Stomach discomfort is something basically everybody is familiarized with at some time in their lives. While some conditions are mild sufficient to be treated with at-home treatments, its possible youre dealing with something more serious if your discomfort is serious or occurring all the time. You definitely desire to get to the bottom of that difficult Q: Why does my stomach hurt?
” There are numerous causes of stomach discomfort, which can be chronic or acute and can be brought on by issues connecting to the stomach, appendix, gallbladder, spleen, bowel, liver, gynecological concerns, or other concerns,” says Michael D. Dann, MD, a gasteroenterologist at Manhattan Gastroenterology in New York City. “An extensive examination and more examination can assist you to comprehend and effectively treat the reason for your pain.”
Because the list of possible causes is quite long, Dr. Dann suggests that all consistent or extreme stomach discomfort constantly be assessed with an extensive assessment and assessment by a gastroenterologist for an accurate diagnosis and treatment strategy. While there are heaps of absolutely harmless factors that youre stomach injures (hi, indigestion!), you def desire to rule out a major disease or condition.
Check out on for 32 possible causes of stomach pain, along with how to determine and treat them.
1. Irritable bowel syndrome
IBS is among the most typical causes of stomach discomfort, says Dr. Dann. Signs normally include discomfort in the stomach and abdomen area that is chronic and bothersome, altered bowel routines, queasiness, and vomiting.
How to treat it: Treatment will differ depending upon symptoms can consist of dietary adjustments, medication, and lifestyle habits modifications (think: adapting brand-new tension management methods, as stress can worsen IBS signs).
2. Lactose intolerance
Symptoms of lactose intolerance include a crampy stomach discomfort (often in the lower abdominal area), bloating, flatulence, diarrhea, queasiness and vomiting, all after consuming dairy items that consist of the sugar particle lactose.
How to treat it: The most apparent way to deal with lactose intolerance is to get rid of or limit dairy items from your diet plan, states Dr. Dann. You can likewise take an enzyme replacement to ease signs, or treat secondary reasons for lactase deficiency, such as with calcium and vitamin D supplements.
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3. Gastroesophageal reflux disease
Patients with gastroesophageal reflux disease (GERD) normally experience regurgitation, trouble, and heartburn swallowing, says Dr. Dann. Nevertheless, some patients might likewise handle stomach or chest pain, queasiness, chronic cough, hoarseness, or wheezing.
How to treat it: Mild and periodic signs can be managed with way of life and dietary adjustment, says Dr. Dann. Medication may be needed for consistent or frequent symptoms and can include antacids, histamine H2 receptor blockers (such as Pepcid, a.k.a. famotidine), or proton pump inhibitors such as Prilosec (omeprazole). Extreme signs might require surgical treatment.
4. Gas and bloating
Gas in your digestive tract originates from either swallowed air and the regular breakdown of specific undigested foods by safe germs that are naturally present in the big intestine, per Dr. Dann. It can frequently cause awkward minutes, its a typical aspect of digestion. Gas discomfort and other symptoms like burping, flatulence, bloating, and cramping can be exacerbated by particular foods such as dairy items and artificial sweeteners, according to the Mayo Clinic.
How to treat it: If its not connected to another condition, gas can often be dealt with and managed with numerous over the counter medications (such as Beano or Gas-X) and dietary modifications. If you experience chronic gas and serious pain, it could be a sign of another underlying GI condition, which a doc can assist to detect.
5. Food poisoning
Gastrointestinal disorder results from eating contaminated food, triggering symptoms such as queasiness, vomiting and diarrhea, in addition to abdominal pain, according to the Mayo Clinic.
How to treat it: Food poisoning can frequently be dealt with in your home by changing electrolytes and fluids and letting it run its course. However if you experience severe signs like dehydration, bloody stool, and a fever over 100 degrees, you need to look for medical attention.
Indigestion is basically just the official name for having an indigestion, marked by upper abdominal discomfort, typically after a meal. Other symptoms can include gas and queasiness, according to the Mayo Clinic.
Gastritis is the term for inflammation including the lining of the stomach. Signs are similar to GERD and consist of stomach discomfort/pain, heartburn, queasiness, and throwing up. Gastritis can be triggered by inflammation due to excessive alcohol use, tension, medication such as anti-inflammatory drugs, bile reflux, and infections brought on by germs like Helicobacter pylori, the latter of which can likewise cause ulcers and stomach cancer.
