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Upper abdominal pain morning: The request could not be satisfied


5 Reasons Why Your Stomach Hurts When You Wake Up Early

If your stomach hurts early in the morning when you wake up, there are a few causes.

Some of the common reasons are indigestion, illness, or eating something unhealthy the night before. 

Sometimes, drinking too much the night can be a factor too.

Consistently experiencing stomach pain in the morning means there is an underlying cause that needs to be addressed.

In this article, we’ll discuss some of the causes of why your stomach hurt early in the morning.

Finally, we’ll give some useful tips on how to get relief if you ever experience that.

What causes your stomach to hurt when you wake up early in the morning?



Gastroesophageal Reflux Disease (GERD) is a common issue that causes stomachache early morning.

This condition worsens up when you lie down. This is because digestive juices and food back up into the esophagus from the stomach.

Burping or heartburn is one of the common symptoms of GERD. In the morning, it’s likely to experience the symptoms of GERD in the form of your stomach hurting.

This is often the case when you sleep with your head not slightly elevated or supported with the best pillow for your sleeping position.

A study by researchers at the University of Arizona reported that people with GERD experience stomach hurt early morning.


Food Poisoning

In our everyday fast-paced society, there are often harmful substances that cause our bodies to react poorly.

These toxic substances can find their way into our bodies when we eat, breathe, inject, or absorb food or fluids.

Eat food containing toxins or harmful substances leads to food poisoning.

Researchers have shown that food poisoning can result in severe diarrhea, toxic shock syndrome, and other infections.

Food poisoning can also cause your stomach to hurt when you wake up early morning.



People with Gastritis also tend to have hurting stomachs early in the morning when they wake up.

In general, Gastritis is when your protective stomach lining inflames. 

Besides bacteria infection, other habits or conditions can make it more likely to experiences this inflammation.

Examples include drinking too much alcohol and excessive and sustained drug abuse 

If you have Gastritis and eat anything spicy or drink alcohol in the night, the next morning, you are prone to have a hurting stomach.



If your stomach hurts early in the morning, it might be just because you’re not drinking enough water and so you’re dehydrated. 

Water helps to transport all the nutrients, oxygen and other essential elements to different cells.

Drinking water allows you to set up a solid nutrient distribution system that will serve your body well.

However, when you’re dehydrated, your body is not able to digest the essential nutrients.

Poor digestion can sometimes cause you to experience those hurting sensations early in the morning when you wake up. 

A recent study on dehydration-related abdominal pain shows that people with dehydration experience stomach hurt early morning. 

5. Irritable bowel syndrome

Irritable bowel syndrome affects your large intestine. It can cause your stomach to hurt when you wake up early in the morning. 

If you wake up early in the morning with lower stomach pain and also experience constipation, excessive gas, and bloating, then chances are you’ve irritable bowel syndrome.

How to stop your stomach from hurting early in the morning


Mint has a soothing effect. And you can take a mint early in the morning if you’re experiencing stomach hurt. 

When you consume mint, it provides indigestion-related benefits, including preventing vomiting, reducing muscle spasms, and reducing stomach pain. 

Research study has found the pharmacological and therapeutic effects of components present in mint. 

Lime, baking soda, and water

You can take a glass of water, having lime and a pinch of baking soda.

This mixture is found to relieve a variety of digestive issues that causes stomach pain early morning. 

Aloe juice

Aloe juice contains pain-relieving substances that offer relief from pain caused by excess stomach acid.

Also, Aloe Juice helps to remove toxins from the bowel and reduce inflammation in the stomach.

One study shows that drinking aloe vera juice can suppress the symptom of GERD.


Banana contains potassium, vitamin B6, and other nutrients that provide relief from muscle spasm and stomach upset. 

Study shows that bananas can help to reduce the symptoms of inflammatory bowel syndrome.

Furthermore, the average banana has around 3 grams of fiber. Therefore, it is safe to say that bananas are a good source of fiber.

One of the many benefits of dietary fiber includes improved digestion. Bananas have two main types of dietary fiber:

These two fiber types are abundant in unripe bananas.

Resistant starch ends up in the colon, where it becomes prebiotic (food for beneficial bacteria).

Pectin has a host of health benefits, including protection against colon cancer. 

Drink water

If your stomach hurts early in the morning, drinking a glass of water can help to relieve the pain.

Sometimes, dehydration can cause indigestion, and your stomach hurts. Staying hydrated throughout the day improves stomach health.

Morning stomach pain – Punch Newspapers

Dr. Sylvester Ikhisemojie

One of the most difficult problems to deal with in any individual is the issue of stomach pain. That is particularly true if the pain is said to occur in the morning. Such pains can be due to a wide range of causes from mild ones which the person may even have a home remedy for to more serious problems that will warrant having to go to the hospital. In order to properly diagnose stomach pain occurring in the morning, it is important to take the person’s age into consideration as well as the location of the pain within the abdomen.

Many people believe that the abdomen and the stomach are one and the same but do not appreciate that the stomach is one of a large number of structures inside the abdomen. Therefore, stomach pain is often used when what they mean is abdominal pain which makes it all the more important that the site of the pain is determined.

One of the most common causes of stomach pain occurring in the morning is indigestion which is medically known as dyspepsia. The type of food a person eats especially before going to bed at night is a frequent cause of this problem. It is the most common symptom associated with indigestion and the people who suffer from this problem usually also have nausea and bloating and may even vomit. Such persons quickly become full whenever they eat or drink something. At other times, this symptom may be the harbinger of some serious ailment especially when it becomes a long standing problem and is associated with weight loss. At such times, prominent among the possible causes will be diseases like cancer of the stomach.

Gastritis is another common cause of stomach pain in the morning hours. This means there is inflammation of the stomach’s lining causing pain in the upper part of the abdomen and nausea. There may also be a feeling of fullness and it is a problem which can develop suddenly or slowly over a period of time. Such an inflammation may be caused by certain chemicals or food additives or by virtue of the foods we eat. The more the variety of the foods taken together, the more likely it is to be in the situation where this sort of problem can be an issue.

One other cause of such stomach pain is gastroenteritis which is also an inflammation of the stomach and intestines as well. This inflammation is usually caused by an infection. Such an infection could be caused by bacteria or viruses and they often cause diarrhoea and vomiting. Sometimes, a fever may develop as well especially in children. Most frequently, the use of fluid replacement therapy by mouth or by drip depending on the severity are useful in helping the overall condition of the person to get well as quickly as possible.

Stomach ulcers which are also known as peptic ulcers often cause a dull, burning upper abdominal pain in the morning hours and also in the middle of the night. The pain is often described by sufferers as a heart burn and can resemble pepper in its effect. The cause of this malady is the presence of sores in the lining of the stomach and that part of the small intestine right after the stomach and known as the duodenum. These sores become exposed to the acid produced by the stomach and simulatea similar effect to when pepper or salt is rubbed into a wound.

Another common cause of stomach pain is constipation which can affect people of all ages. When any person is not able to pass stool even once in the course of three days, they are said to be constipated. Constipation is defined as having three or less bowel motions in a week. Such a person may develop stomach pain as a result and frequently, many people can treat theirs using home remedies or over-the-counter medicines. However, if it becomes long standing and the person develops additional symptoms such as fever or bleeding while passing stools, it is time to go to the hospital.

Stomach pain can also become a problem for certain people who have previously had an abdominal surgery. This is something that is becoming more frequent these days as the population increases and many more people seek medical help for a variety of problems. Recovery from such operations occasions the development of scars both on the skin and within the abdomen. It is said that nine out of 10 people who have had an abdominal operation will develop adhesions which is what such scars are called. These adhesions or scar tissues cause the organs to stick together and also stick to the abdominal wall. Of the people who have had an operation, most will not develop any form of problem but among those who do, stomach pain is a common complaint. They may also develop constipation, bloating and nausea. As the disease condition progresses, vomiting may become an added feature.

Pelvic inflammatory disease is another common cause of stomach pain especially in women. In this condition, there is inflammation of the fallopian tubes, uterus, cervix and ovaries. There is usually a dull pain in the lower part of the abdomen and it can be quite persistent. The pain is frequently felt when urinating or when having sex. With the passage of time, there may be a fever and the development of a vaginal discharge. Failure to treat a problem like this can lead to worsening stomach pain and serious complications including an inability to get pregnant. This condition is most often seen in women between 15 and 24 years of age.

Appendicitis is another common cause of stomach pain. It is the inflammation of the appendix, a worm-like structure found at the beginning of the large intestine. It begins suddenly most of the time with pain around the navel which shifts later to the right lower side of the abdomen a few hours later. It is associated with a fever, nausea and vomiting. The person may be unable to stand upright and can often be seen to be walking slightly bent over like an old man. There may also be a poor appetite. The pain can be made worse by passing stools. It is found in all age groups especially between 15 and 30 years. The pain usually gets worse with time and an operation is required to deal with the problem.

