What causes burning stomach pain in the morning? Discover the common reasons behind this discomfort, including acid reflux, gastritis, and more. Learn when to seek medical attention.

Causes of Burning Stomach Pain in the Morning

Burning stomach pain in the morning can have a variety of underlying causes. Here are some of the more common reasons:

1. Acid Reflux and GERD

Acid reflux is a condition where stomach acid and contents flow back into the esophagus, causing a burning sensation in the back of the mouth. This is the most common cause of morning stomach pain. People with acid reflux may experience pain in the middle of the abdomen. Gastroesophageal reflux disease (GERD) is a more severe, chronic form of acid reflux that can lead to complications if left untreated.

2. Gastritis

Gastritis is an inflammation of the stomach lining that can develop suddenly or over time. Upper abdominal pain, nausea, and feeling full are common symptoms of this condition.

3. Gastroenteritis

Also known as the “stomach flu,” gastroenteritis is a viral or bacterial infection that affects the stomach and intestines. It can cause stomach pain, diarrhea, and other digestive problems.

4. Stomach Ulcers

Peptic ulcers are sores in the stomach lining or the lining of the small intestine closest to the stomach. They can cause a dull, burning pain in the morning or other times.

5. Appendicitis

Appendicitis is an inflammation of the appendix, a small pouch attached to the first part of the large intestine. It causes sudden, severe stomach pain that starts around the navel and moves lower, often accompanied by nausea and fever.

6. Crohn’s Disease

Crohn’s disease is a type of inflammatory bowel disease that can cause cramping and pain anywhere along the gastrointestinal tract. Other symptoms include diarrhea, constipation, weight loss, and fatigue.

7. Indigestion

Indigestion, or dyspepsia, is a general term for discomfort in the upper abdomen. It can be caused by lifestyle factors or certain medical conditions and is often accompanied by stomach pain, nausea, bloating, and a feeling of fullness.

When to See a Doctor

If you experience persistent or severe stomach pain, especially in the morning, it’s important to see a doctor. Some warning signs that indicate the need for medical attention include:

• Sudden, severe abdominal pain
• Persistent vomiting or diarrhea
• Unexplained weight loss
• Difficulty swallowing
• Blood in the stool
• Fever

Your doctor can perform a physical examination, order diagnostic tests, and provide a proper diagnosis and treatment plan. Don’t hesitate to seek medical help if you have concerns about your stomach pain.

Prevention and Management

While some causes of morning stomach pain may be unavoidable, there are steps you can take to reduce the risk and manage the symptoms:

1. Identify and avoid trigger foods: Keep a food diary to pinpoint which foods or drinks may be aggravating your stomach pain.
2. Eat smaller, more frequent meals: Consuming large meals can worsen symptoms like acid reflux or indigestion.
3. Maintain a healthy weight: Excess weight can put additional pressure on the stomach and digestive system.
4. Reduce stress: Stress and anxiety can exacerbate many gastrointestinal conditions.
5. Practice good sleep habits: Insufficient or poor-quality sleep can contribute to digestive problems.
6. Quit smoking and limit alcohol: These habits can irritate the digestive tract and worsen symptoms.
7. Take over-the-counter medications as needed: Antacids, H2 blockers, and proton pump inhibitors can help manage acid reflux and other conditions.

Conclusion

Burning stomach pain in the morning can have a variety of underlying causes, ranging from acid reflux and gastritis to more serious conditions like appendicitis or Crohn’s disease. If you experience persistent or severe stomach pain, it’s essential to seek medical attention to determine the underlying cause and receive appropriate treatment. By understanding the potential causes and taking proactive steps to manage your symptoms, you can find relief and maintain a healthy digestive system.

Causes and when to see a doctor

Share on PinterestAcid reflux and GERD are possible causes of stomach pain in the morning.

The following are some of the more common causes of stomach pain in the morning:

1. Acid reflux and GERD

Acid reflux is a condition where acid and other stomach contents flow the wrong way, moving back into the esophagus. This may cause a burning sensation in the back of the mouth.

The most common acid reflux symptom is heartburn, which affects about 60 million people in the United States at least once a month, according to the American College of Gastroenterology. Someone who has more than two episodes a week may have a condition known as gastroesophageal reflux disease (GERD), which can cause complications if not treated.

People with acid reflux may feel pain in their stomachs, usually in the middle of the abdomen.

2. Gastritis

Gastritis, or an inflammation of the stomach lining, can develop all of a sudden or slowly over time. Pain in the upper abdomen is a common symptom of this condition, as are nausea and feeling full.

3. Gastroenteritis

Sometimes described as stomach flu, gastroenteritis is a viral or bacterial infection that targets the stomach and bowels. It causes stomach pain and diarrhea.

4. Stomach ulcers

Also known as peptic ulcers, stomach ulcers can cause dull, burning stomach pain in the morning or other times. Peptic ulcers are sores in the stomach lining and the lining of the small intestine closest to the stomach.

5. Appendicitis

Appendicitis is an inflammation of the appendix. It is a common cause of severe and sudden stomach pain that starts around the navel and moves lower. The pain usually gets worse with time. Other symptoms may include nausea and fever. Appendicitis often requires surgery,

6. Crohn’s disease

Crohn’s disease can cause inflammation anywhere along the gastrointestinal tract, from the mouth to the anus. This inflammation can cause cramping and stomach pain. Diarrhea, constipation, weight loss, and fatigue are other symptoms of this chronic disease.

7. Indigestion

Dyspepsia is the medical term for indigestion. Lifestyle choices, such as the type of food a person eats, can cause it, but it can also be related to certain diseases. Stomach pain is the most common symptom associated with indigestion, although people may also suffer from nausea and bloating and get full quickly when they eat.

8. Irritable bowel syndrome

Irritable bowel syndrome (IBS) is a common disorder that can cause stomach pain, as well as changes in bowel habits. People with IBS may experience frequent constipation and diarrhea, or alternate between the two. They may also feel bloated and have incomplete bowel movements.

9. Abdominal adhesions

According to the National Institute of Diabetes and Digestive and Kidney Diseases, 9 out of 10 people who have open-abdomen surgery develop adhesions, or scar tissue that causes organs to stick to each other and the abdominal wall.

Most people with adhesions do not develop complications, but in those that do, chronic stomach pain is common. Other symptoms include bloating, constipation, and nausea.

10. Food allergies

Stomach pain is a common symptom of food allergies, which affects 4 –6% of children and 4% of adults. Other symptoms include nausea, hives, and potentially fatal anaphylaxis, which interferes with breathing and causes blood pressure drops.

11. Constipation

The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) define constipation as three or fewer bowel movements a week, which may be difficult or painful and feel incomplete. People with constipation may also develop stomach pain. Individuals can usually treat constipation on their own, but if it becomes chronic or other symptoms, such as bleeding or fever develop, see a doctor.

12. Diverticular disease

Diverticular disease, or diverticulosis, affects roughly half the people over age 60. It occurs as segments of the colon bulge outward in pouches. Usually, the pouches do not cause any problems, but if they get infected or inflamed, symptoms may develop. This is known as diverticulitis. People may experience stomach pain (typically on the left side), fever, nausea, and more severe complications.

13. Pelvic inflammatory disease

Pelvic inflammatory disease (PID) is an infection that affects a person’s ovaries, uterus, fallopian tubes, and cervix. According to the Office on Women’s Health, about 5% of women in the U.S. have PID, and it is most common in women aged 15-24.

The most common symptom is a pain in the lower abdomen. Other symptoms include fever, unusual vaginal discharge, and pain when having sex or urinating. It can cause severe complications if not treated promptly.

14. Celiac disease

Celiac disease is also known as gluten intolerance. This food intolerance causes people’s immune systems to attack their small intestines when they eat anything containing gluten. Wheat, rye, barley, and many other products contain gluten. Symptoms vary, but stomach pain and diarrhea are common.

15. Gallbladder disease

Problems with the gallbladder can cause stomach pain, often in the upper right portion of the abdomen. The pain can come and go for people who have biliary colic. If gallstones are present and blocking ducts in the gallbladder, other symptoms develop, too, such as nausea, vomiting, dark urine, jaundice, and dropping blood pressure.

16. Pancreatitis

Pancreatitis develops when the pancreas becomes inflamed, often because of gallstones. Common symptoms include sudden and severe pain in the upper abdomen, nausea, and vomiting. Medical treatment is necessary.

