Abdominal pain only at night. Symptoms and signs that appear along with abdominal pain

Pain in the lower abdomen: causes.

Pain is always evidence of some “problem” in the body. It can manifest itself in different parts of the body, be acute or dull, localized or radiating, and so on. It is necessary to pay attention to painful sensations in the lower abdomen immediately, since this is a rather dangerous symptom due to the fact that it is in the abdominal cavity that vital important organs. If the functioning of at least one of the body's systems is disrupted, this can cause serious health problems.

Pulsating pain in the lower abdomen

Throbbing pain in the lower abdomen usually does not bode well. Often this symptom is evidence surgical pathology in the abdominal organs. In order for doctors to establish a true diagnosis, it is necessary to collect a complete picture of the symptoms. Many factors are taken into account, including the fact that pain of any nature (aching, dull, sharp) can be perceived by the patient subjectively and felt as pulsating. Let's look at the common causes of such pain in the lower abdomen.

In women, such pain can occur due to purulent-inflammatory processes in the uterine appendages. If adnexitis is mainly characterized by localized pain on the right or left (depending on the area of the affected appendage). In the lower central part of the abdomen, the pain is throbbing (sometimes radiating to the leg), often due to complications accompanied by suppuration:

tubo-ovarian abscess - ovary and oviduct form a single cavity filled with pus as a result of an acute inflammatory process;
pyosalpinx - suppuration in the fallopian tube;
ovarian abscess - suppuration of the ovary.

Throbbing pain can occur with appendicitis if the walls of the appendix become inflamed and filled with pus. Due to stretching of the affected walls, similar pain sensations occur. This process is called appendiceal empyema.

Another common cause of a pulsating pain symptom is an inguinal or femoral hernia. A sensation of painful pulsation is observed in the area of the hernia protrusion. The most common causes of its occurrence:

promotion intra-abdominal pressure due to bronchial asthma, chronic constipation, etc.;
sudden process of losing weight;
multiple natural births;
lifting weights, strong physical exercise.

Circumstances accompanying the occurrence or intensification of pain in the lower abdomen

Often, pain in the lower abdomen worsens under specific circumstances, which must be taken into account when diagnosing.

Pain when walking in the lower abdomen in women and men may have different causes. Women may suffer from this symptom in the following cases:

Availability gynecological diseases, inflammatory processes in the pelvic organs;
algodismenorrhea - pain during menstruation (a common phenomenon that normally should last no more than 2-4 days);
during pregnancy (due to increased fetal pressure on the uterine ligaments, hip joints, bladder, ureters).

In both men and women, the causes of such pain when walking can be infectious and inflammatory diseases in the pelvic organs, appendicitis, strangulated hernia, intestinal obstruction, etc.

Nirenberg Irina Stepanovna (Doctor of the 1st category, Ph.D.)
"I recommend using Phytotampons.

Sometimes patients may complain of pain in the lower abdomen after sex. What could be the reason? The most common “culprit” for such sensations is an infection that has penetrated into the internal genital organs. The inflammatory process and other pathological conditions develop. Such symptoms can be a consequence of sexually transmitted diseases. Women may experience such sensations after sexual intercourse for several reasons: painful ovulation, premenstrual syndrome, sexual dissatisfaction, uterine fibroids (a tumor in the myometrium, i.e. benign muscle tissue of the uterus) and a number of other reasons.

Pain in the lower abdomen when urinating is also a common reason for turning to specialists for both men and women. There are many reasons for this.

In women, such symptoms may occur due to the following diseases:

Cystitis. Women and pregnant women suffer from this disease more often than men. This is explained by the fact that women’s ureters are much shorter and wider than men’s, so infections can penetrate into female body much simpler;
Candidiasis. In addition to pain, burning sensation may occur when urinating.

Purely male diseases that can cause symptoms:

Prostatitis. The pain spreads to the testicles, rectum, and sometimes to the lower extremities;
Phimosis. A disease characterized by abnormal narrowing of the foreskin. Painful sensations also occur during an erection.

There are diseases that can cause pain when urinating in both women and men:

Urethritis (inflammation of the urethra);
Infectious and venereal diseases(chlamydia, gonorrhea, trichomoniasis, ureaplasmosis, etc.);
Urolithiasis disease. Pain occurs due to the movement of stones through the ureters. In confirmation of the disease, the occurrence of “congestion syndrome” (sudden cessation of urine flow and resumption when changing body position) is possible.

Pain at night in the lower abdomen is characteristic of exacerbation of the disease and can have different etiologies:

gynecological (disorders menstrual cycle, inflammation and infection of the genital organs);
surgical ( acute appendicitis, intestinal obstruction, hernia, peritonitis);
urological ( acute cystitis, urethritis, urolithiasis, infections genitourinary system);
pathology prostate gland in men (prostatitis, prostate adenoma, prostate cancer).