Gall bladder disease is another common cause of abdominal pain. This time, the pain is found in an area above where the pain of appendicitis is located and that is in the right upper part of the abdomen. The pain is often intermittent, coming and going with varying degrees of severity. The pain is also liable to be provoked by certain foods which are rich in fat such as fried plantain and fried eggs. It is frequently seen in women but sometimes occurs in men as well. If gallstones are present also and they block the ducts within the gall bladder, other features like nausea, vomiting, jaundice and the passage of dark-coloured urine also develop. When these features become recurrent, it is often wise to have the gall bladder removed through an operation.

Finally, acid reflux is a condition which also causes stomach pain in the morning. This happens when acid and stomach contents flow the wrong way and therefore back into the esophagus. This may cause a burning sensation at the back of the mouth and also in the middle part of the abdomen among the individuals who have acid reflux. This is known as the gastro-esophageal reflux disease (GERD). Often, people who eat late meals and go to bed soon afterwards are liable to suffer from this as are obese or overweight people.

Questions and answers

Dear doctor, good day to you. I’m having itching under my two feet. When it starts it nearly makes me go mad. I have had it for years now and been on piriton tablets. I take up to four tablets daily. My doctor prescribed it but said he didn’t understand it. The piriton doesn’t even work anymore. The itching starts anywhere anytime. I need to see you because this thing is driving me crazy. 0803xxxxxxx

Good day to you as well. You do not need to see me for this kind of problem. Your real helper will have to be a dermatologist who can diagnose appropriately what this problem is and how to treat it.

Read Also

Dear doctor, my aunt is 65 years old and has had cough for the past six weeks. It is not associated with chest pain and no fever but she coughs up some sputum from time to time. She has been to the hospital where a chest X-ray was ordered and sputum culture was done after which she was placed on antibiotics. The phlegm she brings up is always whitish but the main problem is that whenever she brings it out, ants attack the sputum. Her husband also coughs but ants do not attack his own sputum. She took a comprehensive test for diabetes and she was found to be normal. So what could be wrong? Why are ants attracted to her sputum, sir?  0803xxxxxxx

Thank you for your interesting question. Ants are the masters of the microscopic world busy gobbling up everything that is like this sputum. The phlegm you see is the result of a battle between the white blood cells which try to defend the body from infections and the bacteria which have attacked the respiratory tract. The resulting secretion is full of dead cells rich in protein and other trace elements useful to the ants.

As a result, they will swarm to the phlegm and essentially sweep it all off for the benefit of their colony and as their contribution towards cleaning our environment. Their activities in this regard do not mean that something is wrong with your aunt.

Dear doctor, I am 18 years old. Please sir, I need your advice: I have chest pain. Please sir, what can I use? Thanks and God bless.  0901xxxxxxx

Chest pain is often due to a variety of causes. It is not safe to prescribe for you from a distance without having examined you first. Because of that, I will advise you to see your doctor where you will lay your complaints and get an examination. After that process is completed, it would be possible to have proper treatment.

Dear doctor, I suffered from a severe itchy rash around my body: groin, elbows, head and face as well as armpit and have been on treatment for the past five years at the University College Hospital, Ibadan. The problem keeps coming back. I have spent a lot of money and used a lot of antibiotics. My wife now has the rash around her groin area too. Please come to our aid. Thank you.   0706xxxxxxx

What you must understand is that you are already in the hands of the best experts around and you should follow their treatment plan for your skin. Problems like these often spread by close contact among people so it is no surprise that your wife has caught it in the groin. However, what you must do is to take her with you to the UCH and ensure she gets treatment early so that it does not also become widespread like yours. In the end, at the back of your mind, you must also consider the fact that not all ailments have a certain cure. I believe you should have that conversation with your doctors.

Dear doctor, my son is five years old and when he was two years old he had a hernia operation at a hospital in the East. After about two weeks I started seeing the swelling again from the same place and I went back to the doctor who told me that it’s tissue adjustment and that it would return to normal. The swelling did not return to normal, sir, and it is getting bigger and bigger. What do you advise us to do about this? 0803xxxxxxx

The most likely thing here is that the hernia operation failed and you now have a recurrence of the problem. I will advise that you go to the biggest government hospital nearest to you where doctors can examine him and refer you to the appropriate specialist to deal with your son’s problem. You must do that before a complication arises that will cause him further challenges.

Dear doctor, I suffer from diabetes and have been on glucophage and daonil since 2008 when it was diagnosed. My blood sugar has been well controlled with these drugs, exercises and diet. I was also able to shed some weight. However, recently, I noticed that a whitish rash developed under my breasts and upper part of the back. In this hot weather, the itching it causes is terrible. I have been to my doctor who prescribed some antibiotics to use for one week but I have not seen any improvement. Please what is your advice?  0803xxxxxxx

Well, antibiotics are not likely to be able to deal with a problem such as this. What you most probably have is a fungal skin infection which a proper anti-fungal cream applied appropriately over a certain period should be able to deal with. However, I would urge you to visit the doctor who is treating you for the diabetes to have a look at this skin rash and write an adequate treatment plan for it to clear.

Dear doctor, I am 44 years old and have noticed that I have been sweating abnormally over the past two weeks. I weigh 115 kg and have issues with my blood pressure for which I have been on medications. That is well controlled sir but this sweating is just too much especially at night. What do you think is the cause sir? Thank you and God bless you.  0803xxxxxxx

Your story is quite interesting. At this time of the year, it is customary to have a lot of heat. Everywhere is hot and that is bad during the day. At night, the heat is of a different kind being that it is hot and also humid. Sweating is usually profuse and nobody is exempt except you have the means to power your air-conditioners. So your sweating is not a disease, it is not a complication of your pre-existing condition and it is not limited to you alone. And, it will be probably be like this until April or early May when the rains would have started depending on what part of the country you live in.

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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.

7 types you shouldn’t ignore

We’ve all experienced abdominal pain at some point. While it’s often just a passing symptom you can ignore, sometimes it can be a sign there’s a serious problem.

So, how do you know whether that wrenching pain is just a garden variety stomach upset that will pass as soon as that pesky gas works its way through your system — or something much worse?

The clues, experts say, are in the character of the pain — how long you’ve had it, its severity, where it’s located — and whether there are certain symptoms accompanying it.

“Most people who have abdominal pain in the absence of what we call ‘red flag symptoms’ will not have a bad cause for the pain,” said Dr. Stephen Hanauer, a professor of medicine and medical director of the digestive health center at Northwestern University.

Here are seven symptoms you should pay attention to:

1. Sudden or severe pain

Especially if it gets worse and worse, this can be a sign of appendicitis or a gall bladder attack, Hanauer said.

2. Pain accompanied by nausea and vomiting

This symptom, especially if you are vomiting blood, can be a red flag, said Dr. Daniel Hollander, an inflammatory bowel disease specialist and a professor of medicine at the University of California, Los Angeles. “This could be a sign of a bleeding ulcer or esophagitis or an obstruction or partial blockage of the small intestine,” Hollander said. “If it’s connected to flu-type symptoms, like a sore throat, then I wouldn’t worry.”

3. Pain that’s made worse when you have a bowel movement

That could be a sign of colitis, pancreatitis or pancreatic cancer, Hollander said.

4. Pain that wakes you up at night

“When we go to sleep, our intestines go to sleep,” Hanauer said. “Further, our brains usually turn off many pain signals while we sleep. So if the pain is bad enough to wake us up, that’s concerning. For example, severe, sudden pain that wakes us up in the middle of the night can mean the gall bladder is inflamed or a gall stone is passing.”

5. Pain that comes with a fever

This could be a sign of appendicitis or diverticulitis, Hanauer said.


6. Pain that improves when you eat

This could signal an ulcer, Hollander said. “Colitis and Crohn’s disease can get worse about an hour after eating,” he adds.

7. Cramping pain

This may suggest colitis, an obstruction or kidney stones, Hollander said. “Steady pain with a long duration makes you think about cancers or pancreatitis,” he adds.

The location of the pain can give you a clue about what body systems are involved, Hollander says. “In pancreatic diseases the pain often goes straight from the front to the back,” he added. “Pain located in the upper abdomen may be caused by an ulcer. Pain that is lower down could be related to colitis or an obstruction.”

Ultimately, we’d all be a lot better off if we talked with friends about our abdominal pain instead of suffering in silence.

9 Reasons You Wake Up With Stomach Pain Every Morning

Almost everyone has experienced an upset stomach once in a blue moon, either as a result of indigestion, illness, or just something you’ve consumed the night before that cause it.

A night of heavy drinking can cause your stomach to ache the morning after.

However, having stomach pain every morning regularly may be an indication of an underlying condition.

We at Mayor Boss did some research and figured out why some people always wake up with a stomach ache every morning.

And on that note, let’s dive in.