Causes and when to see a doctor

Share on PinterestAcid reflux and GERD are possible causes of stomach pain in the morning.

The following are some of the more common causes of stomach pain in the morning:

1. Acid reflux and GERD

Acid reflux is a condition where acid and other stomach contents flow the wrong way, moving back into the esophagus. This may cause a burning sensation in the back of the mouth.

The most common acid reflux symptom is heartburn, which affects about 60 million people in the United States at least once a month, according to the American College of Gastroenterology. Someone who has more than two episodes a week may have a condition known as gastroesophageal reflux disease (GERD), which can cause complications if not treated.

People with acid reflux may feel pain in their stomachs, usually in the middle of the abdomen.

2. Gastritis

Gastritis, or an inflammation of the stomach lining, can develop all of a sudden or slowly over time. Pain in the upper abdomen is a common symptom of this condition, as are nausea and feeling full.

3. Gastroenteritis

Sometimes described as stomach flu, gastroenteritis is a viral or bacterial infection that targets the stomach and bowels. It causes stomach pain and diarrhea.

4. Stomach ulcers

Also known as peptic ulcers, stomach ulcers can cause dull, burning stomach pain in the morning or other times. Peptic ulcers are sores in the stomach lining and the lining of the small intestine closest to the stomach.

5. Appendicitis

Appendicitis is an inflammation of the appendix. It is a common cause of severe and sudden stomach pain that starts around the navel and moves lower. The pain usually gets worse with time. Other symptoms may include nausea and fever. Appendicitis often requires surgery,

6. Crohn’s disease

Crohn’s disease can cause inflammation anywhere along the gastrointestinal tract, from the mouth to the anus. This inflammation can cause cramping and stomach pain. Diarrhea, constipation, weight loss, and fatigue are other symptoms of this chronic disease.

7. Indigestion

Dyspepsia is the medical term for indigestion. Lifestyle choices, such as the type of food a person eats, can cause it, but it can also be related to certain diseases. Stomach pain is the most common symptom associated with indigestion, although people may also suffer from nausea and bloating and get full quickly when they eat.

8. Irritable bowel syndrome

Irritable bowel syndrome (IBS) is a common disorder that can cause stomach pain, as well as changes in bowel habits. People with IBS may experience frequent constipation and diarrhea, or alternate between the two. They may also feel bloated and have incomplete bowel movements.

9. Abdominal adhesions

According to the National Institute of Diabetes and Digestive and Kidney Diseases, 9 out of 10 people who have open-abdomen surgery develop adhesions, or scar tissue that causes organs to stick to each other and the abdominal wall.

Most people with adhesions do not develop complications, but in those that do, chronic stomach pain is common. Other symptoms include bloating, constipation, and nausea.

10. Food allergies

Stomach pain is a common symptom of food allergies, which affects 4 –6% of children and 4% of adults. Other symptoms include nausea, hives, and potentially fatal anaphylaxis, which interferes with breathing and causes blood pressure drops.

11. Constipation

The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) define constipation as three or fewer bowel movements a week, which may be difficult or painful and feel incomplete. People with constipation may also develop stomach pain. Individuals can usually treat constipation on their own, but if it becomes chronic or other symptoms, such as bleeding or fever develop, see a doctor.

12. Diverticular disease

Diverticular disease, or diverticulosis, affects roughly half the people over age 60. It occurs as segments of the colon bulge outward in pouches. Usually, the pouches do not cause any problems, but if they get infected or inflamed, symptoms may develop. This is known as diverticulitis. People may experience stomach pain (typically on the left side), fever, nausea, and more severe complications.

13. Pelvic inflammatory disease

Pelvic inflammatory disease (PID) is an infection that affects a person’s ovaries, uterus, fallopian tubes, and cervix. According to the Office on Women’s Health, about 5% of women in the U.S. have PID, and it is most common in women aged 15-24.

The most common symptom is a pain in the lower abdomen. Other symptoms include fever, unusual vaginal discharge, and pain when having sex or urinating. It can cause severe complications if not treated promptly.

14. Celiac disease

Celiac disease is also known as gluten intolerance. This food intolerance causes people’s immune systems to attack their small intestines when they eat anything containing gluten. Wheat, rye, barley, and many other products contain gluten. Symptoms vary, but stomach pain and diarrhea are common.

15. Gallbladder disease

Problems with the gallbladder can cause stomach pain, often in the upper right portion of the abdomen. The pain can come and go for people who have biliary colic. If gallstones are present and blocking ducts in the gallbladder, other symptoms develop, too, such as nausea, vomiting, dark urine, jaundice, and dropping blood pressure.

16. Pancreatitis

Pancreatitis develops when the pancreas becomes inflamed, often because of gallstones. Common symptoms include sudden and severe pain in the upper abdomen, nausea, and vomiting. Medical treatment is necessary.

Causes and when to see a doctor

Share on PinterestAcid reflux and GERD are possible causes of stomach pain in the morning.

The following are some of the more common causes of stomach pain in the morning:

1. Acid reflux and GERD

Acid reflux is a condition where acid and other stomach contents flow the wrong way, moving back into the esophagus. This may cause a burning sensation in the back of the mouth.

The most common acid reflux symptom is heartburn, which affects about 60 million people in the United States at least once a month, according to the American College of Gastroenterology. Someone who has more than two episodes a week may have a condition known as gastroesophageal reflux disease (GERD), which can cause complications if not treated.

People with acid reflux may feel pain in their stomachs, usually in the middle of the abdomen.

2. Gastritis

Gastritis, or an inflammation of the stomach lining, can develop all of a sudden or slowly over time. Pain in the upper abdomen is a common symptom of this condition, as are nausea and feeling full.

3. Gastroenteritis

Sometimes described as stomach flu, gastroenteritis is a viral or bacterial infection that targets the stomach and bowels. It causes stomach pain and diarrhea.

4. Stomach ulcers

Also known as peptic ulcers, stomach ulcers can cause dull, burning stomach pain in the morning or other times. Peptic ulcers are sores in the stomach lining and the lining of the small intestine closest to the stomach.

5. Appendicitis

Appendicitis is an inflammation of the appendix. It is a common cause of severe and sudden stomach pain that starts around the navel and moves lower. The pain usually gets worse with time. Other symptoms may include nausea and fever. Appendicitis often requires surgery,

6. Crohn’s disease

Crohn’s disease can cause inflammation anywhere along the gastrointestinal tract, from the mouth to the anus. This inflammation can cause cramping and stomach pain. Diarrhea, constipation, weight loss, and fatigue are other symptoms of this chronic disease.

7. Indigestion

Dyspepsia is the medical term for indigestion. Lifestyle choices, such as the type of food a person eats, can cause it, but it can also be related to certain diseases. Stomach pain is the most common symptom associated with indigestion, although people may also suffer from nausea and bloating and get full quickly when they eat.

8. Irritable bowel syndrome

Irritable bowel syndrome (IBS) is a common disorder that can cause stomach pain, as well as changes in bowel habits. People with IBS may experience frequent constipation and diarrhea, or alternate between the two. They may also feel bloated and have incomplete bowel movements.

9. Abdominal adhesions

According to the National Institute of Diabetes and Digestive and Kidney Diseases, 9 out of 10 people who have open-abdomen surgery develop adhesions, or scar tissue that causes organs to stick to each other and the abdominal wall.

Most people with adhesions do not develop complications, but in those that do, chronic stomach pain is common. Other symptoms include bloating, constipation, and nausea.

10. Food allergies

Stomach pain is a common symptom of food allergies, which affects 4 –6% of children and 4% of adults. Other symptoms include nausea, hives, and potentially fatal anaphylaxis, which interferes with breathing and causes blood pressure drops.

11. Constipation

The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) define constipation as three or fewer bowel movements a week, which may be difficult or painful and feel incomplete. People with constipation may also develop stomach pain. Individuals can usually treat constipation on their own, but if it becomes chronic or other symptoms, such as bleeding or fever develop, see a doctor.

12. Diverticular disease

Diverticular disease, or diverticulosis, affects roughly half the people over age 60. It occurs as segments of the colon bulge outward in pouches. Usually, the pouches do not cause any problems, but if they get infected or inflamed, symptoms may develop. This is known as diverticulitis. People may experience stomach pain (typically on the left side), fever, nausea, and more severe complications.

