What are the potential causes of stomach pain that worsens in the morning. How can you identify the underlying condition causing your discomfort. When should you consult a doctor for persistent morning stomach pain.

Understanding Acid Reflux and GERD: Primary Culprits of Morning Stomach Pain

Acid reflux and gastroesophageal reflux disease (GERD) are among the most common causes of stomach pain that worsens in the morning. These conditions occur when stomach acid flows back into the esophagus, causing a burning sensation in the chest or throat.

How prevalent is acid reflux? According to the American College of Gastroenterology, approximately 60 million Americans experience heartburn at least once a month. When acid reflux symptoms occur more than twice a week, it may indicate GERD, a more severe form of the condition.

Why does stomach pain from acid reflux often worsen in the morning? During sleep, the body’s position and reduced swallowing can lead to increased acid accumulation in the esophagus, resulting in more pronounced discomfort upon waking.

Identifying Symptoms of Acid Reflux and GERD

• Burning sensation in the chest (heartburn)
• Regurgitation of food or sour liquid
• Difficulty swallowing
• Chronic cough or sore throat
• Chest pain, especially when lying down

Gastritis: Inflammation-Induced Morning Stomach Discomfort

Gastritis, characterized by inflammation of the stomach lining, can develop suddenly (acute gastritis) or gradually over time (chronic gastritis). This condition often manifests as pain in the upper abdomen, which may be more noticeable in the morning.

How does gastritis contribute to morning stomach pain? The inflammation of the stomach lining can be exacerbated by the extended period without food during sleep, leading to increased acid production and discomfort upon waking.

Common Symptoms of Gastritis

• Gnawing or burning ache in the upper abdomen
• Nausea or vomiting
• Feeling of fullness in the upper abdomen after eating
• Loss of appetite
• Bloating

Gastroenteritis: The “Stomach Flu” That Disrupts Your Mornings

Gastroenteritis, often referred to as the “stomach flu,” is a viral or bacterial infection affecting the stomach and intestines. This condition can cause significant discomfort, particularly in the morning when the digestive system becomes active after a period of rest.

Why might gastroenteritis symptoms worsen in the morning? During sleep, the body’s metabolism slows down, potentially allowing the virus or bacteria to multiply more readily. Upon waking, the sudden increase in digestive activity can trigger more intense symptoms.

Key Symptoms of Gastroenteritis

1. Abdominal cramps and pain
2. Nausea and vomiting
3. Diarrhea
4. Low-grade fever
5. Headache and muscle aches

Peptic Ulcers: A Common Cause of Morning Stomach Pain

Peptic ulcers, also known as stomach ulcers, are open sores that develop on the inner lining of the stomach or the upper portion of the small intestine. These ulcers can cause a dull, burning pain in the stomach, often more pronounced in the morning.

Why do peptic ulcers often cause more pain in the morning? The increased production of stomach acid during the night, combined with an empty stomach, can irritate the ulcer and lead to more severe pain upon waking.

Recognizing Peptic Ulcer Symptoms

• Burning stomach pain, especially between meals or at night
• Feeling of fullness, bloating, or belching
• Intolerance to fatty foods
• Nausea or vomiting
• Unexplained weight loss

Appendicitis: A Serious Cause of Sudden Stomach Pain

Appendicitis, the inflammation of the appendix, is a medical emergency that can cause severe and sudden stomach pain. While not typically associated with morning-specific pain, it’s crucial to be aware of this condition due to its potentially life-threatening nature.

How does appendicitis pain differ from other causes of stomach discomfort? Appendicitis pain often begins around the navel and then moves to the lower right abdomen, becoming more intense over time. Unlike other conditions, the pain from appendicitis usually doesn’t improve and may worsen with movement or coughing.

Warning Signs of Appendicitis

1. Sudden pain that begins near the navel and shifts to the lower right abdomen
2. Pain that worsens with coughing, walking, or other jarring movements
3. Nausea and vomiting
4. Loss of appetite
5. Low-grade fever that may worsen as the illness progresses
6. Constipation or diarrhea
7. Abdominal bloating

Crohn’s Disease: Chronic Inflammation Causing Morning Discomfort

Crohn’s disease is a type of inflammatory bowel disease that can affect any part of the gastrointestinal tract, from the mouth to the anus. This chronic condition can cause persistent stomach pain, which may be more noticeable in the morning.

Why might Crohn’s disease symptoms be more pronounced in the morning? The body’s natural circadian rhythm can influence inflammation levels, potentially leading to increased discomfort upon waking. Additionally, the digestive system’s reactivation after sleep may trigger more intense symptoms.