How to treat it: Treatment depends on the specific cause, of course. For instance, severe gastritis brought on by nonsteroidal anti-inflammatory drugs or alcohol may be alleviated by stopping use of those compounds. Medications that block or decrease acid production and promote healing can also assist, as can antibiotics and antacids to deal with H. pylori infection.
8. Peptic ulcer disease
This condition typically consists of upper stomach discomfort with the pain periodically localizing to one side, says Dr. Dann. Extra symptoms consist of stomach bloating, fullness, nausea, and the inability to eat a full meal, or feeling complete after only a percentage of food.
How to treat it: To treat this condition, with the assistance of a medical professional, stop usage of nonsteroidal anti-inflammatory drugs and work to get rid of H. pylori with appropriate medications to promote ulcer healing, says Dr. Dann.
9. Practical dyspepsia
This is the term utilized to describe intestinal symptoms where the cause seems to be unidentified. Signs of functional dyspepsia can overlap with GERD and gastritis, says Dr. Dann.
How to treat it: Patients under 60 years of age need to be checked and dealt with for H. pylori, states Dr. Dann. This in some cases will include an upper endoscopy, particularly if theyre over age 60. Clients who are H. pylori negative or who continue to have signs after gettiing rid of the germs need to be treated with antisecretory therapy with a proton pump inhibitor.
10. Gastroenteritis and infectious colitis
These are the terms for swelling in the lining of the intestinal tracts and colon, respectively. Symptoms will differ based on the area and cause. In both cases, the underlying cause could be due to a condition such as Crohns illness or even something more benign such as a lack of blood flow to the stomach area, states Dr. Dann. Clients with transmittable colitis normally have actually diarrhea associated stomach pain, which might be serious.
How to treat it: Depending on the intensity of signs, antibiotics might be required.
Intense appendicitis generally provides at first with pain around the stomach button which radiates into the right lower quadrant of the abdomen location, states Dr. Dann. It is connected with queasiness, throwing up, and loss of appetite.
How to treat it: For patients with non-perforated appendicitis (implying the appendix hasnt bursted), youll likely need an appendectomy in a relatively prompt style. If the appendix hasnt been burst, you may be able to treat it entirely with prescription antibiotics.
The discomfort might radiate to the back and best shoulder blade and symptoms can likewise include queasiness, vomiting, and sweating. Pain can last 30 to 90 minutes at a time, and a stomach examination regrettably will not tend to show much, states Dr. Dann.
How to treat it: During a gallstone attack, pain can be controlled with nonsteroidal anti-inflammatory drugs. “Elective gallbladder elimination need to be thought about for patients with gallstones on imaging to prevent future attacks and issues of gallstone disease,” states Dr. Dann.
13. Acute cholecystitis
This is the term for when inflammation takes place in the gallbladder, generally from a stopped up duct (like from a gallstone). Intense cholecystitis symptoms can consist of extreme, extended, stable pain (like for more than four to 6 hours) involving the right upper quadrant. You might also have a fever and an elevated leukocyte count, and you might be hypersensitive when you put pressure on the location below the ribs while breathing deeply.
How to treat it: This is a more severe condition that needs hospitalization, says Dr. Dann. Treatment will include intravenous hydration (significance through an IV), discomfort meds, IV prescription antibiotics, and surgical treatment to remove the gallbladder.
14. Intense cholangitis
Signs include fever, jaundice (yellowing of the skin or the whites of the eye), and stomach pain. The stomach pain is located and normally unclear in the ideal upper quadrant.
How to treat it: Similarly to the previous condition, treatment will include hospitalization with intravenous hydration, discomfort medications, antibiotics, and surgery.
15. Celiac illness
The OG factor for going gluten-free, celiac disease sufferers tend to experience stomach pain and excessive flatulence in addition to diarrhea, which is typically foul-smelling due to malabsorption, says Dr. Dann. Signs can present as early as infancy however most frequently present in between the ages of 10 and 40. Patients may likewise experience weight loss, anemia (low red blood cell count), neurologic disorders from shortages of B vitamins, and osteopenia (thinning of the bones) due to vitamin D and calcium shortages.
How to treat it: Most patients can manage celiac illness with a gluten-free diet plan, along with by tracking and reporting any problems to their medical professional.