13. Pelvic inflammatory disease

Pelvic inflammatory disease (PID) is an infection that affects a person’s ovaries, uterus, fallopian tubes, and cervix. According to the Office on Women’s Health, about 5% of women in the U.S. have PID, and it is most common in women aged 15-24.

The most common symptom is a pain in the lower abdomen. Other symptoms include fever, unusual vaginal discharge, and pain when having sex or urinating. It can cause severe complications if not treated promptly.

14. Celiac disease

Celiac disease is also known as gluten intolerance. This food intolerance causes people’s immune systems to attack their small intestines when they eat anything containing gluten. Wheat, rye, barley, and many other products contain gluten. Symptoms vary, but stomach pain and diarrhea are common.

15. Gallbladder disease

Problems with the gallbladder can cause stomach pain, often in the upper right portion of the abdomen. The pain can come and go for people who have biliary colic. If gallstones are present and blocking ducts in the gallbladder, other symptoms develop, too, such as nausea, vomiting, dark urine, jaundice, and dropping blood pressure.

16. Pancreatitis

Pancreatitis develops when the pancreas becomes inflamed, often because of gallstones. Common symptoms include sudden and severe pain in the upper abdomen, nausea, and vomiting. Medical treatment is necessary.

Causes and when to see a doctor

Share on PinterestAcid reflux and GERD are possible causes of stomach pain in the morning.

The following are some of the more common causes of stomach pain in the morning:

1.

Acid reflux and GERD

Acid reflux is a condition where acid and other stomach contents flow the wrong way, moving back into the esophagus. This may cause a burning sensation in the back of the mouth.

The most common acid reflux symptom is heartburn, which affects about 60 million people in the United States at least once a month, according to the American College of Gastroenterology. Someone who has more than two episodes a week may have a condition known as gastroesophageal reflux disease (GERD), which can cause complications if not treated.

People with acid reflux may feel pain in their stomachs, usually in the middle of the abdomen.

2. Gastritis

Gastritis, or an inflammation of the stomach lining, can develop all of a sudden or slowly over time. Pain in the upper abdomen is a common symptom of this condition, as are nausea and feeling full.

3. Gastroenteritis

Sometimes described as stomach flu, gastroenteritis is a viral or bacterial infection that targets the stomach and bowels. It causes stomach pain and diarrhea.

4. Stomach ulcers

Also known as peptic ulcers, stomach ulcers can cause dull, burning stomach pain in the morning or other times. Peptic ulcers are sores in the stomach lining and the lining of the small intestine closest to the stomach.

5. Appendicitis

Appendicitis is an inflammation of the appendix. It is a common cause of severe and sudden stomach pain that starts around the navel and moves lower. The pain usually gets worse with time. Other symptoms may include nausea and fever. Appendicitis often requires surgery,

6. Crohn’s disease

Crohn’s disease can cause inflammation anywhere along the gastrointestinal tract, from the mouth to the anus. This inflammation can cause cramping and stomach pain. Diarrhea, constipation, weight loss, and fatigue are other symptoms of this chronic disease.

7. Indigestion

Dyspepsia is the medical term for indigestion. Lifestyle choices, such as the type of food a person eats, can cause it, but it can also be related to certain diseases. Stomach pain is the most common symptom associated with indigestion, although people may also suffer from nausea and bloating and get full quickly when they eat.

8. Irritable bowel syndrome

Irritable bowel syndrome (IBS) is a common disorder that can cause stomach pain, as well as changes in bowel habits. People with IBS may experience frequent constipation and diarrhea, or alternate between the two. They may also feel bloated and have incomplete bowel movements.

9. Abdominal adhesions

According to the National Institute of Diabetes and Digestive and Kidney Diseases, 9 out of 10 people who have open-abdomen surgery develop adhesions, or scar tissue that causes organs to stick to each other and the abdominal wall.

Most people with adhesions do not develop complications, but in those that do, chronic stomach pain is common. Other symptoms include bloating, constipation, and nausea.

10. Food allergies

Stomach pain is a common symptom of food allergies, which affects 4 –6% of children and 4% of adults. Other symptoms include nausea, hives, and potentially fatal anaphylaxis, which interferes with breathing and causes blood pressure drops.

11. Constipation

The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) define constipation as three or fewer bowel movements a week, which may be difficult or painful and feel incomplete. People with constipation may also develop stomach pain. Individuals can usually treat constipation on their own, but if it becomes chronic or other symptoms, such as bleeding or fever develop, see a doctor.

12. Diverticular disease

Diverticular disease, or diverticulosis, affects roughly half the people over age 60. It occurs as segments of the colon bulge outward in pouches. Usually, the pouches do not cause any problems, but if they get infected or inflamed, symptoms may develop. This is known as diverticulitis. People may experience stomach pain (typically on the left side), fever, nausea, and more severe complications.

13. Pelvic inflammatory disease

Pelvic inflammatory disease (PID) is an infection that affects a person’s ovaries, uterus, fallopian tubes, and cervix. According to the Office on Women’s Health, about 5% of women in the U.S. have PID, and it is most common in women aged 15-24.

The most common symptom is a pain in the lower abdomen. Other symptoms include fever, unusual vaginal discharge, and pain when having sex or urinating. It can cause severe complications if not treated promptly.

14. Celiac disease

Celiac disease is also known as gluten intolerance. This food intolerance causes people’s immune systems to attack their small intestines when they eat anything containing gluten. Wheat, rye, barley, and many other products contain gluten. Symptoms vary, but stomach pain and diarrhea are common.

15. Gallbladder disease

Problems with the gallbladder can cause stomach pain, often in the upper right portion of the abdomen. The pain can come and go for people who have biliary colic. If gallstones are present and blocking ducts in the gallbladder, other symptoms develop, too, such as nausea, vomiting, dark urine, jaundice, and dropping blood pressure.

16. Pancreatitis

Pancreatitis develops when the pancreas becomes inflamed, often because of gallstones. Common symptoms include sudden and severe pain in the upper abdomen, nausea, and vomiting. Medical treatment is necessary.

Causes and when to see a doctor

Share on PinterestAcid reflux and GERD are possible causes of stomach pain in the morning.

The following are some of the more common causes of stomach pain in the morning:

1. Acid reflux and GERD

Acid reflux is a condition where acid and other stomach contents flow the wrong way, moving back into the esophagus. This may cause a burning sensation in the back of the mouth.

The most common acid reflux symptom is heartburn, which affects about 60 million people in the United States at least once a month, according to the American College of Gastroenterology. Someone who has more than two episodes a week may have a condition known as gastroesophageal reflux disease (GERD), which can cause complications if not treated.

People with acid reflux may feel pain in their stomachs, usually in the middle of the abdomen.

2. Gastritis

Gastritis, or an inflammation of the stomach lining, can develop all of a sudden or slowly over time. Pain in the upper abdomen is a common symptom of this condition, as are nausea and feeling full.

3. Gastroenteritis

Sometimes described as stomach flu, gastroenteritis is a viral or bacterial infection that targets the stomach and bowels. It causes stomach pain and diarrhea.

4. Stomach ulcers

Also known as peptic ulcers, stomach ulcers can cause dull, burning stomach pain in the morning or other times. Peptic ulcers are sores in the stomach lining and the lining of the small intestine closest to the stomach.

5. Appendicitis

Appendicitis is an inflammation of the appendix. It is a common cause of severe and sudden stomach pain that starts around the navel and moves lower. The pain usually gets worse with time. Other symptoms may include nausea and fever. Appendicitis often requires surgery,

6. Crohn’s disease

Crohn’s disease can cause inflammation anywhere along the gastrointestinal tract, from the mouth to the anus. This inflammation can cause cramping and stomach pain. Diarrhea, constipation, weight loss, and fatigue are other symptoms of this chronic disease.

7. Indigestion

Dyspepsia is the medical term for indigestion. Lifestyle choices, such as the type of food a person eats, can cause it, but it can also be related to certain diseases. Stomach pain is the most common symptom associated with indigestion, although people may also suffer from nausea and bloating and get full quickly when they eat.

8. Irritable bowel syndrome

Irritable bowel syndrome (IBS) is a common disorder that can cause stomach pain, as well as changes in bowel habits. People with IBS may experience frequent constipation and diarrhea, or alternate between the two. They may also feel bloated and have incomplete bowel movements.