Identifying Crohn’s Disease Symptoms

• Abdominal pain and cramping
• Persistent diarrhea
• Rectal bleeding
• Unexplained weight loss
• Fatigue
• Fever
• Reduced appetite

Indigestion: A Common Culprit of Morning Stomach Discomfort

Indigestion, medically known as dyspepsia, is a common condition that can cause stomach pain, particularly in the morning. It can be triggered by various factors, including certain foods, eating habits, and underlying medical conditions.

How does indigestion contribute to morning stomach pain? During sleep, the digestive system slows down, potentially leading to increased acid production and delayed emptying of the stomach. This can result in more pronounced symptoms upon waking, especially if you’ve consumed a large or rich meal before bed.

Common Symptoms of Indigestion

1. Burning sensation in the upper abdomen or chest
2. Feeling uncomfortably full during or after eating
3. Bloating
4. Nausea
5. Belching and gas
6. Acidic taste in the mouth

Irritable Bowel Syndrome: A Chronic Condition Affecting Morning Comfort

Irritable Bowel Syndrome (IBS) is a common gastrointestinal disorder that can cause a range of symptoms, including stomach pain that may be more pronounced in the morning. This chronic condition affects the large intestine and can significantly impact a person’s quality of life.

Why might IBS symptoms worsen in the morning? The body’s natural circadian rhythm can influence bowel motility and sensitivity, potentially leading to increased symptoms upon waking. Additionally, stress and anxiety about the day ahead can exacerbate IBS symptoms for some individuals.

Recognizing IBS Symptoms

• Abdominal pain or cramping
• Bloating
• Gas
• Diarrhea or constipation (or alternating between the two)
• Mucus in the stool
• Changes in bowel habits

Abdominal Adhesions: Post-Surgical Complications Causing Morning Pain

Abdominal adhesions are bands of scar tissue that form between abdominal organs and tissues. They commonly occur after abdominal surgery and can cause chronic stomach pain, which may be more noticeable in the morning.

How prevalent are abdominal adhesions? According to the National Institute of Diabetes and Digestive and Kidney Diseases, approximately 9 out of 10 people who undergo open abdominal surgery develop adhesions. While most people with adhesions don’t experience complications, those who do often report chronic stomach pain.

Symptoms Associated with Abdominal Adhesions

1. Chronic abdominal pain
2. Bloating
3. Constipation
4. Nausea
5. Vomiting
6. Inability to pass gas
7. Infertility (in some cases)

Food Allergies: Hidden Culprits of Morning Stomach Discomfort

Food allergies can cause a range of symptoms, including stomach pain that may be more pronounced in the morning. These allergic reactions occur when the immune system mistakenly identifies certain foods as harmful, triggering a response that can affect various parts of the body, including the digestive system.

How common are food allergies? According to recent studies, food allergies affect approximately 4-6% of children and 4% of adults. While symptoms can occur at any time after consuming an allergen, they may be more noticeable in the morning due to the digestive system’s reactivation after sleep.

Common Food Allergy Symptoms

• Stomach pain or cramps
• Nausea or vomiting
• Diarrhea
• Hives or itchy skin
• Swelling of the lips, tongue, or throat
• Difficulty breathing
• Anaphylaxis (in severe cases)

Constipation: A Common Cause of Morning Abdominal Discomfort

Constipation is a prevalent digestive issue that can lead to stomach pain, often more noticeable in the morning. The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) defines constipation as having three or fewer bowel movements per week, which may be difficult, painful, or feel incomplete.

Why might constipation cause more discomfort in the morning? During sleep, the digestive system slows down, potentially exacerbating the effects of constipation. Upon waking, the body’s natural urge to have a bowel movement can increase pressure in the intestines, leading to more pronounced pain and discomfort.

Identifying Constipation Symptoms

1. Infrequent bowel movements
2. Difficulty passing stools
3. Hard or lumpy stools
4. Feeling of incomplete evacuation
5. Abdominal pain or bloating
6. Nausea
7. Loss of appetite

Diverticular Disease: Age-Related Digestive Discomfort

Diverticular disease, also known as diverticulosis, is a condition where small pouches (diverticula) form in the lining of the digestive system, most commonly in the colon. This condition becomes more prevalent with age, affecting approximately half of all people over 60.

How does diverticular disease contribute to morning stomach pain? While many people with diverticulosis remain asymptomatic, some may experience discomfort, particularly in the lower left abdomen. This pain can be more noticeable in the morning due to the digestive system’s reactivation after sleep.