Pancreatitis can be persistent and severe. The pain is typically extreme and can even radiate to the back. Symptoms can likewise include nausea and throwing up, and you might feel a little bit of relief when you sit upright or lean forward, says Dr. Dann.
How to treat it: Most cases of pancreatitis require hospitalization, together with fluid replacement and discomfort meds.
17. Severe liver disease
When there is swelling in the liver due to one fo the 5 liver disease infections, Hepatitis is. Patients with severe hepatitis might have discomfort in the right upper quadrant, throwing up, queasiness, and fatigue. Other symptoms include jaundice, dark urine, and light colored stools.
How to treat it: Treatment will differ depending upon the underlying cause and might require hospitalization for encouraging care, says Dr. Dann.
Gastroparesis is a condition when the stomach cant appropriately empty itself of food contents. In addition to stomach discomfort, a person with gastroparesis will have queasiness, throwing up, early satiety, bloating, and in serious cases, weight-loss. The cause is often unknown, but gastroparesis can be seen in diabetics and post-surgery patients.
How to treat it: Treatment normally includes making modifications to your diet, getting your blood sugar level levels and changes under control if youre diabetic, and hydrating. Medication such as metoclopramide (Reglan) might be required, and some patients may need a feeding tube, says Dr. Dann.
19. Kidney stones
When a stone passes from the kidney into the ducts carrying urine to the bladder, kidney stones occur. Mild to serious pain is the most typical symptom and can take place in the back or abdominal area. Extra signs include queasiness, throwing up, painful or urgent urination, and blood in the urine.
How to treat it: Kidney stones are frequently treated with pain medication and hydration till the stone passes naturally through your urinary system. Big stones might require extra treatment, like lithotripsy (a procedure utilized to assist break up the stones) or surgical elimination.
20. A bladder or kidney infection
Bladder infections can certainly cause abdominal pain, in addition to urgent and agonizing urination, and/or blood in the urine. If its a kidney infection youre handling, you might likewise have a fever, chills, thigh pain, and joint tenderness.
How to treat it: Most cases can be treated with a course of oral prescription antibiotics, though extreme cases might require hospitalization and IV prescription antibiotics. In rare cases, surgical treatment might be required, says Dr. Dann.
21. Heart attack
You may be shocked by this, however symptoms for severe myocardial infarction (the medical term for cardiac arrest) can include stomach pain, burping, queasiness, and indigestion, as well as shortness of breath or chest pain.
How to treat it: Management will depend on the underlying cause but will constantly requires timely recognition and hospitalization, states Dr. Dann. Cardiac arrest are no joke.
Endometriosis is a condition in which tissue that normally lines the uterus grows outside of it, frequently leading to lower abdominal/pelvic pain. Symptoms include unpleasant durations with abdominal cramps, unpleasant throughout sex, and/or infertility. Endometriosis can likewise lead to bowel and bladder issues, says Dr. Dann.
How to treat it: Initial treatment normally includes oral contraceptives and nonsteroidal anti-inflammatory drugs, says Dr. Dann. Nevertheless, reoccurrence rates are high if you stop taking medication. Surgery to remove the tissue growth is a choice if treatment isnt successful.
23. Uterine fibroids
Understood as leiomyomas, uterine fibroids generally lead to persistent lower abdominal/pelvic pressure or pain. Symptoms will vary depending on the size and number of fibroids and can include abdominal tenderness and low-grade fever, and your gyno might have the ability to feel big fibroids throughout an external stomach examination.
How to treat it: Treatment can consist of oral contraceptives or GnRH agonists (medications that impact hormone levels). Some females also discover relief with an IUD as a birth control method. In other cases, myomectomy (a surgical procedure to eliminate uterine fibroids) may be necessary.
24. Ovarian cysts
Ovarian cysts are solid or fluid-filled sacs or pockets in or on top of an ovary. Pain is often a sign that the cyst has ruptured or burst, states Dr. Dann. The most common symptom is lower quadrant discomfort, and specifically discomfort after sex.
How to treat it: Ovarian cysts can often be handled with tracking by your medical professional and with over the counter pain-relief medications. In serious cases, surgery might be needed.
25. Ovulatory pain
This pain can occur in the middle of your menstrual cycle, coinciding with timing of ovulation. It may be right- or left-sided, depending upon which side youre ovulating from during that cycle.