9. Abdominal adhesions

According to the National Institute of Diabetes and Digestive and Kidney Diseases, 9 out of 10 people who have open-abdomen surgery develop adhesions, or scar tissue that causes organs to stick to each other and the abdominal wall.

Most people with adhesions do not develop complications, but in those that do, chronic stomach pain is common. Other symptoms include bloating, constipation, and nausea.

10. Food allergies

Stomach pain is a common symptom of food allergies, which affects 4 –6% of children and 4% of adults. Other symptoms include nausea, hives, and potentially fatal anaphylaxis, which interferes with breathing and causes blood pressure drops.

11. Constipation

The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) define constipation as three or fewer bowel movements a week, which may be difficult or painful and feel incomplete. People with constipation may also develop stomach pain. Individuals can usually treat constipation on their own, but if it becomes chronic or other symptoms, such as bleeding or fever develop, see a doctor.

12. Diverticular disease

Diverticular disease, or diverticulosis, affects roughly half the people over age 60. It occurs as segments of the colon bulge outward in pouches. Usually, the pouches do not cause any problems, but if they get infected or inflamed, symptoms may develop. This is known as diverticulitis. People may experience stomach pain (typically on the left side), fever, nausea, and more severe complications.

13. Pelvic inflammatory disease

Pelvic inflammatory disease (PID) is an infection that affects a person’s ovaries, uterus, fallopian tubes, and cervix. According to the Office on Women’s Health, about 5% of women in the U.S. have PID, and it is most common in women aged 15-24.

The most common symptom is a pain in the lower abdomen. Other symptoms include fever, unusual vaginal discharge, and pain when having sex or urinating. It can cause severe complications if not treated promptly.

14. Celiac disease

Celiac disease is also known as gluten intolerance. This food intolerance causes people’s immune systems to attack their small intestines when they eat anything containing gluten. Wheat, rye, barley, and many other products contain gluten. Symptoms vary, but stomach pain and diarrhea are common.

15. Gallbladder disease

Problems with the gallbladder can cause stomach pain, often in the upper right portion of the abdomen. The pain can come and go for people who have biliary colic. If gallstones are present and blocking ducts in the gallbladder, other symptoms develop, too, such as nausea, vomiting, dark urine, jaundice, and dropping blood pressure.

16. Pancreatitis

Pancreatitis develops when the pancreas becomes inflamed, often because of gallstones. Common symptoms include sudden and severe pain in the upper abdomen, nausea, and vomiting. Medical treatment is necessary.

Why Does My Stomach Hurt When I Wake up? Behind Your Morning Discomfort

Should you be concerned about stomach pain? Nearly everyone experiences a stomachache from time to time and the underlying cause could be just about anything. From indigestion and gas to constipation, many different health issues can afflict the stomach, causing you to feel some kind of pain or discomfort in the abdomen area. But if your stomach hurts almost every time you wake up, you deserve answers – not guesses.

Why does your stomach hurt when you wake up in the morning? It could be related to a wide variety of things, whether it’s due to a serious health condition, if its mood related, or simply you’re simply passing gas. Keep reading to find out what could be causing your stomach pain in the morning and consider consulting a physician if the pain or discomfort persists.

Sometimes stomach pain can be serious, while other times, it isn’t.

Some conditions that cause stomach pain, upon diagnosis, require medical care. Per Oxford Academic, 1 in 10 patients suffering from abdominal pain are experiencing a symptom that stems from an acute disease, such as appendicitis (1.9 percent), diverticulitis (3.0 percent), biliary or pancreatic (4.0 percent), or neoplastic (1.0 percent) diseases. However, unless you’re experiencing other acute symptoms, your morning stomach pain is most likely harmless, due to gas, overeating, or constipation.

Stomach pain can also be caused by stress, depression or anxiety. Per U Chicago Medicine, high levels of cortisol – the stress hormone – can cause gastrointestinal discomfort while dealing with stress.

“When a person is stressed, the adrenal glands make and release the hormone cortisol into the bloodstream,” according to U Chicago Medicine. “This causes the fight-or-flight response and can also trigger abdominal discomfort, stomach cramps, constipation, diarrhea, nausea, and other symptoms.

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You may have eaten something the night before or are preparing for a bowel movement

Most likely, your stomach hurts when you wake up because of something that happened the night before. Perhaps you ate something that didn’t agree with you, ate late at night, or ate a too much. As a result, you might be experiencing constipation, diarrhea, or indigestion. Stomach pain in the morning could also indicate that you have to make a bowel movement — if your stomach pain feels like a cramping sensation, this might be your body preparing to relieve itself.

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Stomach pain in the morning could also be due to an empty stomach. Simply put, you could be hungry, and your body could be telling you it needs food. However, it can be due to a more serious, longterm condition.

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You may have a longer-term stomach issue, if the feeling persists.

If you have a stomach ulcer, you may experience more pain when your stomach is empty as well. While antacids can help with this pain, you should consult a doctor if you think you may have a stomach ulcer. Irritable bowel syndrome (IBS), on the other hand, is characterized by lower stomach pain, bloating, diarrhea, constipation, excessive gas, or mucus in the stool. If your stomach pain is also accompanied by any of the aforementioned symptoms, ask your doctor about IBS.

Stomach pain spans a wide umbrella and it could be a symptom of any number of issues. If your stomach pain or discomfort persists, consult your doctor, as it could be an indication that you are dealing with a serious issue such as a pancreatic disease like pancreatitis (which is a kind of inflammation), Crohn’s Disease, colitis, diverticulitis, gallstones, Celiac disease, or some other kind of food allergy.

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There are many possible cures for stomach pain.

Stomach pain can be extremely frustrating to deal with as well as debilitating. If you want to relieve your symptoms or discomfort, there are a few natural things you can do to make yourself feel a bit better. Ginger supplements, ginger drinks, and ginger chews, for example, are extremely effective at curbing stomach discomfort and aches, studies show. It has even been recommended for cancer patients dealing with nausea and vomiting as a result of chemotherapy treatments.

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Drinking peppermint tea or munching on the peppermint leaves will also help, but if you rub a few drops of peppermint essential oil right onto your belly (along with a carrier oil), you should be relieved of your stomach pain. You can also smell the peppermint essential oil if you prefer that. (It’s good for curing headaches, too!) Peppermint is a natural analgesic, so it has the ability to reduce pain and curb feelings of nausea.

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Chamomile is also an anti-inflammatory and in most cases of an upset stomach, some form of inflammation is to blame. Brew yourself a chamomile tea to help the muscles of your stomach relax — as the muscles calm down, you will likely experience less spasms or cramps, and ultimately, less pain.

If you have a heating pad, crank it up and apply it to your afflicted area, or, if you don’t own a heating pad, you can simply heat up a water bottle and apply it to the area. Like chamomile, heat relaxes stomach muscles and can therefore keep the pain, discomfort, and cramps to a minimum.

ACV also contains acids that can target starch digestion, which allows starch to move forward through the body, and keeps your intestines healthy. As a result, you may feel experience less discomfort. 

If you experience stomach pain when you wake up rather frequently, you could try one or all of these natural cures — here’s to hoping it’s nothing serious.

Dear Dr Nina: ‘I’m concerned about the pain in my stomach in the mornings’

Q I am a 38-year-old woman and I’m a little bit overweight. I have a pretty healthy diet – porridge for breakfast, a salad or sandwich for lunch and meat and vegetables for dinner. Most mornings – an hour or so after getting up – I suffer from pain in my tummy. It happens only in the mornings, which is relieved when I have a bowel movement. Sometimes, the pain is unbearable, particularly when I have my period and I can be on the toilet for a long time. Other times it’s quiet mild. The symptoms are the same, even when my diet varies. What could this be?

Dr Nina replies: Constipation, trapped wind and diverticular disease are all common causes of the pain you describe, and although you describe it as a pain in your “tummy”, I am guessing that the problem area is your intestines/colon and linked to one of these issues. The colon is the tube that makes up the last part of the intestines. Most of the nutrients we eat get absorbed in the stomach and small intestine. Undigested material enters the colon and travels through here resulting in the absorption of water and the production of a solid stool.

If food moves slowly through the gut we may become constipated. Constipation is the passage of infrequent hard stool. A normal stool should have the consistency of toothpaste and be similar in size to a banana. A constipated stool is hard, small and pellet-like. The most common cause of constipation is poor diet and inactive lifestyle. If constipation occurs, gas may get trapped and over time you may be at risk of developing a condition called diverticular disease.