Recognizing Symptoms of Diverticular Disease

• Abdominal pain, typically in the lower left side
• Bloating
• Constipation or diarrhea
• Nausea
• Fever (if infection occurs)
• Changes in bowel habits

Pelvic Inflammatory Disease: A Serious Cause of Lower Abdominal Pain

Pelvic Inflammatory Disease (PID) is an infection that affects a person’s reproductive organs, including the ovaries, uterus, fallopian tubes, and cervix. While not exclusively a cause of morning stomach pain, PID can lead to persistent lower abdominal discomfort that may be more noticeable upon waking.

How prevalent is PID? According to the Office on Women’s Health, approximately 5% of women in the United States have PID, with the condition being most common in women aged 15-24. Early diagnosis and treatment are crucial to prevent serious complications.

Key Symptoms of Pelvic Inflammatory Disease

1. Pain in the lower abdomen
2. Fever
3. Unusual vaginal discharge
4. Pain during sexual intercourse
5. Painful urination
6. Irregular menstrual bleeding
7. Lower back pain

Celiac Disease: Gluten-Induced Morning Stomach Discomfort

Celiac disease is an autoimmune disorder where the ingestion of gluten leads to damage in the small intestine. This condition can cause a range of digestive symptoms, including stomach pain that may be more pronounced in the morning.

Why might celiac disease symptoms worsen in the morning? The body’s immune response to gluten can continue throughout the night, potentially leading to increased inflammation and discomfort upon waking. Additionally, the reactivation of the digestive system after sleep may trigger more intense symptoms.

Identifying Celiac Disease Symptoms

• Abdominal pain and bloating
• Chronic diarrhea or constipation
• Nausea and vomiting
• Fatigue
• Unexplained weight loss
• Anemia
• Skin rash (dermatitis herpetiformis)

Understanding the various causes of morning stomach pain is crucial for proper diagnosis and treatment. While occasional discomfort may not be cause for concern, persistent or severe pain should prompt a visit to a healthcare professional. By identifying the underlying cause, you can work with your doctor to develop an appropriate treatment plan and improve your overall digestive health.

Remember, if you experience severe, sudden, or persistent stomach pain, especially if accompanied by other concerning symptoms, seek immediate medical attention. Early intervention can prevent complications and ensure the best possible outcome for your health.

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 an autoimmune disorder that 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.

Many different health issues can cause stomach pain in the morning. While some conditions may resolve on their own, others will require immediate treatment. When considering medical attention, things to consider include:

• Severity: If the pain is so bad that the individual cannot stand up, seek medical help immediately. Early symptoms of appendicitis can include pain in the abdomen.
• Duration: The longer an individual has stomach pain in the morning, the more important it is to seek medical treatment.
• Age: Severe stomach pain in younger people could indicate appendicitis. In older people, it may suggest gall bladder problems. Both conditions require prompt medical treatment.
• Speed of onset: Sudden stomach pain is a potential symptom of appendicitis, especially if the pain is getting worse.
• Other symptoms: People with appendicitis may develop a fever along with abdominal pain. Stomach pain alongside nausea can suggest a blockage or other serious condition. Bleeding from the rectum is a possible sign of conditions that require prompt medical treatment.

Many different conditions and diseases can cause stomach pain in the morning.

Most often, people can recover on their own, with self-care. However, this sort of pain is sometimes a symptom of severe health problems that require immediate medical attention.

For persistent, severe stomach pain in the morning alongside other symptoms, speak to a doctor for accurate diagnosis and treatment.

Stomach Pain in the Morning: Causes, Symptoms, and More

Abdominal pain can occur with multiple health conditions, including ulcers, indigestion, and inflammatory bowel disease. You may experience additional symptoms depending on the cause.

Everyone experiences stomach pain at some point. The pain can be a cramping sensation that leaves you curled up in a fetal position, or a dull, intermittent ache that comes and goes.

But while abdominal pain can be episodic and occur at anytime, you may experience pain primarily in the mornings. The underlying cause could be something you ate the night before, inflammation, or your intestines preparing for a bowel movement.

Even though morning stomach pain is probably nothing to worry about, you shouldn’t ignore a severe ache that doesn’t go away. Persistent pain could indicate a serious problem, so seek medical attention immediately.

Here’s a look at 10 potential causes of morning stomach pain.

A stomach ulcer is a sore that develops in the lining of your stomach. It can cause a burning or dull pain in the middle of the stomach, in the space between your chest and belly button.

Pain can happen any time, but you might have increased discomfort in the mornings because pain can occur when the stomach is empty.

An over-the-counter antacid or acid blocker can relieve symptoms, but you should see a doctor if symptoms worsen or persist.

If an ulcer causes a hole in the abdominal wall, emergency surgery may be needed.

