Tummy troubles are a common cause for a visit to the doctor’s office. When patients complain of “stomach pain,” they are sometimes describing pain that is throughout the abdomen area and may not actually be directly related to the organ known as the stomach. Doctors first try to
determine if a patient’s abdominal pain is caused by a structural or functional problem. Sometimes the digestive tract does not function properly due to an abnormality with the structure of an organ.
Medical imaging will show that the organ does not look normal and is not working properly. The gastrointestinal system has its own nervous system to control the muscle contractions that digest the food you eat. Functional problems, also called motility disorders, result from poor nerve and muscle function in the digestive tract. Gastrointestinal (GI) organs with motility problems will usually look normal on medical imaging tests, such as
CT scans or
MRI scans, but the organs do not work like they should. Because functional disorders are hard to see in imaging, they can be challenging to diagnose.
Do you regularly gain a pant size after lunch? Does constipation usually accompany your bloating? Bloat is a very common complaint in Dr. Chad Gonzales’s clinical practice and one that’s fascinated him for years. When patients experience bloating, where it’s felt it is one of his first questions. According to him, where the bloat occurs is valuable information that can help inform a diagnosis. Next time you feel bloated, pay attention to where you feel it. Here’s what your symptoms may be indicating. Bloating in the Upper AbdomenUpper abdominal bloaters feel it very early in relation to eating—usually while eating or within 30 minutes after. They may also have upper abdominal discomfort and experience nausea. What it might indicate: Upper abdominal bloaters may have stomach ulcers or an infection of the stomach called Helicobacter pylori. An upper abdominal bloater may have abnormal function of the stomach such as slow peristalsis and slow gastric emptying (called gastroparesis), or impaired dispensability (stretching) of the stomach. To determine if one of these conditions is the case, Dr. Gonzales and his staff offer in-house testing at Ogden Clinic GI at McKay. If the test comes back negative, the patient likely has a condition called functional dyspepsia. Functional dyspepsia is a stomach impaired by abnormal sensation and motility or peristalsis and all testing is normal. Treatment for Upper Abdominal BloatTreatment of upper abdominal bloaters includes treating the underlying condition if one is encountered.
“For all patients, I recommend smaller and more frequent meals. If the patient frequently drinks coffee, carbonated beverages, and/or alcohol, I will ask them to scale back,” says Dr. Gonzales. “I regularly see patients with tremendous bloating who consume a few carbonated beverages per day.” Bloating in the Mid-abdomenThese bloaters have a feeling of bloating, flatus, gas, and/or abdominal pain in the mid-abdomen which occurs 30 minutes to several hours after eating. What it might indicate: Middle abdominal bloaters may be experiencing symptoms of inflammatory bowel disease such as Crohn’s disease. If it’s not Chron’s disease, Dr. Gonzales says that diet malabsorption or a food intolerance could be present. “When I think of malabsorbers, I think of patients who are intolerant to dairy, fructose (high fructose corn syrup), and/or sucrose (artificial sweetener),” he says. Another culprit could be celiac disease, a wheat gluten intolerance. Many patients may also suffer from small bowel bacterial overgrowth: a condition caused by the accumulation of excessive bacteria in the small bowel and abnormal bacterial fermentation of carbohydrates in the small bowel.  Treatment for Mid-Abdominal BloatingIf tests indicate that the patient has celiac disease, a lifelong gluten-restricted diet is recommended and their prognosis is excellent. If they are found to have dietary intolerances, Dr. Gonzales will refer them to a dietitian for dietary alterations. These patients also do very well when they come to understand how eating can affect their symptoms. Inflammatory bowel disease or Crohn’s disease can be treated with Crohn’s medications. Bloating in the Lower AbdomenLower abdominal bloat is usually unrelated to eating. Patients with this symptom usually also have constipation or difficulty passing a bowel movement. What it might indicate: These patients often have irritable bowel syndrome (IBS) or pelvic floor dysfunction: an abnormal contraction/relaxation of the rectum and anal sphincter muscles. Workup may include a colonoscopy if red flags are present such as rectal bleeding, weight loss, or a family history of colorectal cancer. Another testing for lower abdomen bloat may include x-ray imaging of the rectum and or anorectal manometry (testing of anorectal contractile pressures). Treatment for Lower Abdominal BloatingPatients with constipation and predominant irritable bowel syndrome are treated with medication used to improve the consistency and frequency of stool. Dietary changes are recommended, such as upping their fiber and water intake. Patients with pelvic floor dysfunction are sent to a pelvic floor therapist to help with improving rectal anal contractions and relaxation techniques. “Bloating is one of the most fascinating and interesting conditions that I treat,” says Dr. Gonzales. “The majority of bloaters I see have been suffering for months or even years. Generally, the diagnosis can be found with a simple discussion and careful history of how their diet and symptoms relate to eating.” If abdominal bloating affects your quality of life, schedule a visit with Dr. Chad Gonzales at Ogden Clinic GI at McKay today. Why does my upper stomach bloat and hurt after eating?The most common cause of stomach pain and bloating is excess intestinal gas. If you get a bloated stomach after eating, it may be a digestive issue. It might be as simple as eating too much too fast, or you could have a food intolerance or other condition that causes gas and digestive contents to build up.
What would cause pain in upper stomach after eating food?If you experience pain after eating that is located higher than the stomach and more in your upper abdomen or throat, you may be suffering from acid reflux or Gastroesophageal Reflux Disease (GERD). Symptoms can also include heartburn, nausea, a burning sensation in the throat, or pain with swallowing.
What causes pain and bloating in upper abdomen?upper abdominal bloating? Upper abdominal bloating may be related to slow movement of the intestine called gastroparesis, swallowing air while eating, an infection, or overeating. Lower abdominal bloating can be from constipation, IBS, gas caused by food intolerance, or fluid retention.
How do I get rid of upper stomach pain and bloating?Drink plenty of water or other clear fluids to help reduce abdominal pain and bloating. Avoid pain medications such as aspirin, ibuprofen, and other nonsteroidal anti-inflammatory drugs (NSAIDs) until you know your pain isn't due to an abdominal condition such as a gastric ulcer or an intestinal obstruction.
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Upper stomach pain and bloating after eating
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