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Immediate Remedies of Gastric Pain is also known as stomach pain or tummy ache, is a common symptom associated with non-serious and serious causes. Common causes of pain in the abdomen include gastroenteritis and irritable bowel syndrome. In a third of cases, the exact cause is unclear.
Pain in the abdomen is the single most important symptom of an acute abdominal pathologic process. It is the symptom that brings the patient to his physician and the symptom that deserves the utmost care in the evaluation. It has been said that a skilled clinician can identify the source of abdominal pain from the history alone 80 to 90% of the time. To achieve that goal requires a thorough understanding of the pathogenesis of the many abdominal diseases that produce pain and the pathways over which it is transmitted.
Abdominal pain may be of sudden, rapid, or gradual onset. The pain of sudden onset occurs within a second. The patient will relate the time of onset at a precise moment, usually stating exactly what activity was going on at the time the pain began. Sudden onset of pain is commonly associated with perforation of the gastrointestinal tract from a gastric or duodenal ulcer, a colonic diverticulum, or a foreign body. Other common causes include a ruptured ectopic pregnancy, mesenteric infarction, ruptured aortic aneurysm, and embolism of an abdominal vessel.
The pain of rapid onset begins with a few seconds and steadily increases in severity over the next several minutes. The patient will recall the time of onset in general but without the precision noted in pain of sudden onset. The pain of rapid onset is associated with cholecystitis, pancreatitis, intestinal obstruction, diverticulitis, appendicitis, a ureteral stone, and penetrating gastric or duodenal ulcer.
Anatomy of Gastric Pain
The abdomen is divided into five sections. The location of the pain can sometimes help doctors tell whether the pain is worrisome or not. Here are the main regions:
- Upper right quadrant – The right upper quadrant contains the liver and gallbladder, which are protected by the lower right part of the ribcage. The large intestine, or colon, also spends a little time in this section.
- Upper left quadrant – The left upper quadrant contains part of the stomach and the spleen. The colon spends time here as well.
- Upper middle section – Between these two sections, in the upper middle of the abdomen, is a section known as the epigastrium. This is an important section because it contains most of the stomach, part of the small intestine, and the pancreas—all of which can cause pain.
- Right lower quadrant – This quadrant contains more colon and the last part of the small intestine, where the appendix resides. In women, one of the ovaries is in this section.
- Lower left quadrant – The other ovary lives in the left lower quadrant, along with the last part of the colon
How do you release gas from your stomach?
- Over-the-counter pain relievers
- Prescription medications for infection, or irritation, often causing pain, swelling, heat, or redness. সহজ বাংলা: শরীরের প্রদাহ; ব্যথা, ফোলা বা লালভাব হতে পারে।" data-rx-term="inflammation" data-rx-definition="Inflammation is the body’s response to injury, infection, or irritation, often causing pain, swelling, heat, or redness. সহজ বাংলা: শরীরের প্রদাহ; ব্যথা, ফোলা বা লালভাব হতে পারে।">inflammation, GERD, ulcers, or general pain
- Antibiotics
- Anti ulcerant
- Low-dose antidepressants
- low doses of an anti-hormonal drug
- Enzymatic drug for constipation
- Changes in behavior, including the elimination of certain foods or beverages that may be contributing to abdominal pain
- Surgery to remove intestinal blockages, hernia, or infected organs.
There are several medications that can be used to treat GERD. They include:
- Over-the-counter acid buffers — Buffers neutralize the acid. They include Mylanta, Maalox, Tums, Rolaids, and Gaviscon. The liquid forms of these medications work faster But the tablets may be more convenient. Antacids that contain magnesium can cause diarrhea. And antacids that contain aluminum can cause constipation. Your doctor may advise you to alternate antacids to avoid these problems. These medicines work for a short time and they do not heal the infection, or irritation, often causing pain, swelling, heat, or redness. সহজ বাংলা: শরীরের প্রদাহ; ব্যথা, ফোলা বা লালভাব হতে পারে।" data-rx-term="inflammation" data-rx-definition="Inflammation is the body’s response to injury, infection, or irritation, often causing pain, swelling, heat, or redness. সহজ বাংলা: শরীরের প্রদাহ; ব্যথা, ফোলা বা লালভাব হতে পারে।">inflammation of the esophagus.
- Over-the-counter proton pump inhibitors — Proton pump inhibitors shut off the stomach’s acid production. Proton pump inhibitors are very effective. They can be especially helpful in patients who do not respond to H2 blockers and antacids. These drugs are more potent acid-blockers than are H2 blockers, but they take longer to begin their effect.
- Proton pump inhibitors – should not be combined with an H2 blocker. The H2 blocker can prevent the proton pump inhibitor from working. These are prescribed at higher doses than those available in over-the-counter forms.
- Motility drugs – These medications may help to decrease esophageal reflux. But they are not usually used as the only treatment for GERD. They help the stomach empty faster, which decreases the amount of time during which reflux can occur.
- Mucosal protectors – These medications coat, soothe and protect the irritated esophageal lining. One example is sucralfate (Carafate).
Over-the-counter and prescription medicines
You can buy many GERD medicines without a prescription. However, if you have symptoms that will not go away, you should see your doctor.
- Antacids – Doctors often first recommend antacids to relieve heartburn and other mild GER and GERD symptoms. Antacids include over-the-counter medicines such as. Antacids can have side effects, including diarrhea and constipation.