Irritable bowel syndrome (IBS) is a condition that affects the large intestines. It can cause pain on the lower right or lower left side of the stomach. Other symptoms include:

• diarrhea or constipation
• excessive gas
• mucus in the stool
• bloating

Certain foods and stress can trigger IBS, so you may experience worsening symptoms in the morning if you’re worried or stressed about school or work.

There’s no cure for IBS, but lifestyle habits may improve symptoms. Avoid trigger foods, including:

• dairy
• carbonated drinks
• fried or fatty foods

Other good lifestyle habits are:

• getting regular exercise
• practicing stress management
• taking a fiber supplement or anti-diarrheal medication

Some medications are approved for people with IBS, so talk to your doctor if symptoms don’t improve with home remedies.

Inflammatory bowel disease (IBD) is an umbrella term for two conditions: Crohn’s disease and ulcerative colitis. Both can cause stomach pain around the belly button or the lower right abdomen, and some people experience pain in the mornings.

Crohn’s disease can affect the entire digestive tract and causes other symptoms, such as:

• diarrhea
• weight loss
• anemia
• nausea
• fatigue

Stress and certain foods and drinks can make symptoms worse, such as carbonated drinks and high-fiber foods.

Ulcerative colitis, on the other hand, affects only the colon, also known as the large intestine. Symptoms include:

• bloody diarrhea
• increased bowel urgency
• low energy
• weight loss

Since there’s no cure for IBD, the goal of treatment is reducing inflammation and improving symptoms. Your doctor may prescribe an anti-inflammatory medication, an immunosuppressant, or an antibiotic.

Keeping a food diary can also help you isolate foods and beverages that trigger flares.

Constipation refers to fewer than three bowel movements a week. Irregular bowel activity can lead to trapped gas in your intestinal tract, resulting in severe cramping in the lower abdomen in the morning and at other times of the day.

Other symptoms include straining to have a bowel movement or feeling as if you haven’t completely emptied your rectum.

A sedentary lifestyle can trigger constipation. Increased physical activity may provide natural relief by stimulating intestinal contractions. In addition, a stool softener or fiber supplement, and eating more fruits and vegetables may improve symptoms.

See a doctor for constipation that lasts longer than two weeks.

Inflammation of the pancreas can cause pain in your upper abdomen, with pain radiating to your back. The pain is sometimes worse after eating, so you may experience discomfort after eating breakfast.

Other symptoms include nausea, vomiting, and a fever. Although mild pancreatitis may improve on its own or with an over-the-counter pain reliever, see a doctor for persistent pain that doesn’t improve.

Your doctor may prescribe medication to control inflammation or an enzyme supplement to help your body break down nutrients in food. Eating a low-fat diet can prevent future flares. Include foods such as:

• fruit
• whole grains
• vegetables
• lean protein

Diverticular disease is when small pockets or sacs develop in the wall of your large intestine. Diverticulitis occurs when one of these sacs becomes infected or inflamed, causing pain in the lower left abdomen.

Other symptoms can include:

• constipation
• fever
• nausea
• vomiting

Diverticulitis may or may not cause symptoms. Persistent and severe pain typically requires medical treatment. Your doctor can prescribe an antibiotic to treat the infection, or you might need an outpatient procedure to drain an abscess.

In severe cases, surgery may be necessary to remove the affected part of the colon. Diverticulitis pain may be worse in the morning and improve after passing gas or having a bowel movement.

Gallstones are hard deposits of digestive fluid in the gallbladder. Some people don’t have any symptoms, whereas others have intense pain in the upper abdomen or the middle abdomen below the breastbone.

Pain can also radiate to the right shoulder and shoulder blade. See a doctor for sudden, severe abdominal pain. Your doctor can give you medication to dissolve gallstones. If symptoms don’t improve, you may need surgery to remove the gallbladder. Pain may be worse at night and in the mornings.

Food allergies can also cause stomach pain. Common food allergens include:

• dairy
• shellfish
• wheat
• gluten
• nuts

A food allergy can cause symptoms like:

• stomach cramps
• vomiting
• nausea
• hives
• wheezing
• dizziness
• swelling of the tongue

Stomach pain caused by a food allergy might be worse in the morning if you consume trigger foods before bed, although symptoms can occur anytime of the day.

Celiac disease

If you have Celiac disease — an autoimmune disease where gluten causes inflammation in the small intestines — you may have stomach pain in the morning along with other symptoms like:

• diarrhea
• gas
• bloating
• anemia

An antihistamine might relieve some symptoms of a food allergy, such as hives, swelling, and itching. But it’s still important to identify and avoid foods that trigger a reaction because severe allergic reactions can lead to anaphylaxis.

