Gastrointestinal Issues: Is Your Stomach Pain Linked to Constipation?

Gastrointestinal issues

Hello, doctor.
I would like to ask you about my recent health issues.
For the past three years, I have been experiencing intermittent stomach discomfort.
Whenever I get too hungry, I feel a sharp pain in my stomach, as if it is being squeezed.
During that time, for about a week, I would experience stomach pain right after eating, accompanied by a warm, bloated, and stabbing sensation.
I usually get hungry quite easily, approximately every three to four hours, and I often feel nauseous halfway through my meals.
After eating, I experience indigestion and a bloated feeling.
Previously, I had an X-ray done for my stomach pain, and the doctor at that time believed my pain was due to constipation, stating that my intestines were quite bloated.
I would like your assessment: is my stomach pain really due to constipation, or could there be other issues? Should I see another doctor? Is it necessary to undergo an endoscopy? Thank you for your help.

mandy, 20~29 year old female. Ask Date: 2015/11/08

Dr. Lin Minghui reply Gastroenterology and Hepatology

Hello, experiencing pain when hungry and feeling bloated after eating, along with indigestion, suggests the need to pay attention to dietary habits.
It is recommended to have regular meals with appropriate portions, avoid eating too quickly, and refrain from binge eating.
Additionally, limit the intake of spicy foods and beverages.
If abdominal pain persists repeatedly over a long period, it is advisable to consult a physician at an outpatient clinic and arrange for an endoscopy.
Sincerely, Dr.
Lin Ming-Hui, Attending Physician, Gastroenterology Department, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2015/11/08

More Info

It sounds like you have been experiencing a range of gastrointestinal issues over the past three years, including stomach pain, bloating, and discomfort after eating. Your symptoms, particularly the pain that occurs when you are hungry and the discomfort after meals, can indeed be linked to several gastrointestinal conditions, including constipation, but they may also indicate other underlying issues.

Firstly, the pain you describe as feeling like your stomach is "being hit" and the sensation of bloating after eating could be indicative of functional gastrointestinal disorders, such as functional dyspepsia or irritable bowel syndrome (IBS). Functional dyspepsia is characterized by symptoms of discomfort or pain in the upper abdomen, often associated with bloating, early satiety, and nausea. IBS, on the other hand, can present with abdominal pain, bloating, and changes in bowel habits, including constipation or diarrhea.

Constipation itself can lead to abdominal discomfort and bloating, as a buildup of stool in the intestines can create pressure and cause pain. If your doctor previously suggested that your stomach pain was related to constipation, it is possible that the two are connected. When the intestines are not moving properly, it can lead to a feeling of fullness and discomfort, which may be exacerbated by eating.

However, your symptoms also raise the possibility of other conditions that may not be directly related to constipation. For instance, gastritis (inflammation of the stomach lining), peptic ulcers, or even gallbladder issues could cause similar symptoms. The fact that you experience pain after eating and have a sensation of bloating could suggest that your stomach is reacting to certain foods or that there is an underlying issue affecting your digestion.

Given the duration and persistence of your symptoms, it would be advisable to seek further evaluation from a gastroenterologist. A gastroenterologist specializes in digestive disorders and can provide a more comprehensive assessment of your symptoms. They may recommend diagnostic tests such as an upper endoscopy (gastroscopy) to visualize the stomach and duodenum, which can help rule out conditions like ulcers or gastritis. Additionally, they may suggest tests to evaluate for conditions like lactose intolerance or celiac disease, which can also contribute to gastrointestinal discomfort.

In the meantime, keeping a food diary can be beneficial. Documenting what you eat and any symptoms that follow can help identify potential food triggers. Additionally, focusing on a high-fiber diet, staying hydrated, and incorporating regular physical activity can help alleviate constipation and improve overall digestive health.

In summary, while your stomach pain may be linked to constipation, it is essential to consider other potential gastrointestinal issues. Consulting with a gastroenterologist and possibly undergoing further testing will provide a clearer understanding of your condition and guide appropriate treatment. Remember, it is crucial to address these symptoms, especially since they have persisted for an extended period. Your health and comfort are paramount, and seeking the right care is the best step forward.

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