Excess gas is not dangerous, but it may make you uncomfortable. You may experience large amounts of burping and farting. Abdominal cramping and bloating can be particularly problematic.

Your pain may be exacerbated by your bowel trying to push a hard stool or gas through your gut after your first meal of the day. The bowel reflex is strongest after eating a meal. Eating triggers gut motility.

Certain foods can help encourage gut motility. Prunes are a common remedy. Fruits containing the sugar sorbitol may also help. This sugar isn’t easily absorbed and draws fluid into the bowel, which may move things along.

Dried fruits are particularly high in sorbitol. Apples, apricots, grapes, strawberries and raspberries, peaches pears and plums also contain this sugar.

Approximately 50pc of people will have diverticular disease by the age of 50 and 70pc will have it by the age of 80. If waste material passing through the colon is hard it can put pressure on the walls of the intestine resulting in the formation of small out-pouches called diverticulae. Occasionally these pouches may become infected leading to a condition called diverticulitis.

Early symptoms of diverticular disease include abdominal pain and cramping. Pain is usually left-sided and may be made worse by eating and relieved by passing wind.

Bloating and constipation may also feature and you may feel tender on touching the lower abdomen.

If your symptoms don’t settle despite treating constipation you should have a colonoscopy. Diverticular disease is normally picked up here and this may be what you have, but the message is simple: altered bowels should never be ignored. A visit to your GP is in order.

90,000 Irritable bowel syndrome

18 August 2014

Articles

The human intestine is a corrugated tube, 7-8 m long. It is subdivided into two sections – the small and large intestine. The small intestine (its length ranges from 5 to 6 m) connects the stomach with the large intestine.The main function of the small intestine is to digest food from the stomach and absorb the nutrients the body needs. The large intestine, up to 1.5 m long, ends with the rectum and anus. The main purpose of the colon is the absorption of water and the formation of feces.

Irritable bowel syndrome is an overly sensitive gut that reacts painfully to the most common situations in life, such as breakfast, getting to work, an upcoming date, not to mention such events as a gala dinner, a call to the boss, a quarrel with loved ones.

How does intestinal hypersensitivity manifest? First of all, a violation of the movement of content along its logical path from top to bottom. The food lump either moves faster than normal, making pendulum movements, or remains in any segment of the intestine, or even moves in the opposite direction.

Irritable bowel syndrome is different from stomach ulcers, pneumonia and osteochondrosis.

The main difference is the absence of the morphological basis of the disease.What does this mean? It is well known that, for example, in peptic ulcer disease there is a defect in the mucous membrane of the stomach or duodenum, in pneumonia – a site of compaction of the lung tissue, in osteochondrosis – a decrease in the height of the intervertebral space. That is, in all of the above examples there is a so-called substrate of the disease – that which causes complaints. With irritable bowel syndrome, there are complaints, but there is no substrate, at least it is not determined by modern diagnostic studies.

For irritable bowel syndrome, there are diagnostic criteria, the so-called “Rome criteria”, which got their name due to the fact that they were first published in Rome. According to the “Roman Criteria”, for 12 weeks over the past year (not necessarily following each other), pain or discomfort in the abdomen, bloating, which are relieved after bowel movement, are associated with a change in stool frequency or consistency, may bother you. The pain can vary from a feeling of slight discomfort to unbearable, it may not have a clear localization, spreading throughout the abdomen, or at different times occur in different areas of the abdomen.The pain can be very different – burning, dull, aching, cutting, bursting, squeezing, etc. It usually gets worse after eating. A very important point is the absence of pain at night. You don’t wake up in pain.

However, if your sleep is disturbed and you woke up at night, then pain can immediately arise. Bloating usually increases during the day, peaking in the evening, and increases markedly after meals (most often after lunch).

Stool is most often observed in the morning, after breakfast, the number of bowel movements is from 2 to 5, with short time intervals.Urgent urge to defecate may occur after every meal. It is also characteristic of the appearance of the urge to defecate in situations when it is not possible to perform it – a meeting, a trip on the subway, commuter trains, in stressful situations. Quite often, due to the emergence of an urgent urge to defecate, you refuse to visit theaters, cinemas and other public places. However, diarrhea never occurs at night. In addition, the mass of feces remains normal, and, as a rule, does not exceed 200 g per day.

Quite often there is a feeling of incomplete emptying of the intestines. Stool may contain mucus, undigested food, but never blood or pus. Immediately before the act of defecation, there is an increase in pain and a significant decrease in them after it. Most often, the chair is “sheep”, ie. consisting of small dense fragments, “cork-like” – ie. the first portions of feces are denser than the subsequent ones, there may also be a chair in the form of a pencil – narrow long ribbons. So-called constipation diarrhea may occur – loose stools after several days of its delay.

You may be haunted by a host of other problems, such as a lump in the throat when swallowing, pain in the epigastric region, a feeling of quick satiety, nausea and pain in the right hypochondrium, pain in the left side of the chest, in the muscles, in the joints, in the back, headaches, palpitations, a feeling of interruption in the work of the heart, inability to sleep on the left side, a feeling of incomplete inhalation, internal tremors, frequent urination, weight loss, tinnitus, feeling of weakness, feeling of “hot flashes” and dry mouth.

The prevalence of this disease among the population varies in different countries from 9 to 48%. However, due to the rather delicate nature of the complaints, only 14-66% of patients go to the doctor. Most often, urban residents aged from 30 to 40 are sick, and women are 3-4 times more likely than men. Most often, irritable bowel syndrome develops after traumatic situations, such as divorce, bereavement, loss of work or other significant incidents, much less often after a food toxicoinfection; a hereditary predisposition is also possible.Some scientists are of the opinion that the consumption of chocolate, coffee, alcohol, lentils, beans, dairy products, as well as plentiful food, a change in the habitual eating habits during business trips and travel can be a trigger point in the onset of symptoms of the disease.

What if you have all or part of the above symptoms? It is imperative to consult a doctor. First, in order to confirm the diagnosis. Unfortunately, there are various conditions in which the clinical picture of the disease partially or even almost completely corresponds to that described above, but the diagnosis is ultimately made different, treatment requires a completely different, and sometimes urgent.Secondly, in the case of a confirmed diagnosis, the treatment must be selected by a specialist, taking into account many factors.

The life prognosis for this disease is favorable. Irritable bowel syndrome does not lead to the development of malignant colon tumors or diseases such as ulcerative colitis or Crohn’s disease. However, it is advisable to be under the supervision of a doctor in whose competence you are confident, in whom you fully trust and can tell about the smallest changes in your health and the reasons that, in your opinion, caused them.You need to pay attention to how you eat. It is completely unacceptable to eat 1-2 times a day and in large quantities. Such a diet will undoubtedly cause abdominal pain, and bloating, and stool disturbance. Eating more often 4-5 times a day and in small portions will ease your well-being. In some patients, a certain set of food products leads to an increase in symptoms, so it is advisable to keep a so-called “food diary” in order to identify foods that can cause a worsening of the condition.It is necessary to write down what foods you consumed during the day, and what unpleasant sensations arose during this. A fragment of the “food diary” is presented below.

There is no cure for irritable bowel syndrome.There are only medications available to relieve the symptoms of the disease. They are quite effective and, for the most part, do not cause side effects. The choice of a particular drug depends on which symptom of the disease is currently troubling you the most. For abdominal pain, drugs that weaken the motor activity of the intestine can be prescribed, for diarrhea – fixing drugs, for constipation – laxatives, for bloating – medicines that reduce gas formation.

Remember! The choice of a drug or a combination of drugs and the duration of the course of treatment is determined by the doctor!

Unfortunately, the effect of the prescribed treatment is sometimes insufficient, sometimes short-term, and in some cases completely absent, which is due to the fact that all the above groups of drugs act only on the function of the intestine, without affecting other factors that contribute to the onset of symptoms of the disease.

The mechanism of development of clinical signs (symptoms) in irritable bowel syndrome can be represented as follows: under the influence of psychological stress or a chronic psycho-traumatic situation; much less often – intestinal infections, in some people, to which you belong, the intestine becomes overly sensitive.