This is a life-threatening reaction that can cause breathing difficulty and a dangerous drop in blood pressure.

See a doctor if you develop hives, itching, or wheezing after eating certain foods. A skin or blood test can confirm or rule out a food allergy.

Indigestion can cause pain in the upper abdomen, bloating, and nausea. Keep in mind that indigestion is a symptom of another condition, such as acid reflux, ulcers, or gallbladder disease.

Symptoms can occur after eating, so you may have stomach pain in the morning after breakfast. See a doctor if indigestion continues for more than two weeks, or if it’s accompanied by weight loss, vomiting, or black stools.

Eating smaller meals, regular exercise, and stress management may improve indigestion.

This infection of the female reproductive organs can cause:

• lower pelvic pain
• fever
• vaginal discharge
• painful urination or intercourse

Pelvic pain can occur any time of the day, but it may occur in the mornings for some women.

See doctor if you experience any stomach pain accompanied by a fever or foul vaginal discharge. Bacteria typically causes PID, so your doctor may prescribe an antibiotic.

Although stomach pain happens to everyone, you shouldn’t ignore stomach pain that’s persistent, sudden, or gradually worse. Seek immediate medical attention, especially when pain includes vomiting, bloody stools, or a fever.

Morning stomach pain can be caused by something as simple as constipation or gas, or it could be a sign of a condition that requires a special diet, prescription medication, or surgery.

Top 10 causes of abdominal pain in women

Expert comment
Gynecologist Anastasia Degteva

“Pain during menstruation and ovulation usually recurs every menstrual cycle. See your doctor to find out how you can relieve them.
Abdominal pain can be a sign of a variety of conditions, from simple indigestion to potentially fatal illnesses such as appendicitis, peritonitis, ectopic pregnancy. Seek immediate medical attention if the pain is severe, accompanied by fever, bloody discharge from the genital tract, impaired stool or urination, nausea or vomiting. If your doctor does not accept on this day, contact any medical facility nearby or call an ambulance. When calling an ambulance or making an appointment at a medical center, be sure to tell about the symptoms. ”

Please remember that you don’t have to endure pain! If it is strong or does not go away for several days, you should definitely consult a doctor!

Menstrual cramps

During menstruation, the level of the hormone prostaglandin rises, which causes uterine contractions and rejection of the uterine mucosa (menstruation), which causes the stomach to “pull” during menstruation. Prostaglandins can also cause intestinal spasms, which can lead to pain, constipation, diarrhea, and swelling. Drawing pains in the lower abdomen may appear a few days before the onset of menstruation, but after a couple of days, bleeding usually gradually subsides.

Although this is the most common symptom of menstruation, if the cramps are interfering with your normal life, you should take a pain reliever or antispasmodic. If the sensations are strong, then you need to go to the doctor to clarify the cause. Warmth also helps with cramps: you can take a hot shower, bath, or put a heating pad on your stomach.

What hurts on the right / left lower abdomen in women during ovulation?

During ovulation, many women experience pain associated with the rupture of the follicle and the subsequent release of the egg into the fallopian tube and then into the uterus. Pain in the lower abdomen is often felt only on the right or left, because the ovaries release only one egg per cycle, respectively, either the right or the left ovary hurts. Ovulation usually occurs about 2 weeks before the expected start of the next cycle. Sometimes it is accompanied by spotting and increased vaginal discharge. Ovulation pain usually resolves within a couple of hours and is harmless and completely normal.

Ovarian cyst

An ovarian cyst is a benign, fluid-filled tumor located on the ovary. Every month, the ovaries release an egg during ovulation. Sometimes the follicle may not open or, for example, close again. In this case, the follicle is filled with fluid and increases in size. Most cysts go away on their own, but sometimes, if they grow large or twist, they can cause severe pain.

Other symptoms: bloating, swelling, painful penetrative sex. Rarely, acute symptoms may occur: nausea, fever. In this case, you need to consult a doctor for advice.

Ectopic pregnancy

An ectopic pregnancy occurs when an embryo attaches anywhere outside the uterus and begins to grow. In this condition, the pregnancy cannot continue and often requires the help of a surgeon to remove the embryo. Other common symptoms are dizziness, nausea, and vaginal bleeding. If you suspect that you may have an ectopic pregnancy, you need to seek medical help immediately, this condition can be deadly!

Endometriosis

Endometriosis is the growth of endometrial tissue (mucosa) of the uterus in an area where they should not be. Endometriosis can develop in the fallopian tubes, ovaries, bladder, and even the intestines. When the time comes for menstruation, the mucous tissue separates, but cannot be released naturally. This condition can be very painful, but is rarely dangerous.