At night, the pain becomes more intense due to a decrease in the sensitivity threshold. Most often, the cause of night pain is urological in nature.

Lower abdominal pain and associated symptoms

Typically, pain is accompanied by a number of symptoms that help doctors prescribe an adequate diagnosis and determine the cause of poor health. For example, temperature and pain in the lower abdomen indicate an inflammatory process in the organ, and the nature of the pain and the area of manifestation “tells” which organ may be affected.

Very often, nausea and pain in the lower abdomen occur due to food poisoning, appendicitis, and intestinal disorders. In addition to these diseases, the causes of such symptoms can be problems of the genitourinary system, diseases of the gynecological spectrum, psychosomatic disorders, pregnancy (especially in the first trimester).

Most often, pain in the lower abdomen does not manifest itself as an independent symptom, but is surrounded by a number of other signs. But, one way or another, the appearance of such alarming signals requires mandatory consultation with a doctor, and sometimes hospitalization.

Many people are concerned about what this pain may be associated with and what ways there are to relieve it. First of all, you should understand that pain is not always bad, because only thanks to such “signals” can you understand the presence of any diseases. That is why a correct assessment of the pain that has arisen will allow you to quickly cope with the problem that has arisen. It is important to remember that in case of abdominal pain, self-medication is strictly prohibited, especially when taking painkillers.

Why does my stomach hurt at night and in the morning?

Most often, pain is the most common and striking symptom possible diseases in the abdominal cavity, as well as nearby organs.

There are several types of abdominal pain -

somatic
and visceral.

Visceral. It occurs as a result of irritation of nerve endings in the walls of organs. Simply put, pain associated with spasms or sprains is classified as visceral. Such pain occurs in the form of colic, can be dull in nature, and is most often localized not in a specific place, but also “flows” into other parts.

Somatic. Such pain occurs when the peritoneum is irritated, for example, as a result of the development of pathologies (stomach ulcer), irritation processes begin spinal nerve, which is located in the peritoneum. At the same time, somatic pain, unlike visceral pain, is permanent, precisely localized in one place, and can also be accompanied by a sharp and cutting character. Usually, patients suffering from such pain cannot move and try to lie still, because any movement causes them terrible pain.

The main diseases that lead to abdominal pain at night and in the morning

Diseases (functional, organic) various organs abdominal cavity, liver, stomach, bile ducts, spleen, intestines

Intoxication

Inflammation and diseases of the peritoneum

Diseases urinary tract and kidneys

Abdominal circulatory disorders

Damage or disease of the abdominal wall

Pathological processes occurring in the chest - pneumonics, pericarditis, diaphragmatic pleurisy

As you can see, there are many diseases that can result in abdominal pain. The main thing is not to stress yourself out and not immediately think about any serious illness, but you shouldn’t self-medicate either. It is important to consult a doctor immediately, because only a specialist will be able to correctly recognize the symptoms and only then prescribe treatment.

In principle, such pain is not a symptom of any one disease - and is not too different from other types of abdominal pain. Exception - morning pain during the first trimester of pregnancy, which resemble menstrual periods and are a symptom of uterine hypertonicity. This in itself is not a disease, however, it can lead to miscarriage or complications during pregnancy, so you should consult a gynecologist. Pain at the end of the second trimester and later, if it is not too severe, is quite common and does not indicate anything (if there are no other symptoms).

However, since a person's well-being is highly dependent on the daily cycle, sometimes diseases that cause stomach pain manifest themselves only in the form of abdominal pain in the morning. This happens if you do not get enough sleep and your body is weakened in the morning.

The main causes of pain in the morning

When your stomach hurts in the morning, it could be constipation, which is caused by poor diet. Eating disorder may be a large number of eaten sweet or fatty, heavy, difficult to digest food. Often, abdominal pain can also be caused by an allergic effect on food products. Common cause pain may be:

Poisoning

Heat at colds

Inflammatory process of the kidneys and Bladder

Rheumatism

Such pains are mainly characteristic of those people who suffer from neurosis. Neurosis can be caused by frequent unpleasant situations in everyday life, at work, at home. The fact is that neurosis, caused by a number of negative situations, causes an increase in the human autonomic nervous system and causes sharp unbearable pain (spasm) in the stomach and intestines, and therefore you should definitely visit a neurologist or neuropsychiatrist.

What to do if you have pain at night and in the morning?