Firstly, the pain perception threshold decreases and, secondly, the intensity of pain perception becomes inadequate to the stimulus causing it. Pain impulses from the intestine come to the brain. Since the brain receives an excessively strong impulse, the response signal directed to the intestine is also excessive. In response to the received strong impulse, there is a violation of the motor activity of the intestine, which you feel as abdominal pain, bloating, diarrhea or constipation.

Can we influence the intensity of the impulse going from the gut to the brain or in the opposite direction? In theory we can, but in practice it is rather difficult.Just as the waters of many streams, flowing into the river carrying them to the ocean, become indistinguishable, so the signals from many organs following in the interweaving of nerve fibers to the brain are practically inseparable, and to single out a “path” along which information from the intestine follows practically impossible.
Can we influence the intensity of the impulse forming in the brain? Yes, and quite effective.

The effectiveness of both drug and non-drug methods of exposure is recognized throughout the world.Non-drug methods include, for example, individual and group psychotherapy, hypnotherapy; to drugs – the use of tricyclic antidepressants, selective serotonin reuptake inhibitors.

Remember! The choice of the method of treatment is determined by the doctor!

Irritable bowel syndrome does not predispose to the development of tumors or inflammatory bowel disease. However, in order to live a full life, you must try to avoid overwork, stressful situations, eating foods that lead to symptoms of the disease; and if you feel worse, or if new symptoms appear, visit your doctor.

Honored Health Worker of the Republic of Tatarstan,
physician of the highest category,
Doctor of Medical Sciences, Professor

F.I. Mukhutdinova

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Heartburn in the morning ⛑ symptoms of morning heartburn

If the morning begins not with coffee, but with an unpleasant burning pain in the stomach or esophagus, this may indicate diseases of the gastrointestinal tract (GIT). Morning heartburn can occur after a heavy dinner, a party with excessive alcohol consumption.But regular bouts of heartburn in the morning can be indicative of a health problem and should be examined.

What is heartburn

Heartburn is a very broad concept. These are feelings of discomfort, which can manifest itself in different ways for everyone. People describe it as “burning”, “irritation”, some people experience pain and nausea, they say that it burns in the throat.

In medicine, heartburn is not considered a disease, but this condition may indicate the presence of other disorders.Unpleasant sensations usually occur after eating, but there is a special condition – heartburn in the morning. A person wakes up with stomach discomfort and a “burning” throat.

Most often, heartburn is triggered by reflux – this is the reflux of the contents of the stomach back into the esophagus. The mucous membrane of the esophagus is irritated by gastric acids and heartburn occurs. Reflux disease in medical terminology is called GERD (gastroesophageal reflux disease). In addition to her, heartburn is caused by other diseases of the gastrointestinal tract: ulcers, gastritis, esophagitis, increased acidity of the stomach.With these pathologies, heartburn often occurs on an empty stomach and morning burning sensation in the esophagus.

Morning heartburn: causes

Food enters the stomach through a kind of gate – the lower esophageal sphincter. These are multiple folds that open and close like a valve. Gastric juice contains hydrochloric acid, ammonia, nitrogen-containing substances and digestive enzymes – these substances are responsible for the digestion of food. If the sphincter is relaxed, food is thrown back from the stomach along with acids that irritate the esophageal mucosa, from which it becomes inflamed, baked and sore.

Active production of gastric juice occurs during meals, as well as when the body wakes up, that is, in the morning.

If you skip breakfast, the stomach begins to “digest itself”, acids irritate its walls and heartburn sets in. Another point is a cup of morning coffee or some chocolate on an empty stomach. These are aggressor products, they activate the production of gastric juice and by themselves irritate the mucous membrane. These are common causes of heartburn in the morning.Diseases of the gastrointestinal tract increase the secretion of acid and relax the esophageal sphincter.

Unbalanced nutrition and disturbed daily regimen contribute to the development of morning heartburn. Dinner after 19.00, and even more so at 22.00, is not a very good decision. If you eat dinner before bed, the pressure on the sphincter while lying down will increase and the food will be digested more slowly. This leads to reflux and heartburn. Some simply do not notice her at night, and in the morning she makes itself felt.

Signs of morning heartburn

It is hard not to feel the signs of heartburn in the morning: a person gets up with an unpleasant sensation in the stomach, often heartburn is intertwined with hunger, but the discomfort disappears after a hearty breakfast.

Heartburn in the morning is itself a symptom. When it is supplemented by other conditions, it can indicate diseases of the internal organs:

• nausea and pain in the upper abdomen — signs of a peptic ulcer;
• Abdominal distension occurs with gastritis;
• increased gastric acidity accompanies GERD;
• cough and perspiration, together with heartburn, may result from diseases of the bronchi and lungs;
• An increasing burning sensation behind the breastbone is a common sign of a heart attack.

Morning heartburn can occur in pregnant women.

Some symptoms are classified as “disturbing” [1]:

• sudden weight loss;
• blood in the stool;
• heartburn for more than 3 weeks;
• Fast feeling of stomach fullness.

If you experience these symptoms, you cannot do without the help of a specialist.

Diagnostics

Diagnosis of morning heartburn includes examinations aimed at identifying the underlying disease:

• analysis of gastric acidity;
• FGDS (fibrogastroduodenoscopy) – examination of the stomach with a probe or endoscope;
• laboratory tests – biochemical blood test, feces analysis, determination of Helicobacter pylori;
• pH-metry – monitoring of daily changes in gastric acidity;
• endoscopy with contrast for difficult diagnosis of the disease [2];
• esophagomanometry – measurement of pressure inside the esophagus.

Women with heartburn in the morning may be advised to have a pregnancy test (if, of course, there are other manifestations of pregnancy).

Treatment

To quickly eliminate heartburn on an empty stomach, you need to have breakfast on time. Food should not be dense, but hearty and nutritious. It is better to replace heavy fats and high-calorie chocolate with light cereals and fruits. For diseases of the gastrointestinal tract, it is recommended to eat oatmeal in water, because it has a beneficial effect on the gastric mucosa.

Heartburn in the morning can be removed with antacids – these are salt-based preparations that neutralize the effect of hydrochloric acid and increase the pH of gastric juice. For example, calcium carbonate and magnesium carbonate act in a few minutes [3]. Rennie ^® is a preparation containing both of these components. It does not need to be washed down with water, it is a chewable tablet with a pleasant mint or orange flavor. Rennie ^® – tablets that begin to eliminate heartburn within 2 minutes. It is a drug with a favorable safety profile and is approved even for pregnant women with heartburn.

Antacids are recommended by the World Organization of Gastroenterologists in the treatment of reflux disease and to eliminate heartburn [4]. But before taking, you need to read the instructions and visit a doctor.

[1] UMHS GERD Guideline, September, 2013. Guidelines for Clinical Care Ambulatory, Michigan Medical University.

[2] UNIFIKOVANIY KLINICHNYY PROTOCOL OF THE FIRST, SECOND (special) MEDICAL HELP. GASTROESOPHAGEAL REFLUX OF BRIBUS.Order of the Ministry of Health Protection of Ukraine dated January 31, 2013 No. 943.

[3] Mironycheva TS .. “Comparative evaluation of the rate of neutralization and buffering time of magnesium hydroxoaluminate” Science and modernity, no. 6-2, 2010, pp. 289-293.

[4] Global Recommendations of the World Gastroenterology Organization. GERD. A global perspective on gastroesophageal reflux disease. 2015 year.

90,000 Stomach pain

As you know, pain in the abdominal cavity can cause diseases of the organs that are located in it.Unlike, for example, a heart attack, in this case, pain does not require urgent measures, although here the correct diagnosis is no less important. If your life after the first heart attack will never be the same, then if the surgeon removes your gallbladder or inflamed appendix, thereby he will destroy the disease itself. And men who experience abdominal pain, as a rule, are very much afraid of appendicitis, ulcers. Though they are better off worrying about gallstones or diverticula, as ulcers and appendicitis are not so common these days.

Also, unlike chest pain, acute abdominal pain almost never requires an immediate response, even with a perforated ulcer, a short delay for a couple of hours is not at all fatal. However, if they are late for a couple of days, usually patients either die, or the doctors are sued. But fortunately, abdominal pains in many cases are symptoms of very minor disorders. And in order to better understand them, you can use the following tips.