In some women, the pain is constant, in others it occurs only during menstruation or 1-2 weeks before them. Common symptoms: heavy periods, spotting between cycles, painful penetrative sex. The pain can be felt both in the center of the abdomen, and on one side.

Myoma

Myoma is a benign tumor that grows on the surface or inside the wall of the uterus. Although they are sometimes called tumors, don’t be alarmed: they don’t cause cancer. Most often, fibroids occur in women aged 30-40 years. Usually they do not reach large sizes and do not cause any symptoms, but some women may feel pressure in the lower abdomen and back, painful and heavy periods, pain during sex, and have problems conceiving.

Urinary canal infections and cystitis

These infections can cause bloating, pressure in the lower abdomen, and pain during penetrative sex. They are most often accompanied by frequent and painful urination. They are usually caused by a bacterial infection, E. coli. This bacterium is normal in the digestive tract, but it can infect the urethra and bladder. When the bladder becomes infected, the condition is called cystitis. If you suspect that you may have such an infection, you should contact your doctor to prescribe an appropriate antibiotic. Please remember that to prevent such infections, wipe the urine with toilet paper only in the direction from the clitoris to the anus and do not pass the same piece of paper twice.

Sexually transmitted infections (STIs)

Pain in the lower abdomen may be a symptom of STIs that can occur in sexually active people. The most common are chlamydia and gonorrhea. STIs can be accompanied by painful urination, spotting between cycles, changes in vaginal discharge, and pain after penetrative intercourse. If you have these symptoms, you need to see a doctor so that he can conduct tests and prescribe the appropriate treatment.
It is very important to tell sexual partners about this in order to prevent the spread of infection.

One of the consequences of untreated STIs is pelvic inflammatory disease. This is the most common cause of female infertility, which can be avoided by consulting a doctor in a timely manner and regularly getting tested for STIs. Typical symptoms include nagging pain in the abdomen, unusual vaginal discharge, and soreness during penetrative sex.

Remember that STIs are often asymptomatic and can lead to irreparable consequences for your health. Stay safe and don’t have unprotected sex, get tested regularly for STIs, and don’t hesitate to ask your partners about it.

How does the stomach hurt with appendicitis in women?

Appendicitis – inflammation of the appendix (vermiform appendix of the caecum). With appendicitis, pain is felt in the lower right side of the abdomen, but can sometimes be felt in the center of the abdomen, near the navel. Pressing on this area is painful, painful sensations are aggravated by movement, coughing, sneezing. The pain only gets stronger over time, often accompanied by nausea, fever.

If you suspect you have appendicitis, call an ambulance because appendicitis requires surgery. Inflammation of the appendix can lead to peritonitis, which most often ends in death without medical attention.

Kidney stones

Kidney stones are deposits of salts and minerals that can travel through the urinary tract, causing severe pain. It can be felt under the ribs, from the back or sides, in the lower abdomen and in the groin. The sensations can be undulating, often accompanied by fever, nausea, painful urination, blood in the urine or cloudy urine. The pain focus most often moves as the stone moves through the urinary canal.

Why my left side hurts and what to do about it

Likbez

Health

June 5, 2020

Lifehacker collected 16 common causes, including deadly ones.

Let’s say right away: pain in the left side is a common thing and most often safe. However, it should not be left unattended. Sometimes even slight discomfort on the left side can signal serious illnesses.

When to call an ambulance

Call an ambulance immediately if:

• Sharp or dull pain on the left side of the chest radiates to the left arm, shoulder, jaw.
• Perceptible pain accompanied by fever up to 38.8 °C or more.
• Sudden sharp pain is concentrated in one point and does not stop for several minutes or longer.
• The stomach hurts a lot (both on the left and in any other point), and relief comes only when you lie still on your back.
• The pain does not subside with time, but seems to get worse.
• It is accompanied by vomiting. The situation is especially threatening if there is blood in the contents of the stomach.
• Sharp pain, unable to urinate.
• Black or blood-streaked stools.
• The abdomen is tense, even the lightest touch is painful.
• In the lower abdomen – severe drawing or stabbing pain, and you are pregnant or do not exclude it.
• Shortly before an attack of severe pain, there was a blow to the stomach or ribs.

When to go to the doctor as soon as possible

Schedule a visit to the doctor in the near future if:

• Pain in the left side is insignificant, but disturbing regularly, making itself felt for a week or longer.
• Perceptible pain comes and goes, and this condition lasts longer than 1-2 days, or is accompanied by nausea and vomiting, or becomes increasingly painful.
• Pulling sensation in the left side of the abdomen accompanied by loss of appetite, diarrhea that lasts longer than a couple of days, or (female version) bloody discharge from the vagina.
• In addition to the discomfort in your left side, you notice that you are losing weight for no apparent reason.

