The stomach as well as the abdomen is the area that is enclosed by the upper and lower bound. On the upper part of the stomach, there are ribs and diaphragm. On the lower part of the stomach, there is pelvic bone below and the hip on each side. Stomach pain is caused by the organ inside the stomach although stomach pain can arise from any part of the stomach. Organs which are inside the stomach are the small intestine, colon, liver, gallbladder, spleen, and pancreas.
Generally, stomach pain can range in severity from mild to severe acute pain. In this case, the pain is often unknown and can be caused by a variety of conditions.
Causes of stomach Pain
Infection that causes stomach pain:
The obstacle of the intestine
Blockage of a bile duct by gallstones
Swelling of the liver with hepatitis
Loss of the supply of blood to an organ ischemic colitis.
Irritable bowel syndrome (IBS)
abdominal pain also can occur for unclear reasons without inflammation or loss of blood supply
These types of pain are often ruled as functional pain because no detectable causes for the pain have been found.
Especially a primary health care provider or Gastroenterologist can help and determine the cause of pain in the abdominal area.
How are the stomach pain diagnosed
Doctors examine the cause of abdominal pain by expecting them:
Types of pain
Exams and tests
By a surgery or endoscope
Categories of the stomach pain
To begin with, the doctor may need a patient’s history. As the patient’s history is important in helping the doctors to know the cause of pain. These includes:
- the way the pain begins
- location of the pain
- the pattern of the pain
- duration of the pain
- what makes the pain worse
- what relieves the pain
Stomach Pain – Duration
For instance (IBS) Irritable bowel syndrome may cause varying symptoms of diarrhea and constipation.
For example, the pain of biliary colic related to bile lasts between 30 minutes and maybe several hours. Likewise, Pancreatitis related to the pancreas, the pain lasts for one or more days.
Acid-related diseases such as Gastroesophageal reflux disease (GERD) or duodenal ulcers commonly show repetitions, for weeks to a month, during which either the pain worsens or pain gets better.
What makes the stomach pain worse
Doctors may ask these questions:
- Does the pain worsens while coughing
- Does it hurt while breathing
- Pain due to inflammation in appendicitis or diverticulitis, cholecystitis, pancreatitis.
- Generally, the pain of the stomach is aggravated by sneezing or coughing or any harsh motion.
What activities relieves the stomach pain
- after eating
- lying down
- In a fixed place or moving around
- Do vomiting give relief or unbearable.
Generally, actions or activities that provide comfort can help in diagnosis. As a result, the pain of the IBS and constipation may give temporary relief by bowel movements or changes in bowel habit.
Pain due to obstruction of the stomach or upper small intestine may be relaxed for some time by vomiting. Which reduces the pain that is caused by the obstruction.
Such as eating or taking antacids may give relief for some time. The pain of ulcers of the stomach or duodenum because both food and antacids neutralize the acid. For the most part, acids are responsible for irritating the ulcers and causes pain.
Pain that awakens patients from sleep is more likely to be due to non-functional causes.
Therefore symptoms can help to identify the cause of pain. likewise, fever and diarrhea indicate an infection of the intestines. Such as these conditions may be treated with diet changes and anti-inflammatory medications.
Acute Pain vs. Chronic Pain
Generally chronic, stomach pain hurts the stomach that occurs continuously or is intermittent and that lasts for at least 6 months. Especially, chronic stomach pain may be due to a problem in any part of the stomach area such as gall bladder, pancreas, liver, intestines, colon, kidneys, ureter, prostate, or uterus.
Such as acute stomach pain comes on suddenly and it is very severe. In brief, the cause of acute stomach pain may be life-threatening. In this case, patients may need surgery. Thus, the doctor must know whether the pain came on suddenly or bit by bit, whether you experience it suddenly or from time to time, and what was the duration.
As an example, food poisoning is an illness that occurs when we eat food that is infected. Coupled with bacteria in food can make us sick. Symptoms of food poisoning are:
- stomach cramps
- upset stomach
- Mild food poisoning usually fix on its own
- Drink electrolytes to hydrate yourself when we are experiencing diarrhea and vomiting.
Whereas, some cases of food poisoning can be serious and even life-threatening. In this case, emergency medical treatment is required if there is blood in the stool, or in addition to severe vomiting. Fever that is more than 101.5 F, dehydration, or diarrhea that lasts more than three days.
In this case stomach flu is an intestinal infection. symptoms are :
Cramps in the stomach
nausea, and vomiting
Some people may even develop a fever
Electrolytes is very essential, when one has diarrhea and vomiting from the stomach flu
Problems with Carbohydrates
In the first place, some carbohydrates are hard for some people to digest. As a result, it may cause stomach pain, discomfort, gas, and bloating.
