporate stress-reducing techniques into your routine, such as mindfulness, yoga, or regular physical activity, if possible.

Lastly, while it may be inconvenient to seek medical attention, especially while working abroad, it is essential to prioritize your health. If your symptoms persist or worsen, consider finding a local healthcare provider who can offer a more thorough examination and possibly recommend further diagnostic tests.

In summary, your symptoms suggest a possible gastritis or peptic ulcer, with eating providing temporary relief due to the buffering effect of food against stomach acid. Continue with your current medication, avoid irritants, and seek medical advice if your symptoms do not improve. Your health is paramount, and addressing these issues sooner rather than later can prevent complications.