1. Gastroesophageal Reflux Disease (GERD)

GERD can prompt stomach pain every morning because the condition gets worse when you lie down.

Why? Stomach bile may return to the esophagus while you are prone.

Sometimes, the stomach pain and heartburn associated with GERD can even wake you up, causing additional stress from a sleepless night.

Is GERD worse in the morning?

Burning sensations that commonly result from acid reflux can be more severe in the morning due to after lying down all night.

But don’t worry, this dilemma is fixable.

A change in diet, loss of weight, and elevating your head during sleep can reduce GERD’s morning symptoms.

2. Food Poisoning


If the food you ate in the evening or at midnight is contaminated with viruses, bacteria, or parasites, it can cause stomach pain in the morning when you wake up, nausea, vomiting, or even fever.

Stomach pain caused by food poisoning generally lasts from a few hours to a few days.

Seek medical attention if you have blurry vision, muscle weakness, frequent vomiting episodes, or stools.

Here are some surprising signs of food poisoning.

3. Morning Sickness

For a woman in the initial stages of pregnancy, upset stomachs can hit anytime during the day, but stomach problems usually appear the first thing in the morning.

Nothing to worry about; morning sickness often does not pose any risk to the pregnancy. However, nausea can be inconvenient and annoying.

The positive news is that after the first trimester, these symptoms usually go away.

Talk to your doctor about your symptoms’ regularity to ensure that you do not incur additional complications.

Check out these symptoms of pregnancy.

4. Gastritis

Gastritis shows up when your stomach lining becomes irritated and inflamed.

People with gastritis often experience symptoms that include indigestion, heartburn, abdominal pain, and vomiting.

Is gastritis worse in the morning?

It depends. Alcohol can cause gastritis in the early morning, and drunkards usually display chronic gastritis traits over a long period.

Often, people who consume vast amounts of coffee during the day or who smoke cigarettes before bedtime regularly have issues similar to gastritis in the morning.

Not only that, but the chance of gastritis can also increase in those with autoimmune disease or abused nonsteroidal anti-inflammatory substances.

5. Dehydration

Can dehydration cause an upset stomach?

Dehydration is likely to cause an upset stomach in the morning.

Why? Because your body did not get the necessary amount of water to digest and absorb nutrients from the foods you consume at night.

The fantastic news is that the upset stomach goes away once you are rehydrated by drinking plenty of fluids during the day.

6. Peptic Ulcer

A peptic ulcer is an inflammation or opens sore in the upper part of the small intestine or the stomach lining.

The most apparent symptom of a peptic ulcer is biting or burning feelings in your stomach; this pain can happen at any time.

Sometimes, the pain can occur in the mornings when the belly is empty.

You need to talk to a doctor if you think you have an ulcer. Learn the symptoms of stomach ulcers.

7. Cholecystitis

Cholecystitis is an inflammation of the gall bladder.

This condition can make people wake up with an upset stomach in the morning. This sickness’s principal indication is abdominal pain on the upper right, usually lasting up to half an hour.

Other symptoms include slow constant pain.

Acute cholecystitis is an unexpected irritation and swelling of the gallbladder, which can induce sharp abdominal pain spreading backward under the right shoulder blade.

You should consult a doctor if you have unexpected, severe abdominal pain.

9. Irritable Bowel Syndrome (IBS)

Irritable bowel syndrome is a persistent disorder that causes food to move too instantly through the digestive tract.

Normally, Irritable bowel syndrome does not cause long-lasting damage to the colon; however, it can cause stomach problems in the morning and diarrhea.

Any change in routine or added stress may cause more frequent symptoms.

Restless sleep has also been known to aggravate Irritable bowel syndrome symptoms first thing in the morning.

Other symptoms may include abdominal cramps, gas, bloating, and diarrhea.

Fortunately, a fiber-rich diet and a relaxation period before bedtime can help prevent these problems.


You will need to seek medical attention instantly if the pain is severe and is accompanied by persistent nausea and vomiting, abdominal tenderness or pain that radiates towards your back, yellow skin, bloody stools, swollen stomach, pain persists for hours, or lasts more than a few days.

Chronic Abdominal Pain and Recurring Abdominal Pain – Digestive Disorders

Treatment of functional pain depends on the symptoms and is focused on helping people return to normal daily activities and lessening the discomfort. Usually, treatment involves a combination of strategies. Several visits to the doctor may be needed to develop the best combination. Doctors often arrange follow-up visits, depending on people’s needs. Visits are continued until well after the problem has resolved.

After functional pain is diagnosed, doctors emphasize that the pain, although real, usually does not have a serious cause and that emotional factors (for example, stress, anxiety, depression) may trigger or worsen an episode of pain. Doctors try to avoid repeating tests after thorough testing has failed to show a physical cause of the symptoms.

Although there are no treatments to cure functional chronic abdominal pain, many helpful measures are available. These measures depend on a trusting and understanding relationship between the doctor, person, and person’s family members. Doctors explain how the laboratory and other test results show that the person is not in danger. Doctors encourage people to participate in work, school, and social activities. Such participation does not worsen the condition but instead encourages independence and self-reliance. People who withdraw from their daily activities risk having their symptoms control their life rather than having their life control their symptoms.

Doctors may recommend a high-fiber diet and fiber supplements. People may need to avoid foods that trigger their pain. For example, some people should avoid eating large amounts of foods that are difficult to digest and produce a lot of gas and avoid drinks that are high in sugar.

Many drugs have been tried with varying success. They include drugs that reduce or stop muscle spasms in the digestive tract (antispasmodics) and peppermint oil.

Sources of stress or anxiety are minimized as much as possible. Parents and other family members should avoid reinforcing the pain by giving it too much attention. If people continue to feel anxious or depressed and this seems to be related to the pain, doctors may prescribe antidepressants or drugs to reduce anxiety. Therapies that help people modify their behavior, such as relaxation training, biofeedback, and hypnosis, may also help reduce anxiety and help people better tolerate their pain.

For children, help from parents is essential. Parents are advised to encourage the child to become independent and to fulfill the child’s normal responsibilities, particularly attending school. Allowing the child to avoid activities may actually increase the child’s anxiety. Parents can help the child manage pain during daily activities by praising and rewarding the child’s independent and responsible behaviors. For example, parents could reward the child by scheduling special time with the child or a special outing. Involving school personnel can help. Arrangements can be made to let the child rest briefly in the nurse’s office during the school day, then return to class after 15 to 30 minutes. The nurse can sometimes allow the child to call a parent, who should encourage the child to stay in school.

Abdominal Pain, Age 11 and Younger

Does your child have pain or cramping in the belly?

This also includes injuries to the belly.

How old are you?

Less than 3 months

Less than 3 months

3 to 5 months

3 to 5 months

6 months to 11 years

6 months to 11 years

12 years or older

12 years or older

Are you male or female?

Why do we ask this question?

The medical assessment of symptoms is based on the body parts you have.

  • If you are transgender or non-binary, choose the sex that matches the body parts (such as ovaries, testes, prostate, breasts, penis, or vagina) you now have in the area where you are having symptoms.
  • If your symptoms aren’t related to those organs, you can choose the gender you identify with.
  • If you have some organs of both sexes, you may need to go through this triage tool twice (once as “male” and once as “female”). This will make sure that the tool asks the right questions for you.

Has your child had surgery on the chest or belly in the past 2 weeks?


Recent abdominal surgery


Recent abdominal surgery

Has your child swallowed or inhaled an object?


Swallowed or inhaled object


Swallowed or inhaled object

Does your baby seem sick?

A sick baby probably will not be acting normally. For example, the baby may be much fussier than usual or not want to eat.

How sick do you think your baby is?

Extremely sick

Baby is very sick (limp and not responsive)


Baby is sick (sleepier than usual, not eating or drinking like usual)

Is your child having trouble drinking enough to replace the fluids he or she has lost?

Little sips of fluid usually are not enough. The child needs to be able to take in and keep down plenty of fluids.


Unable to drink enough fluids


Able to drink enough fluids

Does your child have pain in the belly?

Does the belly feel hard when you touch it?

Normally the belly is soft and has some “give.” A hard, rigid belly may be a sign of a more serious problem.


Abdomen is hard (rigid) to the touch


Abdomen is hard (rigid) to the touch

Does pressing on the belly cause severe pain?


Pressing on abdomen causes severe pain


Pressing on abdomen causes severe pain

Has the pain:

Gotten worse?

Pain is increasing

Stayed about the same (not better or worse)?

Pain is unchanged

Gotten better?

Pain is improving

How long has your child had pain?

Less than 4 hours

Less than 4 hours

4 hours but less than 1 day (24 hours)

4 hours but less than 1 day (24 hours)

More than 3 days

More than 3 days

Does the belly hurt all over or mostly in one area?

Pain that is most intense in just one area is likely to be more serious than a bellyache that hurts all over.

