Gastrointestinal Pain and Nasal Discomfort: Causes and Solutions - Gastroenterology and Hepatology

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Stomach pain accompanied by a slight soreness in the nose?


Hello, Dr.
Tsai.
I have been taking medication for my eye condition, specifically Lipei Jing tablets and calcium carbonate 500 mg, before bedtime.
I would like to know why, after taking them, I experience a slight tingling in my nose and a bitter taste in my throat, as if I swallowed blood from my teeth, when I lie down to sleep an hour later.
Additionally, I often experience stomach pain at irregular intervals, even though I have elevated my pillow quite high.

Cai Xiansheng, 30~39 year old female. Ask Date: 2016/03/12

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: Please pay attention to whether there is a phenomenon of gastric reflux or post-nasal drip.
You may consult an otolaryngologist and a gastroenterologist.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2016/03/12

More Info


Gastrointestinal pain and nasal discomfort can be interconnected, and understanding the underlying causes is essential for effective management. Based on your description, it appears that you are experiencing a combination of symptoms that may be related to your medication, dietary habits, and possibly underlying gastrointestinal issues.

Firstly, the medications you mentioned, such as the tranquilizer and calcium carbonate, can have side effects that may contribute to gastrointestinal discomfort. Tranquilizers can sometimes lead to gastrointestinal motility issues, which may manifest as pain or discomfort in the stomach area. Calcium carbonate, while often used to relieve heartburn and indigestion, can also lead to side effects such as constipation or bloating, especially if taken in excess or without adequate hydration.

The sensation of a "sour" feeling in your nose and a bitter taste in your throat could be indicative of acid reflux or gastroesophageal reflux disease (GERD). When you lie down after eating, especially if you have consumed a meal close to bedtime, stomach acid can flow back into the esophagus, leading to a burning sensation in the throat and a sour taste. This can also cause discomfort in the nasal passages, as the throat and nasal cavity are interconnected. If you are experiencing a bitter taste that feels like blood, it is crucial to consult a healthcare professional, as this could indicate bleeding in the gastrointestinal tract.

Your mention of frequent stomach pain is also concerning. This could be due to several factors, including gastritis, ulcers, or functional gastrointestinal disorders. Stress and anxiety can exacerbate these conditions, leading to increased pain and discomfort. It is important to monitor the frequency and intensity of your stomach pain, as well as any accompanying symptoms such as changes in bowel habits, weight loss, or persistent nausea.

To address your symptoms, consider the following steps:
1. Medication Review: Consult with your healthcare provider about the medications you are taking. They may need to adjust your dosage or switch you to a different medication that has fewer gastrointestinal side effects.

2. Dietary Modifications: Pay attention to your diet. Avoid spicy, acidic, or fatty foods that can aggravate acid reflux. Eating smaller, more frequent meals rather than large meals can also help reduce symptoms.

3. Elevate Your Head While Sleeping: While you mentioned that you already elevate your head, ensure that your head is elevated enough to prevent acid reflux during the night. A wedge pillow can be particularly effective.

4. Hydration: Ensure you are drinking enough water throughout the day, especially if you are taking calcium supplements, as dehydration can lead to constipation and exacerbate gastrointestinal discomfort.

5. Stress Management: Since stress can significantly impact gastrointestinal health, consider incorporating stress-reducing techniques such as mindfulness, yoga, or regular physical activity into your routine.

6. Seek Medical Evaluation: Given the complexity of your symptoms, it is advisable to seek a thorough evaluation from a gastroenterologist. They may recommend diagnostic tests such as an endoscopy or imaging studies to rule out any serious underlying conditions.

In summary, your symptoms of gastrointestinal pain and nasal discomfort could be related to your medications, dietary habits, and potential underlying gastrointestinal issues. It is essential to work closely with your healthcare provider to identify the root cause and develop an appropriate treatment plan. Regular follow-ups and open communication about your symptoms will be key in managing your health effectively.

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