Why my left side hurts

Dozens of answers. The stomach, spleen, pancreas, large and small intestines, as well as the left lung and kidney, bladder, uterus and ovaries in women can get sick.

A separate song is the heart, which is displaced to the left: malfunctions in its work often make themselves felt as reflected pains in the left side of the body.

However, discomfort does not always indicate illness. Here are the most common causes of pain in the left side – both in the abdomen and in the hypochondrium.

1. Increased gas production

When the food that we have eaten and digested in the stomach enters the small intestine, bacteria take over to break it down. During operation, they emit carbon dioxide and other gases. If there is too much gas in the intestines, the pressure rises. Parts of the intestine expand, put pressure on the nerve endings located around it. This causes bloating and pain.

What to do about it

First, find out the cause of flatulence. Most often, it is simple: you overeat, lean on fatty foods, or, for example, eat too quickly, swallowing air. Try changing your diet and eating habits:

• eat slowly;
• chew food thoroughly;
• avoid foods that increase gas production – processed foods, fast food, cabbage, carrots, and so on.

If you experience bloating regularly, consult a gastroenterologist. Perhaps the problem is in the intestinal microflora: you have bacteria living that produce gas too actively. In this case, the doctor will prescribe prebiotics that will help normalize the microflora.

2. Constipation

Lack of stool can cause discomfort and sometimes pain in the intestines. The reason is usually a lack of fiber or fluid.

What to do about it

Drink plenty of water and eat fiber-rich foods such as leafy vegetables, whole grain breads, bran, legumes, hard fruits. You can take a laxative after consulting with your doctor.

If constipation becomes regular, talk about it with your doctor – the same general practitioner, gastroenterologist or nutritionist. Most likely, you will be asked to revise the diet.

3. Strenuous physical activity

You ran too fast or jumped, swam, etc. too vigorously. Physical activity increases blood flow. If it is excessive, the blood overflows the spleen. The organ increases in size and begins to put pressure on its own shell-capsule, in which there are nerve endings. This is how the famous “prick in the left side” appears.

By the way, the no less famous “prick in the right side” has similar causes, only the liver overflows with blood.

What to do about it

To get rid of the pain in the side caused by physical activity, just slow down and wait until your breathing becomes even.

For the future: do not start an active workout without a warm-up. Try to keep a comfortable pace and do not demand extra effort from the body.

4. Pain in the muscles

Maybe they did active crunches in training and overdid it. Maybe they sat in a draft. Or maybe you have bad posture, stress, or an autoimmune disease. Myalgia, that is, muscle pain, has dozens of causes.

What to do about it

If the pain in the side appeared after exercise or, for example, after you sat under the air conditioner while sweating, you can simply endure it. For relief, take an over-the-counter pain reliever such as ibuprofen.

But if the discomfort does not go away for 3-4 days, gets worse, or if you have no idea about their causes, be sure to visit a therapist. The doctor will clarify the diagnosis and prescribe treatment.

5. Injury

For example, they slipped and fell on their left side. Or you were hit in the stomach or in the ribs.

What to do about it

You may have escaped with only a slight bruise. Although such injuries cause discomfort, they heal quite quickly on their own.

But if you feel severe sharp pain, weakness, tinnitus, or suspect a broken rib after being hit, call 911 right away. Or contact the emergency room if it is nearby.

6. Period

During or before menstruation, the lower abdomen may hurt. Including in its left part, sometimes giving in the back.

What to do about it

Menstrual pain, although unpleasant, is not dangerous. You can just endure it. Or take an over-the-counter pain reliever – based on the same ibuprofen.

Doesn’t work? Yes, unfortunately this happens too. Consult a gynecologist: the doctor will select stronger painkillers or prescribe hormonal oral contraceptives that reduce discomfort.

7. Endometriosis or ovarian cyst

These diseases can be recognized by pulling pains in the pelvic region – both on the left and on the right. The sensations are similar to menstrual cramps, but can occur at any time. Menstruation with such violations lengthens and becomes more painful.

What to do about it

If there is even the slightest suspicion of a disease of the reproductive system, go for an examination by a gynecologist.

It is important to make a correct diagnosis in time, sometimes life depends on it. For example, the rupture of a large ovarian cyst can cause uterine bleeding and death from blood loss. Don’t take risks.