Mostly in one area

Localized pain

Does your child have pain with a new bulge in the belly button or groin?


Pain with new bulge in navel or groin


Pain with new bulge in navel or groin

Is your child nauseated or vomiting?

Nauseated means you feel sick to your stomach, like you are going to vomit.

Within the past week, has your child had an injury to the abdomen, like a blow to the belly or a hard fall?


Abdominal injury within past week


Abdominal injury within past week

Since the injury, has there been any bleeding from the rectum, urethra, or vagina?


Bleeding from rectum, vaginal or urethra since injury


Bleeding from rectum, vaginal or urethra since injury

Is there a belly wound that is deeper than a scratch?

Do you suspect that the injury may have been caused by abuse?

This is a standard question that we ask in certain topics. It may not apply to you. But asking it of everyone helps us to get people the help they need.


Injury may have been caused by abuse


Injury may have been caused by abuse

Has your child vomited since the injury?

Is there pain just below the ribs?

Pain just below the ribs after an injury can be a symptom of serious damage to the liver or spleen.

Do you think your baby has a fever?

Did you take your child’s temperature?

This is the only way to be sure that a baby this age does not have a fever. If you don’t know the temperature, it’s safest to assume the baby has a fever and needs to be seen by a doctor. Any problem that causes a fever at this age could be serious. Rectal temperatures are the most accurate. Taking an axillary (armpit) temperature is also an option.

Is it 38°C (100.4°F) or higher, taken rectally?

This would be an axillary temperature of 37.5°C (99.5°F) or higher.


Temperature at least 38°C (100.4°F) taken rectally


Temperature at least 38°C (100.4°F) taken rectally

Do you think your child has a fever?

Did you take your child’s temperature?

How high is the fever? The answer may depend on how you took the temperature.

High: 40°C (104°F) or higher, oral

High fever: 40°C (104°F) or higher, oral

Moderate: 38°C (100.4°F) to 39.9°C (103.9°F), oral

Moderate fever: 38°C (100.4°F) to 39.9°C (103.9°F), oral

Mild: 37.9°C (100.3°F) or lower, oral

Mild fever: 37.9°C (100.3°F) or lower, oral

How high do you think the fever is?


Feels fever is moderate

Mild or low

Feels fever is mild

How long has your child had a fever?

Less than 2 days (48 hours)

Fever for less than 2 days

From 2 days to less than 1 week

Fever for more than 2 days and less than 1 week

1 week or longer

Fever for 1 week or more

Does your child have a health problem or take medicine that weakens his or her immune system?


Disease or medicine that causes immune system problems


Disease or medicine that causes immune system problems

Does your child have shaking chills or very heavy sweating?

Shaking chills are a severe, intense form of shivering. Heavy sweating means that sweat is pouring off the child or soaking through his or her clothes.


Shaking chills or heavy sweating


Shaking chills or heavy sweating

How much blood is there?

More than a few drops. Blood is mixed in with the stool, not just on the surface.

More than a few drops of blood on stool or diaper

A few drops on the stool or diaper

A few drops of blood in stool or diaper

Does your child have diabetes?

Is your child’s diabetes getting out of control because your child is sick?


Diabetes is affected by illness


Diabetes is affected by illness

Is the plan helping get your child’s blood sugar under control?


Diabetes illness plan working


Diabetes illness plan not working

How fast is it getting out of control?

Quickly (over several hours)

Blood sugar quickly worsening

Slowly (over days)

Blood sugar slowly worsening

Do you think that a medicine could be causing the belly pain?

Think about whether the belly pain started after you began using a new medicine or a higher dose of a medicine.


Medicine may be causing abdominal pain


Medicine may be causing abdominal pain

Have your child’s symptoms lasted longer than 1 week?


Child’s symptoms have lasted longer than 1 week


Child’s symptoms have lasted longer than 1 week

Many things can affect how your body responds to a symptom and what kind of care you may need. These include:

  • Your age. Babies and older adults tend to get sicker quicker.
  • Your overall health. If you have a condition such as diabetes, HIV, cancer, or heart disease, you may need to pay closer attention to certain symptoms and seek care sooner.
  • Medicines you take. Certain medicines and natural health products can cause symptoms or make them worse.
  • Recent health events, such as surgery or injury. These kinds of events can cause symptoms afterwards or make them more serious.
  • Your health habits and lifestyle, such as eating and exercise habits, smoking, alcohol or drug use, sexual history, and travel.

Try Home Treatment

You have answered all the questions. Based on your answers, you may be able to take care of this problem at home.

  • Try home treatment to relieve the symptoms.
  • Call your doctor if symptoms get worse or you have any concerns (for example, if symptoms are not getting better as you would expect). You may need care sooner.

Certain health conditions and medicines weaken the immune system’s ability to fight off infection and illness. Some examples in children are:

  • Diseases such as diabetes, cystic fibrosis, sickle cell disease, and congenital heart disease.
  • Steroid medicines, which are used to treat a variety of conditions.
  • Medicines taken after organ transplant.
  • Chemotherapy and radiation therapy for cancer.
  • Not having a spleen.

With cramping pain in the belly:

  • The pain may hurt a little or a lot.
  • The amount of pain may change from minute to minute. Cramps often get better when you pass gas or have a bowel movement.
  • The pain may feel like a tightness or pinching in your belly.
  • The pain may be in one specific area or be over a larger area. It may move around.

Temperature varies a little depending on how you measure it. For children up to 11 years old, here are the ranges for high, moderate, and mild according to how you took the temperature.

Oral (by mouth) temperature

  • High: 40° C (104° F) and higher
  • Moderate: 38° C (100.4° F) to 39.9° C (103.9° F)
  • Mild: 37.9° C (100.3° F) and lower

A forehead (temporal) scanner is usually 0.3° C (0.5° F) to 0.6° C (1° F) lower than an oral temperature.

Ear or rectal temperature

  • High: 40.5° C (104.9° F) and higher
  • Moderate: 38.5° C (101.3° F) to 40.4° C (104.7° F)
  • Mild: 38.4° C (101.1° F) and lower

Armpit (axillary) temperature

  • High: 39.8° C (103.6° F) and higher
  • Moderate: 37.8° C (100° F) to 39.7° C (103.5° F)
  • Mild: 37.7° C (99.9° F) and lower

Note: For children under 5 years old, rectal temperatures are the most accurate.

A baby that is extremely sick:

  • May be limp and floppy like a rag doll.
  • May not respond at all to being held, touched, or talked to.
  • May be hard to wake up.

A baby that is sick (but not extremely sick):

  • May be sleepier than usual.
  • May not eat or drink as much as usual.

Babies can quickly get dehydrated when they lose fluids because of problems like vomiting or fever.

Symptoms of dehydration can range from mild to severe. For example:

  • The baby may be fussy or cranky (mild dehydration), or the baby may be very sleepy and hard to wake up (severe dehydration).
  • The baby may have a little less urine than usual (mild dehydration), or the baby may not be urinating at all (severe dehydration).

You can get dehydrated when you lose a lot of fluids because of problems like vomiting or fever.

Symptoms of dehydration can range from mild to severe. For example:

  • You may feel tired and edgy (mild dehydration), or you may feel weak, not alert, and not able to think clearly (severe dehydration).
  • You may pass less urine than usual (mild dehydration), or you may not be passing urine at all (severe dehydration).

Severe dehydration means:

  • The baby may be very sleepy and hard to wake up.
  • The baby may have a very dry mouth and very dry eyes (no tears).
  • The baby may have no wet diapers in 12 or more hours.

Moderate dehydration means:

  • The baby may have no wet diapers in 6 hours.
  • The baby may have a dry mouth and dry eyes (fewer tears than usual).

Mild dehydration means:

  • The baby may pass a little less urine than usual.

Severe dehydration means:

  • The child’s mouth and eyes may be extremely dry.
  • The child may pass little or no urine for 12 or more hours.
  • The child may not seem alert or able to think clearly.
  • The child may be too weak or dizzy to stand.
  • The child may pass out.

Moderate dehydration means:

  • The child may be a lot more thirsty than usual.
  • The child’s mouth and eyes may be drier than usual.
  • The child may pass little or no urine for 8 or more hours.
  • The child may feel dizzy when he or she stands or sits up.

Mild dehydration means:

  • The child may be more thirsty than usual.
  • The child may pass less urine than usual.

Pain in children under 3 years

It can be hard to tell how much pain a baby or toddler is in.

  • Severe pain (8 to 10): The pain is so bad that the baby cannot sleep, cannot get comfortable, and cries constantly no matter what you do. The baby may kick, make fists, or grimace.
  • Moderate pain (5 to 7): The baby is very fussy, clings to you a lot, and may have trouble sleeping but responds when you try to comfort him or her.
  • Mild pain (1 to 4): The baby is a little fussy and clings to you a little but responds when you try to comfort him or her.