Accordingly, lactose is a sugar that is found in milk and dairy products. Lactose intolerance is an inability to digest lactose due to a lack of the enzyme lactose.
In addition to people who are lactose intolerant may have gas, bloating, pain, and diarrhea after eating milk or dairy products.
Diagnosis – Physical Examination
Therefore examining the patient provides the doctor with additional indication to the cause of abdominal pain. The doctor examines:
Presence of sounds coming from the intestines that occur when there is obstruction of the intestines
The presence of signs of inflammation.
The location of any tenderness
So then the presence of a lump within the stomach that suggests a tumour, enlarged organ, or abscess (a collection of infected pus)
The presence of blood in the stool may signify an intestinal problem such as an ulcer, colon cancer, colitis, or ischemia.
To begin with history and physical examination of the patient. In addition, testing often is necessary to know the cause. In addition to laboratory tests, X-rays of the stomach, radiographic studies, endoscopic procedures, and surgery.
- complete blood count (CBC)
- liver enzymes
- pancreatic enzymes
Plain X-rays of the Abdomen
Plain X-rays of the abdomen KUB
- The KUB shows enlarged loops of intestines filled with large amounts of fluid and air.
- Patients with a perforated ulcer may have air escape from the stomach into the abdominal hole.
- The neglected air often can be seen on a KUB on the underside of the diaphragm.
- calcification in the pancreas
- chronic pancreatitis
Radio graphic Studies
Also, x-rays or radiographic studies of the patient’s stomach can be useful. Such as doctors may try one or any of the tests listed.
Endoscopy is the examination of the inside of the body (commonly the esophagus, stomach, and portions of the intestine) by using a lighted, flexible instrument called an endoscope.
Diagnosis – Surgery
In addition, sometimes, diagnosis requires examination of the stomach cavity either by laparoscopy or by open surgery. For example, these surgical procedures can be performed without a large surgical incision. It is also known as key-hole surgery.
As a result of modern advance technology have been improved the accuracy, speed, and deeply cause of stomach pain. But still, sometimes it is very difficult to know the cause.
Symptoms May Be A typical
Also sometimes patient symptoms confuse the doctor. For instance, the pain of diverticulitis as well as appendicitis are both on the right side. Such as Elderly patients taking corticosteroids (used in pain killer) may have little or no pain and tenderness when there is inflammation. This occurs because the elderly show fewer symptoms and signs of inflammation, due to the corticosteroids.
Tests are not always accurate
- Ultrasound examinations can miss stones in the gall bladder, mostly the smaller ones.
- CT scans may fail to show cancer of the pancreas, particularly the smaller ones.
- The KUB can miss the signs of intestinal obstruction or stomach perforation (gap filled with air).
- Ultrasounds and CT scans may fail to demonstrate the abscesses in the appendix, particularly if the abscesses are small.
- The CBC and other blood tests may be normal despite severe infection or inflammation, particularly in patients using corticosteroids.
Diseases can resemble one another
- IBS symptoms can resemble obstruction, cancer, ulcer, gallbladder pain attacks, or even appendicitis.
- Infection of the right kidney can resemble acute cholecystitis.
- A ruptured right ovarian cyst can resemble appendicitis; while a ruptured left ovarian cyst can resemble diverticulitis.
- Kidney stones can resemble appendicitis or diverticulitis.
- Cohn’s disease can resemble infection in the appendix
Examples discussed previously include the spreading out of the inflammation of pancreatitis which involves the entire abdomen and the progression of biliary colic to cholecystitis.
Finally notify your doctor if symptoms worsen, if medications are not working, or if you think you are having side effects.
Home remedies for stomach pain
Generally, ginger is a common natural remedy for bad stomach and indigestion. Ginger keeps the acid in the stomach low. Its antioxidant and anti-inflammatory properties make the digestive process perfect.
Especially, fennel can be used to give quick relief from stomach pain caused by indigestion. Gas, swelling, etc. Also helps in relieving symptoms.
Similarly, asafoetida is effective for stomach pain, gas or indigestion. In summary, the antispasmodic and antiflatulent properties present in it help in doing this work.
For the most part, peppermint Helps in reducing abdominal pain caused by gas. Also, improves digestion process.
Above all, curd contains good bacteria it improves digestion and reduces indigestion.
Hot water bottle compress
Accordingly, stomach muscles are relaxed when the stomach is compressed with a hot water bottle. This calms the period cramps also.