8. Ectopic pregnancy

An ectopic pregnancy is when a fertilized egg attaches itself not to the uterus, but to the fallopian tube, cervix, ovary or other place in the abdominal cavity. Sooner or later, the growing embryo ruptures the organ to which it is attached. This can lead to severe bleeding and peritonitis, including death.

What to do about it

If you are or suspect you are pregnant, then any acute pain in the lower abdomen, especially if it is accompanied by dizziness, nausea, bloody discharge and does not go away within a few minutes, is a definite reason to call an ambulance.

9. Inflammation of the intestinal mucosa

There are many possible causes of inflammation. Here are the most common:

• Viral or bacterial infections. They can be obtained by eating something expired or, for example, by swallowing dirty water.
• Food and alcohol poisoning.
• Taking antibiotics, especially if you bought them without your doctor’s approval. Reminder: don’t do this!
• Parasites. The same helminths.
• Various diseases of the gastrointestinal tract – gastritis, pancreatitis, cholecystitis, ulcerative colitis, Crohn’s disease, hepatitis.

Inflammatory bowel disease, in addition to pain, is accompanied by nausea, prolonged diarrhea or constipation, bloating, and fever.

What to do about it

Consult a gastroenterologist. Treatment depends on the diagnosis, which can only be made by a qualified doctor. In some cases – for example, with rotavirus (also known as intestinal flu) – it is enough to lie down and follow the drinking regimen. Other situations will require antibiotics or other medications.

10. You have stones or other kidney disease

Urolithiasis, pyelonephritis, other kidney disorders manifest themselves as sudden excruciating pain in the lower abdomen. Such pain clearly radiates to the lower back and then intensifies, then weakens.

What to do about it

If you suspect a kidney problem, don’t hesitate to visit a nephrologist. The doctor will make an accurate diagnosis and prescribe the necessary medications. In some cases, surgery will be required, and it is in your best interest to carry it out as soon as possible.

11. Pneumonia or pleurisy

Pneumonia is an inflammation of the lungs, and pleurisy is an inflammation of the membrane that surrounds the lungs. Most often, these diseases are caused by bacteria or viruses.

It is not difficult to recognize lung lesions: acute chest pain occurs with deep breathing or coughing. Additional symptoms: fever, weakness, chills, difficulty breathing.

What to do about it

If the temperature rises above 38 °C, it is difficult and painful for you to breathe, you constantly cough – you need to urgently call a doctor at home. In other cases, you can get to the therapist on your own.

12. Appendicitis

In most cases, inflammation of the appendix makes itself felt with pain in the right side. However, sometimes the pain occurs in the upper left side of the abdomen. What to do about it?

Urgently call an ambulance if other symptoms are added:

• increasing pain;
• vomiting;
• severe weakness, cold clammy sweat;
• palpitations.

They may indicate that the appendicitis has passed into an acute form, that is, the appendix has ruptured. This condition requires immediate surgical intervention.

13. Abdominal aortic aneurysm

The aorta is the main blood vessel in the abdomen that runs down from the heart. When it enlarges and swells, it is called an aneurysm. This happens mainly in older people, especially smokers.

Vera Serezina

Senior Physician, Medical Expert of the laboratory of personalized medicine “LabQuest”.

Aneurysms usually do not have any obvious symptoms. But sometimes pain is felt when the dilated vessel compresses the internal organs. If an aneurysm ruptures, a person may die from internal bleeding.

What to do about it

It is almost impossible to identify an aortic aneurysm at home, the diagnosis is established only with the help of computed tomography. Therefore, if you regularly feel a dull pain in your abdomen (it doesn’t really matter if it’s on the left or right), and especially if it is accompanied by throbbing, go to a therapist. The doctor will direct you to the necessary examinations.

When an aorta ruptures, a person feels sudden severe pain in the abdomen or back. Immediately after this, collapse occurs – a life-threatening condition when the pressure drops and the blood supply to the organs deteriorates. In this case, you need to call an ambulance without wasting a second.

14. Diverticulitis

Diverticula are small sac-like protrusions in the lower part of the colon. They occur in many people over 40 years of age and most often do not bother.

But sometimes diverticula become inflamed, a process called diverticulitis. And in some cases, they can tear, which leads to serious complications: perforation of the intestinal walls, abscess, peritonitis, intestinal obstruction …

What to do about it

fever, nausea, constipation or diarrhea, be sure to visit a gastroenterologist. If diverticulitis is confirmed, you will be given antibiotics and pain medication. In some cases, surgery may be required.

15. Heart problems

Pain – sharp or dull – in the left side can also cause various heart disorders, from angina pectoris to a heart attack.

What to do about it

If you are regularly worried about pain in the left hypochondrium, radiating to the shoulder or arm, in no case leave them unattended.