Pain in children 3 years and older

  • Severe pain (8 to 10): The pain is so bad that the child can’t stand it for more than a few hours, can’t sleep, and can’t do anything else except focus on the pain. No one can tolerate severe pain for more than a few hours.
  • Moderate pain (5 to 7): The pain is bad enough to disrupt the child’s normal activities and sleep, but the child can tolerate it for hours or days.
  • Mild pain (1 to 4): The child notices and may complain of the pain, but it is not bad enough to disrupt his or her sleep or activities.

If you’re not sure if a child’s fever is high, moderate, or mild, think about these issues:

With a high fever:

  • The child feels very hot.
  • It is likely one of the highest fevers the child has ever had.

With a moderate fever:

  • The child feels warm or hot.
  • You are sure the child has a fever.

With a mild fever:

  • The child may feel a little warm.
  • You think the child might have a fever, but you’re not sure.

An illness plan for people with diabetes usually covers things like:

  • How often to test blood sugar and what the target range is.
  • Whether and how to adjust the dose and timing of insulin or other diabetes medicines.
  • What to do if you have trouble keeping food or fluids down.
  • When to call your doctor.

The plan is designed to help keep your diabetes in control even though you are sick. When you have diabetes, even a minor illness can cause problems.

It is easy for your diabetes to become out of control when you are sick. Because of an illness:

  • Your blood sugar may be too high or too low.
  • You may not be able take your diabetes medicine (if you are vomiting or having trouble keeping food or fluids down).
  • You may not know how to adjust the timing or dose of your diabetes medicine.
  • You may not be eating enough or drinking enough fluids.

Blood in the stool can come from anywhere in the digestive tract, such as the stomach or intestines. Depending on where the blood is coming from and how fast it is moving, it may be bright red, reddish brown, or black like tar.

A little bit of bright red blood on the stool or on the toilet paper is often caused by mild irritation of the rectum. For example, this can happen if you have to strain hard to pass a stool or if you have a hemorrhoid.

Certain medicines and foods can affect the colour of stool. Diarrhea medicines (such as Pepto-Bismol) and iron tablets can make the stool black. Eating lots of beets may turn the stool red. Eating foods with black or dark blue food colouring can turn the stool black.

If you take aspirin or some other medicine (called a blood thinner) that prevents blood clots, it can cause some blood in your stools. If you take a blood thinner and have ongoing blood in your stools, call your doctor to discuss your symptoms.

Many prescription and non-prescription medicines can cause belly pain or cramping. A few examples are:

  • ASA, ibuprofen (such as Advil or Motrin), and naproxen (such as Aleve).
  • Antibiotics.
  • Antidiarrheals.
  • Laxatives.
  • Iron supplements.

Shock is a life-threatening condition that may occur quickly after a sudden illness or injury.

Babies and young children often have several symptoms of shock. These include:

  • Passing out (losing consciousness).
  • Being very sleepy or hard to wake up.
  • Not responding when being touched or talked to.
  • Breathing much faster than usual.
  • Acting confused. The child may not know where he or she is.

Seek Care Now

Based on your answers, you may need care right away. The problem is likely to get worse without medical care.

  • Call your doctor now to discuss the symptoms and arrange for care.
  • If you cannot reach your doctor or you don’t have one, seek care in the next hour.
  • You do not need to call an ambulance unless:
    • You cannot travel safely either by driving yourself or by having someone else drive you.
    • You are in an area where heavy traffic or other problems may slow you down.

Call 911 Now

Based on your answers, you need emergency care.

Call 911 or other emergency services now.

Sometimes people don’t want to call 911. They may think that their symptoms aren’t serious or that they can just get someone else to drive them. But based on your answers, the safest and quickest way for you to get the care you need is to call 911 for medical transport to the hospital.

Seek Care Today

Based on your answers, you may need care soon. The problem probably will not get better without medical care.

  • Call your doctor today to discuss the symptoms and arrange for care.
  • If you cannot reach your doctor or you don’t have one, seek care today.
  • If it is evening, watch the symptoms and seek care in the morning.
  • If the symptoms get worse, seek care sooner.

Make an Appointment

Based on your answers, the problem may not improve without medical care.

  • Make an appointment to see your doctor in the next 1 to 2 weeks.
  • If appropriate, try home treatment while you are waiting for the appointment.
  • If symptoms get worse or you have any concerns, call your doctor. You may need care sooner.

Swallowed or Inhaled Objects

Post-Operative Problems

Abdominal Pain, Age 12 and Older

90,000 16 possible reasons – LIFEKOREA.ru

Abdominal pain in the morning has many possible causes

From mild and temporary digestive problems to more serious gastrointestinal problems. Abdominal pain is often an uncertain term and difficult to diagnose. To diagnose abdominal pain in the morning, you need to be precise about the location and nature of the pain.

Read on for the 16 common causes of abdominal pain in the morning, as well as their general symptoms and severity.

Abdominal pain in the morning: 16 causes and their symptoms

The following are some of the most common causes of abdominal pain in the morning:

1. Acid reflux and GERD

Acid reflux is a condition in which acid and other stomach contents do not flow properly back into the esophagus. This can cause a burning sensation in the back of the mouth.

According to the American College of Gastroenterology, the most common symptom of acid reflux is heartburn, which affects about 60 million people at least once a month.Anyone who has more than two episodes per week may have a condition known as gastroesophageal reflux disease (GERD), which can cause complications if left untreated. People with acid reflux may experience abdominal pain, usually in the middle of the abdomen.

2. Gastritis

Gastritis, or inflammation of the lining of the stomach, can develop suddenly or slowly over time. Upper abdominal pain is a common symptom of this condition, as well as nausea and satiety.

3. Gastroenteritis

Sometimes called stomach flu. Gastroenteritis is a viral or bacterial infection that affects the stomach and intestines. This causes stomach pain and diarrhea.

4. Stomach ulcers

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


Appendicitis is an inflammation of the appendix. This is a common cause of severe and sudden abdominal pain that starts around the navel and goes down. The pain usually gets worse over time. Other symptoms may include nausea and fever. Appendicitis often requires surgery.

6. Crohn’s disease

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

7. Dyspepsia

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 associated with certain medical conditions. Abdominal pain is the most common symptom associated with indigestion, although people can also suffer from nausea and bloating, which swells quickly with food.

8. Irritable bowel syndrome

Irritable bowel syndrome (IBS) is a common condition that can cause abdominal pain and changes in bowel habits. People with IBS may experience frequent constipation and diarrhea, which can alternate. They may also feel bloated and have a lethargic bowel.

9. Abdominal adhesions

According to the National Institute of Diabetes, Digestive and Kidney Diseases, 9 out of 10 people who undergo open abdominal surgery develop adhesions or scar tissue where organs stick to each other and to the abdominal wall.Most people with adhesion do not develop complications, but those who do have chronic abdominal pain often. Other symptoms include bloating, constipation, and nausea.

10. Food allergy

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


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

12. Diverticular disease

Diverticular disease, or diverticulosis, affects about half of people over the age of 60.It manifests itself as a bulge of the colon in sacs. Usually, the sacs do not cause any problems, but if they become infected or inflamed, symptoms can develop. This is known as diverticulitis. People can experience abdominal pain (usually on the left side), fever, nausea, and more serious complications.

13. Inflammatory diseases of the pelvic organs

Pelvic inflammatory disease (PID) is an infection that affects the ovaries, uterus, fallopian tubes, and cervix.

According to the Women’s Health Authority, about 5% of women have PID, and this is most common among women aged 15-24. The most common symptom is pain in the lower abdomen. Other symptoms include fever, unusual vaginal discharge, and pain with sex or urination. This can cause serious complications if not treated quickly.

14. Celiac disease

Celiac disease is also known as gluten intolerance.This food intolerance causes a person’s immune system to attack their small intestines when they eat anything that contains gluten. Wheat, rye, barley, and many other foods contain gluten. Symptoms vary, but abdominal pain and diarrhea are the most common.

15. Disease of the gallbladder

Gallbladder problems can cause abdominal pain, often in the upper right abdomen. Pain can come and go for people with biliary colic.If gallstones are present and block the ducts in the gallbladder, other symptoms such as nausea, vomiting, dark urine, jaundice, and low blood pressure develop.

16. Pancreatitis

Pancreatitis develops when the pancreas becomes inflamed, often from gallstones. Common symptoms include sudden and severe upper abdominal pain, nausea and vomiting.

Treatment is necessary. When to see a doctor

Many different health problems can cause abdominal pain in the morning.While some conditions may resolve on their own, others will require immediate treatment. The following factors should be considered when considering health care:

Severity: If the pain is so severe that the person cannot stand up, seek immediate medical attention. Early symptoms of appendicitis may include abdominal pain.

Duration: The longer a person experiences abdominal pain in the morning, the sooner they need to seek medical help.