First of all, you need to determine exactly where you are hurting. So the navel serves as the border between the lower and upper parts of your digestive tract (although the large intestine goes higher, but there, serious pain is usually located just below). And the small intestine, coiled in loops, is located in the center of your belly, behind your navel. He usually rarely suffers from serious illness. The most common sources of abdominal pain can be:

• The duodenum is the first section of the small intestine, about 25 cm long.Food enters it directly from the stomach and here ulcers usually occur more often than in the stomach, however, pain in the duodenum is indistinguishable from stomach pain.
• Stomach – located above the horizontal line, which under the arch of the ribs of the chest passes through the navel (the so-called epigastric region). Back in school, they explained to us that the stomach digests and mixes food, and its main function is to store and accumulate it. However, a person deprived of a stomach can also normally digest food, only if consumed in large quantities, then unpleasant sensations may appear.
• The liver is the largest organ located in the abdominal cavity. The liver is located in its upper right part. It should be noted that it is quite rare that liver disease is a source of acute abdominal pain.
• The gallbladder is a small sac located in the lower right side of the rib cage. So oily bile continuously enters the gallbladder from the liver, where it accumulates and concentrates. And after eating, the gallbladder feeds it into the duodenum in order to improve the absorption of food fats.In the gallbladder, pain can occur for completely different reasons. The most common cause is stones, formed from hardening bile. This is due to the appearance of cholesterol in bile, which precipitates first at high concentrations, as well as when bile is dehydrated. However, the stones are completely harmless as long as they lie motionless in the gallbladder. And problems can begin when they move, blockage of the bile duct that leads to the small intestine. And the pain that can occur when the stone is pushed through the duct can last up to several hours.
• Large intestine. Most often, pain in it occurs somewhere in the left lower abdomen (cramps, diverticulitis, diarrhea, constipation), and sometimes even in the right lower abdomen (appendicitis). However, the most serious diseases in the colon rarely cause pain above the navel. But we must not forget about the pain in the upper left abdomen, which occurs with the syndrome of congestion in the splenic flexure of gases. Also, the large intestine on the right under the liver has a different 90 ° turn, but with a much smoother radius, and therefore pain from gas is not often noted here.
• Pancreas – located in the abdominal cavity rather deeply behind the duodenum, stomach. It produces a certain secret, which contains many enzymes, which then enters the small intestine through a separate duct. With inflammation of the pancreas (pancreatitis), pain usually occurs in the epigastric region, which can be felt on the left.

After you determine the nature of your pain (aching pain, burning, pain from gas), try very hard to somehow abstract from it.In some textbooks, the pain of an ulcer is described as a burning sensation, and the pain from a blockage of the duct with a stone is like colic, which increase to a maximum and immediately subside. And the pains from gases are usually compared there with a kind of movement of a large ball along the insides. All these descriptions sometimes may not correspond to your sensations, since the nerves that transmit pain signals from the internal organs, unlike the nerve endings of the skin, are too primitive. Sometimes your life depends on many subtle sensations, but signals inside your body can only serve as a rough warning.A burn of the stomach with acid can cause both aching, dull, gnawing, sharp pain, and not cause any pain at all.

When exactly do you feel pain?

The pain that woke you up in the middle of the night deserves special attention. Usually, pains at night in the stomach area can signal an ulcer, since after midnight the stomach is usually empty, and the secretion of acid increases after about 2 hours. Such pains sometimes appear with almost any dysfunction of the stomach, as well as with various indigestion and dyspepsia.

You can think about the relationship of pain to your food. Often, ulcers feel “hungry pains” because the food neutralizes the acid, but they usually disappear immediately after eating, but not always. And pains from gas usually arise after eating in 1-2 hours, but not because of the fact that their food secretes, when it enters the stomach, but precisely because during the digestion of food, the intestines are intensively contracted, thereby compressing the gases already present there …

Symptoms associated with pain

Fever can sometimes accompany infections.Also, with catarrh of the stomach, diverticula, appendicitis, the temperature may rise. However, with stones in the gallbladder, gases, ulcers, this is not observed. And the absence, presence, even a slight rise in temperature cannot accurately indicate the severity of the violation.

Vomiting can begin when the outlet from the stomach is blocked, and even with a chronic ulcer. And blocking the exit from the stomach sometimes requires surgical intervention. Often, vomiting is accompanied by severe pain with stones in the gallbladder, exacerbation of ulcers, but basically vomiting is not a specific signal of some kind of malfunction in your digestive tract.The same applies to diarrhea.

Degree of risk

A small hernia (diverticulum) often occurs on the large intestine in middle-aged and older people, since after prolonged consumption of food, which is poor in coarse fibers, its walls weaken, the weakest parts of the colon sag, thereby bulging outward with sacs-diverticula. Usually, dozens of diverticula can be found in older people, which absolutely do not bother them, but until they start bleeding a little or rupture the wall of the colon.A breakthrough (perforation), as a rule, provokes a very painful infection (diverticulitis), which is usually treated with antibiotics, a liquid diet, but sometimes this violation may require surgical intervention.

If you constantly ate large amounts of coarse fiber food and did not suffer from constipation, it means that your colon experienced little stress, and your risk of diverticulitis is quite small.

It should be noted that appendicitis at any age is dangerous, but usually this disease is typical for people of adolescence or early adulthood.And pain in the lower right side of the abdomen, which is accompanied by nausea, a slight fever, a general painful condition, can usually indicate appendicitis.

Also, severe pain in the same area, while the general state of health is normal, usually associated with irritation of the intestines, gas.

In women, stones in the gallbladder are noted twice as often as in men.

How severe is your pain?

Most often, moderate pain may indicate a not very serious illness.And excruciating pain, too, may not necessarily be a symptom of an illness that threatens your life, since it can accompany even simple gastroenteritis (stomach catarrh), but you should still pay attention to it.

Do not self-medicate.

Seek medical attention promptly.

Diseases of the esophagus

The most common esophageal diseases include gastroesophageal reflux disease (GERD). The main manifestations of GERD are heartburn, belching of air or food eaten, nausea, vomiting, an unpleasant sour or bitter taste in the mouth in the morning, and trouble swallowing. Sometimes patients complain of burning pains, discomfort in the epigastric region or behind the lower third of the sternum, which in some cases can be difficult to distinguish from the manifestations of serious cardiovascular diseases. The listed symptoms often appear after eating, are associated with a change in body position and occur when bending forward, in the supine position.Also, patients may be disturbed by such extraesophageal manifestations (disease masks), such as pain and a feeling of a lump in the throat, hoarseness, cough, destruction of tooth enamel, excessive salivation.
According to modern concepts, the main mechanism for the development of GERD is considered to be a violation of the motor activity of the esophagus and stomach. Between the stomach and the esophagus, there is a lower esophageal sphincter, consisting of circular muscle fibers; in a healthy person, this valve closes tightly, preventing the contents of the stomach from getting back into the esophagus.In patients with GERD, there is a decrease in the tone of the lower esophageal sphincter and a weakening of the ability of the esophagus to quickly evacuate the contents back into the stomach. As a result, the acidic contents of the stomach pass into the esophagus (gastroesophageal reflux), contributing to the development of inflammation of the esophageal mucosa. In the case of prolonged contact, in the absence of adequate treatment, erosions and ulcers develop at the site of inflammation, leading in some cases to cicatricial changes or bleeding, which may require surgical intervention.The risk of precancerous changes in the structure of the mucous membrane increases – Barrett’s esophagus. Bile acids, enzymes, bicarbonates, which are part of the contents of the duodenum, also have a strong damaging effect on the esophageal mucosa. When these substances are thrown into the stomach (duodenogastric reflux), their backward movement into the esophagus can be observed.
The main causes of esophageal and stomach motility disorders are dietary inaccuracies (overeating, spicy and fatty foods, alcohol, coffee, chocolate, carbonated drinks), hiatal hernia, medication (non-steroidal anti-inflammatory drugs, calcium channel blockers, nitrates, psychotropic drugs, progesterone, aminophylline, etc.), Obesity, neurosis, smoking, wearing tight belts, pregnancy.

In addition to motor disorders, the causes of inflammation of the esophagus can be infectious diseases (influenza, herpes, diphtheria, etc.), candidiasis (with immunodeficiency), trauma, burns.

90,000 Pain in the sacrum and lower back can be a symptom of damage to internal organs!

Diseases of the urinary system (cystitis, pyelonephritis, and especially urolithiasis) are most often manifested by pain in the lower back.The pain can be acute.

