After eating
Hello, doctor.
Sometimes, if I go a long time without eating and then eat a large amount, I notice a dull pain in my lower left abdomen.
After resting for an hour or two, it improves significantly.
I would like to know what this issue might be.
(I had a colonoscopy last March, but it only reached near the splenic flexure, and the results were normal.)
Zhe, 30~39 year old female. Ask Date: 2015/04/28
Dr. Ke Fangxu reply Surgery
Fasting for an extended period followed by binge eating is not a normal eating behavior.
So, is it wrong for the body to protest against this? Please cherish your body and treat it well.
Reply Date: 2015/04/28
More Info
Experiencing discomfort in the left lower abdomen after overeating can be attributed to several factors, particularly related to the digestive system and the body's response to food intake. When you consume a large meal, especially after a period of fasting, your digestive system can react in various ways, leading to sensations of pain or discomfort.
One of the primary reasons for this discomfort is the stretching of the stomach and intestines. When you eat a large amount of food, your stomach expands to accommodate the increased volume. This expansion can lead to pressure on surrounding organs and tissues, which may cause discomfort or pain in the abdominal area, particularly on the left side where the descending colon is located. If the meal is high in fat or fiber, it can also slow down digestion, leading to feelings of fullness and discomfort.
Additionally, the left lower abdomen is home to parts of the colon, and if there is any gas buildup or if the bowel is not moving efficiently, it can lead to cramping or a dull ache. This is often exacerbated by overeating, as the digestive system may struggle to process the large volume of food, leading to temporary discomfort.
Another possibility is that you may be experiencing symptoms related to the digestive tract, such as mild gastritis or irritation of the intestinal lining, which can occur after consuming large meals. If you have a history of gastrointestinal issues, such as diverticulosis (which you mentioned was noted during your colonoscopy), this could also contribute to discomfort after eating, especially if there is any inflammation or irritation present.
It's also worth considering the role of the autonomic nervous system in digestion. After eating, the body diverts blood flow to the digestive organs, which can sometimes lead to sensations of discomfort or even mild pain, particularly if the meal was substantial.
If the discomfort resolves after a couple of hours of rest, it is likely a temporary reaction to overeating rather than a sign of a serious underlying condition. However, if you notice that the pain persists, worsens, or is accompanied by other symptoms such as nausea, vomiting, changes in bowel habits, or significant weight loss, it would be prudent to consult a healthcare professional for further evaluation.
In summary, the left lower abdominal discomfort you experience after overeating is likely due to a combination of factors related to the stretching of the stomach and intestines, potential gas buildup, and the body's digestive response. Maintaining smaller, more frequent meals and being mindful of food choices may help alleviate these symptoms. If you continue to have concerns or if your symptoms change, seeking medical advice is always a good course of action.
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