Stomach hurts when I bend over

Stomach pain is a relatively common disease, and the specific symptoms of stomach pain are different for different diseases. For example, many people experience stomach pain when they bend over, which is most likely caused by symptoms such as functional indigestion. For this common digestive system disease, timely treatment is necessary, otherwise the condition will worsen and the patient's health will be more affected.

1. Causes

1. Factors such as impaired relaxation of the gastric fundus after eating, disorder of coordination between the gastric antrum and the duodenum, and visceral hypersensitivity are related to the onset of FD.

2. Psychological, environmental and social factors can affect and aggravate the clinical manifestations of FD patients.

2. Clinical manifestations

FD has no characteristic clinical manifestations, mainly including upper abdominal pain, upper abdominal distension, early satiety, belching, loss of appetite, nausea, and vomiting. Symptoms may occur alone or as a group.

1. Early satiety refers to the feeling of fullness shortly after eating, resulting in a significant reduction in food intake.

2. Upper abdominal distension often occurs after meals, or persists and worsens after meals.

3. Early satiety and upper abdominal distension are often accompanied by belching. Nausea and vomiting are uncommon and often occur in patients with significantly delayed gastric emptying, with vomiting usually of the stomach contents of the meal.

4. Many patients also suffer from mental symptoms such as insomnia, anxiety, depression, headache, and inattention. These symptoms are related to the "cancer fear" in some patients.

5. Symptoms may also change during the course of the disease. The onset is usually slow, lasting over years, and may persist or recur. Many patients have dietary, mental and other triggering factors.

Treatment

The treatment is mainly symptomatic, following the principles of comprehensive treatment and individualized treatment.

1. General treatment

Develop good living habits, avoid smoking, drinking and taking non-steroidal anti-inflammatory drugs. No special diet, avoid foods that trigger symptoms in personal life experience. Pay attention to providing psychological treatment based on the different characteristics of the patients. People with insomnia and anxiety can be given appropriate sedatives.

2. Medication

There is no specific medicine, and treatment is mainly empirical.

(1) Drugs that inhibit gastric acid secretion are generally used for patients with upper abdominal pain as the main symptom. H2 receptor antagonists or proton pump inhibitors can be used selectively.

(2) Gastrointestinal motility drugs are generally suitable for patients whose main symptoms are upper abdominal distension, early satiety, and belching. Selectively take domperidone, itopride, etc.

(3) Helicobacter pylori eradication therapy may be effective for a small number of FD patients infected with Helicobacter pylori and can be tried for those with severe symptoms.