People with gastric ulcer and duodenal ulcer in 75% of cases are concerned about pain in the lumbar region. Another disease of the gastrointestinal tract, which can cause back pain, is acute pancreatitis. The pain is girdle in nature, localized in the area of ​​the right or left hypochondrium, radiating to the back.

Sometimes back pain radiating to the lower back occurs in acute appendicitis. This is mainly the case when the appendix (appendix) is located behind the cecum.Of course, this is just one of the complaints, and the main symptoms are fever, irritation of the peritoneum, and upset stools.

In diseases of the female genital organs, along with pain in the lower abdomen, pain in the sacro-lumbar spine may occur. Moreover, it can bother you periodically during menstruation, during sexual intercourse, or be prolonged and become chronic.

In most cases with low back pain, it makes sense to do an ultrasound of the pelvic organs.For example, painful sensations can be provoked by masses of the ovaries located behind the uterus.

In uterine fibroids, the nature and place of pain depend on the location of the node in the uterus, its size, and are caused by stretching of the peritoneum, with pressure from the nerve plexuses of the small pelvis. Often, severe and prolonged pain in uterine fibroids is associated with its rapid growth. Acute pain that occurs may indicate a violation of the blood supply to the myomatous node and requires emergency medical attention.

With the prolapse of the internal genital organs, the patients are worried about the pulling pain in the lumbosacral region, which increases with walking, physical exertion and lifting weights. The mechanism of pain in this pathology is associated with a violation of the anatomical location of the pelvic organs, which leads to a violation of the venous and lymphatic outflow.

Make an appointment with a general practitioner by phone

Petroverigsky lane, 10: 8 (495) 790-71-72

Kitaygorodsky pr.7: +7 (495) 510-49-10

90,000 reasons to see a doctor, treatment

To determine the possible cause of the pain syndrome and the further course of action, it is important to understand exactly where it hurts and the nature of the pain. Anatomically, three areas are distinguished in the upper abdomen: on the right and left under the ribs, as well as the area between them – epigastric (or epigastric) ¹ .

According to its manifestations, several types of pain can be distinguished, for example:

Aching, cramping, rare

This type of pain is characterized by periods of wavelike growth and subsidence.An attack of such pain is called colic. Pain may decrease after taking antispasmodic drugs ¹ .

Provoking factors:

Errors in diet, abundant food and alcohol ¹ .

Constant, monotonous, without wavelike subsidence and growth 90 320

Often excruciating, increasing day by day. The severity increases with sudden movements, coughing, does not decrease with the use of heat, the use of antispasmodics ¹ .

Pay attention:

The cause of such pain may be a serious pathology that requires immediate medical attention, especially if the pain is acute and is accompanied by nausea, vomiting, fever, bleeding ¹ .

Pain in the upper abdomen with diseases of the stomach and duodenum

With these diseases, pain directly depends on the time of eating. Pain syndrome occurs due to movement disorders of the stomach and duodenum, which leads to increased tone, increased pressure in the stomach or stretching.If the duodenum is affected, then pains appear a few hours after eating, with a stomach ulcer it can hurt at night – the so-called hunger pains. Sometimes the pain is accompanied by dyspeptic symptoms – nausea, belching, vomiting, stool disturbance, loss of appetite ^1-3 .

However, it should always be remembered that gastric ulcer and duodenal ulcer can proceed with erased symptoms, when the pain is mild, and sometimes even absent. ⁴

With gastritis, pain also occurs in the upper abdomen.Sometimes discomfort spreads to the left or right hypochondrium, the area near the navel. The dependence of pain on food intake for gastritis may not be so obvious: it can also hurt on an empty stomach. Pain syndrome with gastritis burning, dull, bursting, pulling, cutting, aching. It appears 2-3 times a day and lasts from half an hour and more than ^1.5 .

The appearance of discomfort and even more pain in the upper abdomen is a reason to see a doctor. He will collect anamnesis, conduct an examination and, if necessary, prescribe laboratory and functional studies.For an accurate diagnosis, a general, biochemical blood test, ultrasound, chest and / or abdominal x-ray may be needed ¹ .

If the pain is associated with food, accompanied by nausea, vomiting, belching, heartburn, the doctor may prescribe a gastroscopic examination ¹ .

the appearance of discomfort and even more pain in the upper abdomen is a reason to see a doctor

Despite the fact that in most cases the pain in the upper abdomen indicates diseases of the digestive system, you should first visit a therapist, and if necessary, a specialist of a narrower profile – a gastroenterologist.In addition, you may need to consult a cardiologist, surgeon, infectious disease specialist.

Symptoms that may indicate the development of dangerous diseases requiring emergency medical care include ¹ :

1

Pain that persists ⁶ hours or more

2

Continuously increasing pain syndrome

3

Decrease in blood pressure, increase in heart rate

4

Dizziness, weakness, apathy

5

Appearance of blood in vomit

6

Constant vomiting

No-shpa ^® forte acts selectively on smooth muscle spasm as the main cause of abdominal pain ⁷ , gently relaxing tense muscles ⁶

Even before the diagnosis is made, self-administration of medications is possible.For pain of mild and moderate intensity, the most common cause of which is a spasm of the smooth muscles of the digestive system, it is possible to take antispasmodic drugs. They do not mask pain, but act directly on its cause, without “smearing” the symptomatic picture of acute conditions. This is important for making a correct diagnosis ¹ .

What causes pain in the left side?

The causes of pain in the left side can be many. They range from the accumulation of gases to the development of infectious processes.Individuals with persistent or chronic lower abdominal pain should seek medical attention. Similarly, the sudden onset of severe pain in the left side may require immediate medical attention. So, below will be a list of the most common causes of pain in the left side.

Diverticulitis . This pathology develops with inflammation of diverticulums (bag-like protrusions of the intestinal wall). As a person ages, the number of diverticulums increases, which increases the risk of developing diverticulitis.Diverticulitis pain increases during or after meals. Fever, nausea, vomiting, and a feeling of bloating are also symptoms of diverticulitis.

Celiac disease (gluten intolerance). Symptoms of celiac disease may include gas and pressure on the intestinal wall, abdominal pain, fatigue, weight loss, and diarrhea.

Gassing . Gases are often trapped in the digestive tract when a person swallows air while eating and when they are formed during natural digestion.Generally, gas does not bother a person, however it can cause discomfort and pain in the gastrointestinal tract until the gas is released. Increased gas formation is observed with the use of certain foods, swallowing air, smoking, chewing gum, overeating, poor digestion of food, bacterial infections.

Lactose intolerance . This condition can also cause pain in the left side. When a person with lactose intolerance has high blood lactose levels, symptoms such as diarrhea, abdominal pain, increased gas production, nausea, and rumbling in the abdomen may develop.

Inflammatory bowel disease . Crohn’s disease and ulcerative colitis are chronic conditions that can cause inflammation anywhere in the digestive tract, leading to abdominal pain and bloody diarrhea. Fever and unexplained weight loss may also occur.

Dyspepsia . In most cases, stomach pain with dyspepsia is felt in the upper abdominal cavity, in rare cases it can manifest itself in the lower abdomen.Symptoms of dyspepsia include a burning sensation, mild pain or discomfort, heartburn, and bloating.

Shingles . Caused by the same virus as chickenpox. May provoke a rash around one side of the abdomen, itching, pain, including touching, fever, and general malaise.

Irritable bowel syndrome . Symptoms of this condition may include: abdominal pain, feeling of pressure in the intestines, constipation or diarrhea, and bloating.

Hernia . A hernia occurs when an organ or other part of the body is pushed through the abdominal wall. There are different types of hernias that differ depending on the underlying cause. Since a hernia can cause additional problems, you should see your doctor as soon as possible. Some symptoms of hernia complications include: pain when lifting an object, an increase in the size of a bulge, etc.

Constipation . It is often caused by poor diet and lack of physical activity.Improving your diet and exercising are 2 of the most effective methods to combat constipation.

Kidney stones . Most stones form due to the buildup of calcium in the kidney. Typical symptoms of stone formation include: abdominal pain, pain when urinating, nausea or vomiting, blood in the urine, fever, and frequent urination.

Intestinal obstruction . In this case, food cannot pass through the digestive tract. This is painful and requires immediate medical attention.Bowel obstruction is more common in the elderly and can be caused by diverticulitis or colon cancer.