Age: Severe abdominal pain in young adults may indicate appendicitis. In older people, this may indicate gallbladder problems. Both conditions require immediate medical attention.

Speed ​​of onset: Sudden abdominal pain is a potential symptom of appendicitis, especially if the pain gets worse.

Other Symptoms: People with appendicitis may develop a fever along with abdominal pain.Abdominal pain along with nausea can indicate a blockage or other serious condition. Rectal bleeding is a possible sign of a condition that requires immediate medical attention.


Many different conditions and diseases can cause abdominal pain in the morning. More often than not, people can recover on their own. However, this type of pain is sometimes a symptom of serious health problems that require immediate medical attention.For persistent, severe abdominal pain in the morning along with other symptoms, talk to your doctor for an accurate diagnosis and treatment.

90,000 Stomach pain – find out the reason!

There can be a variety of causes of abdominal pain and some of them can be life threatening.

Therefore, you should not get carried away with self-medication – traditional medicine or over-the-counter medicines. It is necessary to consult a doctor, since only a specialist is able to determine an accurate diagnosis.
From the point of view of a gastroenterologist, there are many places where the source of pain can be – the stomach, pancreas, small intestine, large intestine, etc. However, abdominal pain can also be caused by muscle tissue or nerve endings that are directly related to problem areas of the spine. Also, pain can be caused by pneumonia, heart attack, or other health problems.

Abdominal pain should be taken very seriously, as it may indicate a violation in the functioning of internal organs.Gastroenterologist Medical center ARS , certified endoscopist Dr. Sabri ABDELMASI.

Most common causes of abdominal pain:

  • Pain in the abdomen and in the left hypochondrium can cause pancreatitis – an inflammation of the pancreas (quite often after parties and feasts).
  • Heliobacterium infection, gastritis or ulcer.
  • Bloating because gas builds up pressure and cramping occurs.
  • Pain may indicate a serious problem, such as a blockage in the colon.This can be caused by either a neoplasm or psychological problems that inhibit the bowel function.
  • Very severe, attacks, pain in the right hypochondrium with severe chills and nausea until vomiting is most often associated with problems in the activity of the gallbladder.
  • One of the most common causes of abdominal pain is the use of anti-inflammatory drugs. For example, a person often has a headache and therefore regularly uses pain relievers.Also, strong pain relievers are used for injuries. For the stomach, it makes no difference how the medication is taken (given by injection or in the form of pills) – the irritation is the same. If special medications are not used to protect the gastric mucosa, then it becomes inflamed and sore. Soon there is extensive inflammation, lesions develop on the mucous surface, there may be bleeding, and an ulcer occurs. Regular use of aspirin has a very negative effect on the stomach and small intestine.
What to do?

Acute pain. If the abdominal pain is severe, attacks and does not go away, there is sweating, a feeling of heaviness in the region of the heart, weakness, fever, vomiting with an admixture of blood, diarrhea (several times a day) with / without admixture of blood, bleeding – then it is urgently required call emergency medical attention. There is a possibility that internal bleeding, a deep ulcer, severe infection or poisoning can be the cause of the pain, which seriously threatens human life.

Chronic pain. If abdominal pain is of a chronic nature and does not bother you, consultation with a doctor is required and an in-depth examination is necessary so that there are no life-threatening risks in the development of the disease. Especially if recently there has been, for example, an incomprehensible weight loss or a variable nature of bowel movements (diarrhea is replaced by constipation) – this can serve as a serious signal that it is necessary to check and make sure if there is any malignant neoplasm.Unfortunately, people often come to the doctor late. If something hurts in the stomach from time to time, it is better to check once than to suffer in ignorance – what is there?

Survey Methods:

  • Laboratory tests of blood and urine that detect inflammation, infection, or other pathological changes, if any.
  • Ultrasonography (US) and computed tomography (CT) are needed if gallbladder problems are suspected.
  • In case of pain and a burning sensation in the stomach, pain in the upper abdomen, vomiting with blood impurities, if an ulcer or neoplasm is suspected, a gastroscopy is performed and the esophagus, stomach and duodenum (initial site) are examined.At Medical Center ARS this examination is carried out using video endoscopic equipment of the new generation Olympus EVIS EXERA III , which allows not only to examine in detail the esophagus, stomach and duodenal mucosa, but also simultaneously carry out diagnostics and medical manipulations, for example, to remove polyps, treat a bleeding ulcer, conduct a biopsy – take samples of mucous tissues to assess the risk of tumors, and also clarify the presence of heliobacterial infection.
  • If abdominal pain is localized in the lower part, there is painful bowel movements with an admixture of blood, painful cramps that have arisen due to bloating, constipation – then a colonoscopy is necessary, which will allow a qualified assessment of the mucous membrane of the colon and rectum. This is also done with the latest generation of video endoscopic equipment Olympus EVIS EXERA III . The procedure is painless and at the same time it is possible to carry out various diagnostic and therapeutic manipulations, for example, take a sample of mucous tissue for analysis, conduct a polypectomy – remove polyps, stop bleeding, etc.To get rid of any discomfort, a light, short-term anesthesia is applied.

Drawing or cutting pain in the lower abdomen

Such pains occur when one or more organs have increased in size and press on the surrounding muscles. Why is this happening?

The reasons can be completely different.
Let’s look at examples from men and women. In both sexes, such pain can cause severe muscle overstrain and the impossibility of their contraction.
It is also worth remembering that such pains accompany genital infections. Always pay attention to the color and odor of your genital discharge. In a healthy person, the discharge is transparent and practically odorless.


Such pains often occur with menstruation. If they happen on the 12-14th day of the usual 28-day cycle, without the usual discharge, then you should immediately contact your gynecologist. This may indicate various inflammations in the uterus and ovaries.If the pain increases during menstruation or becomes unbearable, this indicates a rapidly developing endometriosis or more terrible diseases, up to cancer.

Lower abdominal pain in women often speaks of pregnancy, including ectopic pregnancy.

If you experience similar pain during intercourse, then you should also contact your gynecologist. He will find out why at this moment the uterus increases in size, although this should not be so.If pain occurs during or after urination, this indicates an infection in the bladder. It can be pyelonephritis or cystitis, which is common in women. Then you urgently need to see a urologist and take a urine test. Do not bring the disease to kidney stones.

Try to tell your doctor clearly what kind of pain you are feeling: pulling and cramping. This will help make the diagnosis faster.


It is important for the doctor to understand exactly where and under what conditions you are experiencing pain.In addition to genital infections, it can be inflammation of the prostate and urinary tract, intestinal lesions.

Such pains indicate chronic prostatitis. They are fraught with problems in sex life and urinary incontinence.
Remember that if you go to the toilet at least once at night, this indicates problems with the genitourinary system. For any pain or discomfort when urinating, see your urologist. Do not bring up to surgery.

If it hurts on the right, then it is appendicitis.Go to the hospital urgently. It can “burst” and then blood poisoning will occur.

Also, pain on the right can indicate a malignant tumor in the intestine. To establish it, an X-ray examination of the intestine is necessary. If pain occurs on the left when walking or shaking in a car, it is also an inflammation of the intestines.

The specialists of the Eleos clinic will answer all your questions. We know how to help you.

Pain during pregnancy: types and causes

Even if the pregnancy is perfect, pain and discomfort cannot be avoided.Fortunately, many of them appear only during certain periods, while the rest can be fought. Below we will talk about all the unpleasant symptoms (from back pain to varicose veins) that most pregnant women face. We will also tell you how to nullify them and make your life easier.

Lower back pain

Cramps during pregnancy

Toothache and hypersensitivity of the teeth


Heartburn and indigestion

Calf cramps

Pain in the lower abdomen

Pinching of the feet

and chest pains

Varicose veins and hemorrhoids

Abnormal pain during pregnancy: time to see a doctor

Back pain

Your baby is getting heavier and your back muscles are having a hard time.This is the main cause of back pain. As the center of gravity shifts forward, you want to independently return it to its place, leaning back slightly. But in reality, you are only giving additional and improper load on the back muscles. As a result, muscle clamps and discomfort appear. The abdominal (abdominal) muscles stretch and weaken during pregnancy, so the back muscles “work for two.” The connective tissues that hold the bones in place are relaxed by the hormones of pregnancy.This primarily concerns the ligaments in the pelvic area, because the body is preparing for childbirth.

But back pain can be dealt with – for example, by maintaining correct posture. There are other ways as well.

  • Wear low-heeled shoes and use good instep insoles.

  • Buy a quality firm mattress.

  • Squat down, not bend over.

  • Sleep on your side with pillows under your stomach and between your legs.

  • Wear a maternity bandage.

Regular exercise strengthens your back muscles. The effect will not be felt immediately, but then the legs and back will thank you more than once. Check with your healthcare practitioner to find the optimal exercise routine. Here are some universal tips for exercise during pregnancy. As soon as the baby is born, the load on the back will weaken and the pain will go away rather quickly.