How to treat it: This discomfort generally disappears within 24 hours, states Dr. Dann. You can treat it with over the counter nonsteroidal anti-inflammatory drugs such as ibuprofen. Taking birth control pills to prevent ovulation may be a solution worth talking to your gyno about if ovulation is especially agonizing for you.
26. Ectopic pregnancy
An ectopic pregnancy takes place when a fertilized egg implants outside of the uterus, generally on the fallopian tube. It usually takes place during the very first trimester, with signs such as stomach discomfort and or vaginal bleeding that can be dangerous.
How to treat it: With an early diagnosis, many patients may be treated with a drug called methotrexate (MTX). But sometimes, a lady might need surgical treatment, says Dr. Dann.
27. Pelvic inflammatory disease
Pelvic inflammatory illness (PID) usually includes severe lower stomach and or pelvic pain. Patients might also have pelvic organ inflammation and proof of inflammation of the genital system. Any sexually active lady is at threat of developing PID, and it most often occurs when an STD is left without treatment, causing this infection of the reproductive organs.
How to treat it: Treatment can consist of prescription antibiotics utilized to deal with gonorrhea, chlamydia, and other bacterial infections. Complicated or serious PID may need hospitalization.
28. Ovarian torsion
When an ovary becomes twisted around the ligaments that hold it in location, ovarian torsion takes place. Signs can include moderate to severe pelvic discomfort, normally related to nausea, an obvious mass or bloating in the pelvic location, and in some cases vomiting, says Dr. Dann.
How to treat it: Ovarian torsion can in some cases solves itself, but it frequently includes surgical treatment. Surgical elimination of the ovary may often be required as well, states Dr. Dann.
29. Ovarian cancer
Ovarian cancer has a credibility as a “silent killer,” as its often asymptomatic until its in an advanced stage. But early signs may include bloating or abdominal/pelvic pain, urinary seriousness or frequency, and postmenopausal bleeding.
How to treat it: Treatment will require surgical treatment followed by chemotherapy, states Dr. Dann.
30. Ovarian hyperstimulation
Ovarian hyperstimulation syndrome (OHSS) can trigger abdominal pain from enlarged ovaries in females going through fertility treatment. Early signs are usually moderate to moderate and start 4 to 7 days after the ovulatory dosage of the human chorionic gonadotropin (hCG) hormone. Late signs are usually more severe and begins a minimum of nine days after the ovulatory dose of hCG during a conception cycle.
How to treat it: Moderate or moderate OHSS and can be handled with analgesics such as Tylenol (acetaminophen), and by avoiding extreme exercise, says Dr. Dann.
Endometritis is the inflammation of the inner lining of the uterus, a.k.a. the endometrium. It generally involves lower pelvic and abdominal pain, in addition to unpleasant periods with cramping, pain during sex, and/or infertility. It can likewise result in bowel and bladder issues, notes Dr. Dann.
How to treat it: Most infections are moderate and cured with antibiotic therapy, though some may require IV prescription antibiotics or curettage, a surgical scraping procedure to eliminate the affected tissue.
32. Crohns illness
Crohns illness is another kind of inflammatory bowel illness that triggers inflammation in the gastrointestinal tract. Its marked by signs such as stomach pain, extreme diarrhea, cramping, and bloody stool, according to the Mayo Clinic. If you have signs that might be consistent with Crohns disease or have actually already been identified, you should always be assessed with a thorough consultation and examination by a doctor for a precise medical diagnosis and treatment plan, and to exclude a more immediate or severe condition, says Dr. Dann.
How to treat it: While theres sadly no cure for Crohns, its frequently treated and managed with medications such as corticosteroids, immune system suppressors, and antibiotics. In serious cases, surgical treatment may be needed.
Emilia Benton is a Houston-based freelance author and editor.
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While some conditions are moderate adequate to be treated with at-home remedies, its possible youre dealing with something more major if your pain is serious or happening all the time. Signs consist of fever, jaundice (yellowing of the skin or the whites of the eye), and stomach pain. The most common sign is lower quadrant discomfort, and specifically discomfort after sex.
How to treat it: This discomfort typically goes away within 24 hours, says Dr. Dann. It usually includes lower pelvic and abdominal pain, as well as unpleasant durations with cramping, discomfort throughout sex, and/or infertility.