H2 blockers – H2 blockers decrease acid production. They provide short-term or on-demand relief for many people with GER and GERD symptoms. They can also help heal the esophagus, although not as well as other medicines. You can buy H2 blockers over-the-counter or your doctor can prescribe one. Types of H2 blockers include
Proton pump inhibitors (PPIs) – PPIs lower the amount of acid your stomach makes. PPIs are better at treating GERD symptoms than H2 blockers. They can heal the esophageal lining in most people with GERD. Doctors often prescribe PPIs for long-term GERD treatment. Such as
Talk with your doctor about taking lower-strength omeprazole or lansoprazole, sold over the counter.
Antibiotics – Antibiotics, including erythromycin, can help your stomach empty faster. Erythromycin has fewer side effects than prokinetics; however, it can cause diarrhea.
Prokinetics – Prokinetics help your stomach empty faster. Prescription prokinetics include
Taking Care of Yourself at Home
Most abdominal pain goes away without special treatment. Be guided by your doctor, but there are some things you can do to help ease the pain, including:
- Place a hot water bottle or heated wheat bag on your abdomen.
- Soak in a warm bath. Take care not to scald yourself.
- Drink plenty of clear fluids such as water.
- Reduce your intake of coffee, te, and alcohol as these can make the pain worse.
- When you are allowed to eat again, start with clear liquids, then progress to bland foods such as crackers, rice, bananas or toast. Your doctor may advise you to avoid certain foods.
- Get plenty of rest.
- Try over-the-counter antacids, to help reduce some types of pain.
- Take mild painkillers such as paracetamol. Please check the packet for the right dose. Avoid aspirin or inflammation, pain, or swelling. সহজ বাংলা: প্রদাহ/ফোলা/ব্যথা কমায়।" data-rx-term="anti-inflammatory" data-rx-definition="Anti-inflammatory means reducing inflammation, pain, or swelling. সহজ বাংলা: প্রদাহ/ফোলা/ব্যথা কমায়।">anti-inflammatory drugs unless advised to take them by a doctor. These drugs can make some types of abdominal pain worse.
Gastric Pain Treatment Prevention
Consider the following remedies when treating indigestion, nausea, or vomiting:
- Antimonium crudum – vomit right after eating or drinking; constant belching; white-coated tongue; from overeating or eating indigestible substance.
- Arsenicum – cannot bear sight or smell of food; burning pains in abdomen relieved by heat.
- Bryonia: stomach feels heavy after eating and is sensitive to touch; burps taste bitter; thirsty for long drinks of cold water and may vomit from warm drinks. Stitching, tearing pains, worse from the slightest movement; vomiting of bile or water. Irritable.
- Carbo vegetabilis – gas and belching about 30 minutes after eating; even the simplest food disagrees with the person. Averse to meat, milk, and fatty foods; wants clothing loose around abdomen; chilly, but better from cold; craves fresh moving air, like from being fanned.
- Chamomilla – bitter taste in mouth; one cheek may be red and hot and the other pale and cold; indigestion after a fit of anger or irritability; abdomen distended with gas, cramping; extreme restlessness, anxious tossing; very sensitive to pain.
- Colocynthis – severe cutting abdominal pain causing the person to double up; it is worse from anger or indignation; better with strong pressure and warmth.
- Ignatia –rumbling in the bowels; sour belching; craves food that doesn’t agree with them; might occur after receiving bad news or shock; frequent sighing; sensitive, nervous, excitable.
- Ipecac – constant and continual nausea; much saliva; gripping intestinal pains; tongue clean; the worse smell of food; usually a great deal of vomiting, sometimes continuous; also diarrhea with nausea; better with the slightest motion.
- Nux vomica –heartburn; sour bitter belching; abdominal bloating a few hours after eating; empty retching; headache; drowsy; mentally dull; very sensitive to stimuli (noise, odors, light, etc); irritable; worse with eating, stimulants, and the open air; better from uninterrupted nap or warmth; hard-driving personality; illness after over-work, overeating, use of alcohol, coffee or other drugs; often used for hangovers.
- Phosphorus – similar to Arsenicum (much vomiting and diarrhea, burning pains, weakness, anxiety, and restlessness); sour taste and belching; nausea worse with warm drinks; great thirst for cold water which is vomited as soon as it becomes warm in the stomach; vomiting blood; sense of emptiness and weakness in abdomen; empty hungry feeling may keep person awake at night.
- Pulsatilla – heartburn; queasiness; dry mouth with bad taste; a sense of heaviness after eating; tongue coated thickly with white or yellow material; averse to fatty foods; wants clothing loose around abdomen; peevish, weepy; wants sympathy and comfort. Indigestion due to improper diet, especially rich, fatty foods, ice cream.
- Veratrum album – the person feels cold too
References
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3468117/
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5075866/
- https://www.ncbi.nlm.nih.gov/books/NBK412/
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1856631/
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2904303/
- https://www.sciencedirect.com/topics/medicine-and-dentistry/abdominal-pain
- https://www.sciencedirect.com/science/article/pii/S2005290114001009
- https://www.sciencedaily.com/releases/2009/03/090302133214.
- https://www.sciencedaily.com/releases/2007/12/071217100045.
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3264926/
- https://en.wikipedia.org/wiki/Abdominal_pain
- https://en.wikipedia.org/wiki/Chronic_functional_abdominal_pain
- https://www.nhsinform.scot/illnesses-and-conditions/stomach-liver-and-gastrointestinal-tract/stomach-ache
- https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/abdominal-pain-in-adults
- https://www.medicalnewstoday.com/articles/318286.
- https://books.google.com/books/about/Pelvic_Pain.html?id=6q2xbQiHYWcC
- https://books.google.com/books/about/Chronic_Abdominal_Pain.html?id=8VuvBQAAQBAJ
- https://books.google.com/books/about/Abdominal_Pain.html?id=VC8pAAAAYAAJ
- https://www.webmd.com/pain-management/qa/what-are-other-possible-causes-of-abdominal-pain