Spasms during pregnancy

Spasms during pregnancy are a common ailment both in later stages, when the body is preparing for contractions, and during the first month of pregnancy (in a milder form).In the first two weeks after conception, the fertilized egg “makes its way” to the uterus. This process can be accompanied by mild cramps and minor bleeding. This is implantation bleeding. Sharp pelvic pain, similar to muscle spasms, is caused by a stretching of the ligaments around the uterus.

At the end of the second and third trimester, Braxton Hicks training bouts begin. They intensify as labor approaches. Typically, Braxton Hicks contractions stop with movement or rest.However, if they get stronger and more frequent, it may be a sign that labor has begun. If you have the slightest doubt, see your doctor. Braxton Hicks contractions are uncomfortable, but this is a completely normal process for pregnancy. This is how the body prepares itself for the most important day.

Toothache and tooth sensitivity

During the second trimester, the sensitivity of the gums increases. This is especially noticeable when you are brushing your teeth and using dental floss. The gums sometimes even bleed slightly.Indeed, pregnancy also affects the condition of the oral cavity. Gingivitis during pregnancy is one of the mildest forms of gum disease. Its symptoms are swelling, redness, bleeding and inflammation. In addition, periodontal disease, an infectious gum disease that affects the soft tissues and bones of the jaw, is common in pregnant women. Toxicosis, typical of early pregnancy, can cause dental erosion and caries.

Despite gum disease, it is important to thoroughly brush your teeth twice a day and not stop flossing.If you have not been to the dentist for six months or have felt any discomfort in the oral cavity, then it’s time to make an appointment. Rinsing with salt water and switching to a softer bristled brush will ease some of the discomfort.


A sharp surge in pregnancy hormones – estrogen and progesterone – triggers chemical processes in the brain. And because of this, my head can hurt. Even if everything goes away after the pain reliever pill, it’s still best to see a doctor.Aspirin is contraindicated in pregnant women, so you will be prescribed medications that you can take during pregnancy. Here are a few more ways you can beat your headache.

  • Apply a cold compress to the head.

  • Master relaxation techniques.

  • Avoid anything that can trigger a headache: foods and odors that have already triggered a migraine.

  • Get plenty of sleep.

  • Give yourself some light physical activity.

  • Try not to be nervous.

  • Maintain the correct power supply.

Heartburn and indigestion

During the first and third trimesters, the valve that separates the esophagus from the stomach relaxes under the influence of pregnancy hormones. This causes stomach acid to enter the esophagus and cause heartburn. To prevent heartburn, do not lie down for three hours after eating. That’s why you need to have dinner early.If you still suffer from heartburn at night, then you can try to raise the head of the bed. To do this, place a roller between the spring base and the mattress. Pillows alone will not be enough.

Eliminate fried and spicy foods, citrus fruits and chocolate from your diet. These foods cause heartburn. Eat often but little by little.

Calf cramps

Calf cramps are one of the most common physical ailments during the second trimester of pregnancy. They also occur during the third trimester.Painful muscle contractions in the lower leg or foot occur at night, and the cause is still unclear.

However, calf cramps during pregnancy can be combated. Stretching before bed and exercising regularly will help. It is important to stay active throughout your pregnancy and drink enough fluids. Comfortable shoes and good instep insoles will also help. If you wake up with a cramp, stretch your muscles by pulling your foot towards you, and then in the opposite direction.Give a light massage or warm foot bath.

Pain in the lower abdomen

During pregnancy, the uterus enlarges, and the ligaments that fix it are stretched. These ligaments are called round. Stretching them causes sharp and short bursts of pain in the lower abdomen, similar to spasms. Sometimes the pain does not go away immediately and even radiates from the other side of the abdomen. There is nothing to worry about – the baby is growing, and this causes a number of painful symptoms.

Pain in the lower abdomen can also be fought.It is better to move more slowly than usual, not to get up abruptly out of bed or from a chair, and generally avoid any sudden movements. A warm bath or going to the pool is also a good option. This will take the strain off the round ligaments at least temporarily. You can also use a special maternity belt or abdominal band.

Pinched nerve

The baby grows and your weight increases, water is retained in the body – because of this, the nerve pathways increase and press on the nerve endings.As a result, the nerve is pinched, on which all the surrounding tissues press down: bones, muscles, tendons and cartilage. Pinching occurs in any part of the body, and the pain sensation depends on this. Carpal tunnel syndrome causes numbness in the fingers or the entire palm. And pinching in the back, as with an intervertebral hernia, on the contrary, causes acute pain. All you can do is try to relax and unwind. If pain persists, see your doctor.

Swelling of the feet and ankles

In the last months of pregnancy, the feet and ankles often swell.In the body, the volume of circulating blood increases, and the enlarged uterus presses on the veins. As a result, excess fluid is forced out of the veins into the adjacent tissues, and this is how swelling appears. Add to this the influence of pregnancy hormones and you get puffy legs. After giving birth, the swelling will stop, but you can do something now.

  • Lie down and raise your legs up.

  • Sleep on your left side to relieve pressure on the veins that return blood to your heart.

  • Wear compression stockings.

  • Give yourself daily physical activity.

  • Wear loose clothing.

  • Make cool foot baths.

  • Walking on the bottom of the pool or just standing in it promotes compression and improves blood circulation in the legs.

Swelling and pain in the chest

In the first trimester, hormonal changes cause discomfort in the chest: pain, swelling and increased sensitivity.But after a couple of weeks, the body will get used to the new hormones – and everything will pass.

Varicose veins and hemorrhoids

Some women develop varicose veins during pregnancy. After all, the total volume of blood in the body increases, and the outflow of blood from the legs to the pelvis, on the contrary, decreases. The result is strong pressure on the veins. Under the influence of progesterone, they increase, and this is another reason for the occurrence of varicose veins.

Veins can expand even inside the vagina.This can cause discomfort in the lower rectum and around the anus. This is what is called hemorrhoids. Changes in hormonal levels and blood circulation are beyond your control, but varicose veins can still be fought. Here are our recommendations:

  • Sit and raise your legs higher than your body whenever possible.

  • Do not stand for a long time in the same position.

  • Do not sit cross-legged.

  • Pay close attention to your weight.Learn how to gain weight correctly during pregnancy.

  • Wear special stockings and make sure that the elastic does not press on the knees or thighs.

  • Drink plenty of fluids and add fiber-rich foods to your diet to prevent hemorrhoids.

Abnormal pain during pregnancy: time to see a doctor

It is normal to experience discomfort during pregnancy and even pain. But sometimes they can be symptoms of serious illnesses.For example, if pain in the upper abdomen or shoulders is accompanied by headaches, you should see a doctor to rule out the possibility of preeclampsia. And when during the first trimester you feel severe pain in the abdomen and pelvis, accompanied by vaginal bleeding, it is better to check if this is a symptom of an ectopic pregnancy. Therefore, if you have any suspicions and severe discomfort, contact your doctor immediately.

Every woman faces discomfort and pain during pregnancy – and even more than once.As a rule, this is completely natural, and when the baby is born, everything will pass. After all, pregnancy is a preparation for happy motherhood, and there is nothing more beautiful than this.

90,000 Abdominal pain during pregnancy

Pregnant women may experience abdominal pain for a variety of reasons. In some cases, this is a natural reaction of the body to changes in the body. In some, it is an alarming symptom that requires urgent medical attention.

Consider the most common causes of abdominal pain in pregnant women.


The most obvious cause of pulling abdominal pain, especially in the later stages. Due to the weight of the growing belly, the body gets tired faster, and even the usual physical activity can cause fatigue, shortness of breath and pain. Naturally, this pain goes away during rest.

Ectopic pregnancy

If the ovum is not fixed in the uterus, but outside of it, the pregnancy is called ectopic.After 2-3 weeks, the growing embryo begins to damage the surrounding tissues and organs – for example, the fallopian tube often ruptures. With this dangerous pathology, a woman’s life is in danger, urgent hospitalization and surgical intervention are needed. Therefore, it is very important to visit the antenatal clinic, where the doctor will determine whether the ovum is fixed in the uterus.

Pain of growth

As the baby grows in the womb, the uterus stretches. Most often, a woman does not notice this.But in some cases, the stretching of the uterus is felt and painful. This often happens when the uterus is in hypertension. This reason is natural and practically not dangerous.

Compression of internal organs

A growing baby not only stretches the uterus but also gains weight. In some positions, the uterus presses on the adjacent organs, which also causes pain, especially when the baby is moving. Sometimes it is enough just to move, change the position of the body, so that the squeezed organ is released and the pain goes away.


Due to changes in metabolism, as well as under the weight of the growing abdomen, the intestines may not perform their functions actively enough, and the pregnant woman suffers from constipation. A mild laxative will help relieve bowel movements and pain.

Read in our media center: “What is the luteal phase.” Find out why it is so important, what happens to a woman’s body during the luteal phase and how it affects the skin.


Not very often – about 1 in 10,000 pregnancies – the weight of the growing belly leads to inflammation of the appendix.Sometimes this inflammation goes away on its own, the woman does not even have time to understand what is the cause of the pain. But if the inflammation progresses, surgery may be needed. As with any inflammatory process, with appendicitis, the body temperature rises. In combination with characteristic pains, the temperature gives a clinical picture that will allow the doctor to make the correct diagnosis.

Practice bouts

During the third semester, pregnant women often experience rhythmic contractions of the uterus, which can be quite painful.They are generally safe. But if the contractions are strong, frequent and do not stop, you should call an ambulance.

Placental abruption

This is an alarming symptom that can lead to termination of pregnancy. For various reasons, the placenta begins to exfoliate from the walls of the uterus. This is fraught with metabolic disorders of the fetus and spontaneous abortion. Usually, when this woman notices spotting from the vagina. It is recommended to go to the hospital.

Spontaneous termination of pregnancy

Of all the listed causes of abdominal pain, this is one of the most dangerous.Spontaneous termination of pregnancy can occur at any time, although in the first half it is called auto-abortion, and in later terms – premature birth. The fact that the cause of the pain is precisely this can be recognized by a combination of several signs: pulling pains in the lower abdomen, spotting, preliminary contractions. Without medical assistance, the life of both the fetus and the mother is at risk.

What to do if pain in the lower abdomen appeared during pregnancy:

– Change the position of the body: stand or lie down, find a comfortable position.

– Remember what and when you last ate, when you had a bowel movement.

– Measure the temperature.

– Check for bloody and other discharge from the genitals.

– Determine if there are contractions.

If the pain is severe, accompanied by discharge, cramps and fever, call an ambulance.

If the pain is bearable, passes rather quickly, there is no discharge, you should tell your doctor about it at your next visit to the antenatal clinic.

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90,000 Overeat. How to help yourself after a meal

A holiday for the whole country or a family feast – it’s hard to resist not trying everything! Often, an abundance of different foods affects the digestive system in a bad way. What to do?

Often, after a festive feast, the stomach hurts, stabs in the side, and the intestines go wrong.In principle, we all know roughly what to do with it. For constipation – drink more water, eat more vegetables and boiled beets for a couple of days. For diarrhea, sit on boiled rice or oatmeal jelly, taking over-the-counter products such as activated charcoal, enterosgel, or smecta. For mild abdominal pains, we take over-the-counter medications. Severe or persistent abdominal pain is a reason to see a doctor.

If there is a feeling of fullness in the stomach – for a couple of days we eat simple food without frills – oatmeal, rice porridge, mashed potatoes, broth from turkey breast fillets.Everything seems to be logical: once you have overeat, overloaded the gastrointestinal tract, you need to unload.

When the usual techniques do not help …

What if, despite the measures taken, discomfort, recurrent pain and other frightening phenomena do not go away? You can’t do without a visit to a therapist or gastroenterologist! Overeating can cause gastritis (inflammation of the stomach), gastroduodenitis (inflammation of the stomach and duodenum), enteritis or colitis (inflammation of the small or large intestine).The risk of exacerbation is especially high if you already have chronic gastritis or duodenitis.

The most dangerous disease associated with the gastrointestinal tract is pancreatitis – an acute inflammation of the pancreas. In the case of the development of acute pancreatitis, hospitalization is required, the treatment can be long.

To make a diagnosis and choose a treatment, the doctor will have to do some tests, possibly an ultrasound of the abdominal cavity. Most lab tests are done in 1-2 business days.In order not to waste time, you can get tested even before the appointment with the doctor.

Where to start?

The most dangerous thing should be excluded – inflammation of the pancreas. Two laboratory tests serve as markers for pancreatic dysfunction:

  • Pancreatic amylase – an enzyme that digests carbohydrates from food. Its blood level becomes higher than normal most often as a result of acute pancreatitis or with exacerbation of chronic pancreatitis. Therefore, the test is prescribed when there is a suspicion of inflammation and damage to the cells of the pancreas.
  • Lipase is a pancreatic enzyme responsible for the breakdown of fats. As a rule, this analysis is prescribed together with a test for pancreatic amylase: an increase in both parameters can be a sign of acute pancreatitis.

What about indigestion?

Eat – and the stomach swells, rages, pains and diarrhea begin …

In medicine, this is called “digestive disorders”, the reason may be insufficient production of enzymes. pancreas.

The Pancreatic Elastase 1 test in feces will show whether the pancreas secretes enough digestive enzymes. For him, you need to collect the material yourself in a sterile plastic container, which is sold in any pharmacy. The main thing is a little (up to 1/3 of the container volume) and from different parts of the feces collected for analysis.

Multiple gastritis

Overeating can provoke an exacerbation of gastritis. As a rule, its root cause is the bacterium Helicobacter Pylori.Therefore, for a full diagnosis of Helicobacter pylori gastritis, it is worth doing one of two laboratory tests.

  • Helicobacter pylori antibodies IgG test will show if the bacteria is present in the body. You can get it from dirty hands and poorly washed dishes. The source of infection is a sick person, and about 50% of people in the world are carriers of Helicobacter. Antibodies – protective proteins of the immune system – appear in the blood 3-4 weeks after infection. For the test, donate blood in the morning on an empty stomach or 3 hours after a small snack.
  • 90 140 13C urease breath test is a non-invasive, fast and inexpensive way to know if you have H. pylori. It is needed if you have already been diagnosed with this bacterium and you have been prescribed treatment for gastritis with antibiotics. It will be necessary to exhale the air several times into sealed sterile bags. At first, simply, then after drinking 100 ml of citrus or apple juice (bring the juice with you). The test is carried out in the morning on an empty stomach or 6 hours after eating and takes 45-50 minutes.

Do not self-medicate, get tested and contact your gastroenterologist on time! This will minimize the dangerous effects of overeating.

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90,000 Immunologist spoke about the combination of organ lesions in COVID-19 – Rossiyskaya Gazeta

Symptoms of coronavirus infection can occur in very diverse combinations, the immunologist-allergist Vladimir Bolibok told Rossiyskaya Gazeta.

For example, some patients with coronavirus have a fever and a stomach ache. Others do not have a temperature, but a person can begin to suffocate. “And there are cases when there is no fever, no shortness of breath, but a person experiences dizziness due to blood clots. Someone’s coronary disease is aggravated by blood clots in the heart,” the doctor explains. “Fatty liver hepatosis, fatty degeneration of the pancreas can develop . When COVID starts, all diseases get worse. ”

Men and women may develop reproductive problems.And it remains to be seen, the doctor emphasizes, how the infection can affect the offspring. As Vladimir Bolibok notes, coronavirus is primarily an inflammation of blood vessels: infectious vasculitis.

“There are two stages of COVID. The first is in the form of ARVI. For those people who have innate antiviral immunity at a good level, everything ends there. But those who have weak innate immunity, it becomes more severely ill. The second stage is viremia. when the virus breaks through the mucosal barrier, enters the lymph and the blood carries it throughout the body.After all, all human organs are supplied with blood. Where the virus has flown, where is the donkey, this symptomatology manifests itself. On days 5-8, the immune system begins to produce antibodies. These antibodies begin to attack the virus, and it is already in the choroid. It turns out that the immune system attacks its own body. The inflammatory process begins, “explains the doctor.

The lungs are most often affected because there is a large capillary network.” The coronavirus is filtered out in the lungs. And the inflammation occurs not from the vascular bed, but from the capillaries of the lungs.Therefore, it happens that there is no cough. Because there is no mucus or phlegm in the airways. And the circulatory system of the lungs became inflamed, thrombosis begins to occur. Indeed, in those areas where there was inflammation, blood circulation is already impaired. This is manifested by the fact that it becomes difficult for a person to breathe. The more lung tissue is turned off from breathing, the harder it is to breathe, “Bolibok continues.

And when the lesion is at the level of 50 percent, shortness of breath begins. …And some should be connected to mechanical ventilation.

But inflammation, according to the doctor, can go anywhere, for example, in the tissues of the brain. And in the tissues of the pancreas. Therefore, abdominal pain may occur. It can start in the capillaries of the intestines, which is why stool is disturbed. The liver and kidneys can also be affected, because there is also a capillary network there. “The most severe patients are patients with renal failure. Their kidneys do not work anyway, and then because of COVID they become inflamed. Only on hemodialysis can such patients be treated,” the doctor adds.

He strongly advises not to start the process. Contact specialists in a timely manner. And after the inflammation ended, the person left the acute phase of the disease, to begin a course of rehabilitation therapy: for example, to go to a sanatorium for rehabilitation, where a well-chosen recovery course will help remove all the consequences of vasculitis.