In most cases, you need to follow simple rules: if your stomach hurts weakly and for a short time, most likely it is a temporary disruption in the functioning of the intestines, which may go away on its own. If the pain is acute, lasts more than a couple of minutes and manifests itself over several weeks, you should consult a doctor, since there is a high probability of any serious illnesses.

You should also consult a doctor immediately if abdominal pain is accompanied by fever, vomiting, bloody or normal diarrhea, constipation, general weakness, bloating, or pain spreading to other areas of the body. All these symptoms indicate that you have some kind of disease that can lead to the most severe consequences.

Causes of abdominal pain vary

from intestinal obstruction
until the ulcer perforates,
diseases of the genitourinary system,
appendicitis
and acute viral infections,
and in women – a “frozen” pregnancy.

Therefore, under no circumstances should you self-treat abdominal pain - you can harm yourself even more and will definitely waste time and distort the picture of the disease, which will complicate the diagnosis and treatment of the disease that caused the symptoms.

In particularly severe cases (peritonitis, perforation of an ulcer, serious illnesses kidneys), lost time can be fatal, since in these diseases emergency medical intervention is necessary to save the patient.

What should you do before going to the doctor if you have pain at night and in the morning?

Before visiting a doctor, you need to figure out why your stomach still hurts in the morning? It is worth listening to the pain and determining when it occurs, whether with eating, whether nausea or vomiting occurs, how often you go to the toilet.

It is important to monitor what and how you eat, in what quantities you take fried, sour, spicy foods. This should always be remembered, because frequent use fried, sour and spicy foods become the causative agent of many pains in the abdominal area. You must tell your doctor about all this.

But if pain occurs near the navel and moves quickly to the right side and lower abdomen, it is recommended to call an ambulance, as this similar symptoms appendicitis. It may not be appendicitis. Acute pain in the abdomen can also be caused by a large load on the liver or pancreas if not correct intake food, but it is best to call an ambulance.

You should always remember that when abdominal pain appears, you should immediately determine where it came from and, in order to avoid trouble, you should always consult a doctor. Any pain in the abdomen is a result of improper nutrition and food intake, which does more harm than good for our body. A junk food considered food products that are grown artificially or contain additives that can corrode the walls of the stomach, lead to inflammation of the pancreas, liver and many other diseases.

If your stomach hurts at night, then most often it is gastralgia - a cramping pain syndrome that is localized in the epigastric region. This symptom indicates a malfunction of the gastrointestinal tract. at night and the patient experiences a feeling of hunger, then such pain is called “hungry”.

Gastroenterologist Mikhail Vasilievich:
“It is known that for the treatment of the gastrointestinal tract (ulcers, gastritis, etc.) there are special drugs which are prescribed by doctors. But we will not talk about them, but about those medicines that you can use yourself and at home..."

Main types

Stomach pain at night can refer to the following types of pain syndrome:

Visceral. This pain occurs when nerve receptors located on the abdominal wall are irritated. Pain syndrome can be of varying intensity and in its own way;
Psychogenic. This pain occurs when increased anxiety and suspiciousness of the patient;
Parietal. Acute pain syndrome, which is accompanied by cramps that intensify during breathing or movement of the patient. Occurs when the peritoneum is irritated, the pain is characterized by clear localization;
Neurogenic. Pain occurs as a consequence of certain neurological pathologies. The pain syndrome may suddenly disappear and then reappear.

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Directory of diseases

As mentioned earlier, for each individual identified disease, its own individual course of treatment is prescribed, however, in addition to taking certain medications, a special diet is prescribed, without which full recovery is impossible. And now we are talking about diet No. 5, which is used for various diseases of the gastrointestinal tract.

The essence of this diet is complete refusal from fried, fatty, smoked and spicy foods, and the basis daily diet should consist of boiled or steamed chicken and fish, pureed porridges and broths prepared with vegetables. Quitting alcohol is another important condition on the road to recovery. It should be noted that diet is the main condition for complete recovery.

As you can see, regular abdominal pain in the evenings can occur as a result of many diseases, which, if left untreated, become acute, which significantly affects the quality of life, and in some cases can lead to the most negative consequences. That is why, if abdominal pain occurs, you should definitely contact an appropriate specialist to undergo an examination and prescribe adequate treatment.

Compared to ordinary painful sensations in the stomach, night pain occurs quite often. They can indicate a whole list of problems, the vast majority of which need to be addressed as quickly as possible. recovery process. However, much depends on what exactly the pain is characterized by, what is the degree of its intensity and the medical history.

Causes of nighttime stomach pain

In order to understand the nature of night pain in the stomach, it is necessary to take into account that they can vary significantly not only in the degree of intensity, but also in localization and time of formation. So, when sensations appear once or are not long-lasting, it is recommended to consult a specialist, but this is not a sign of a serious illness or pathological condition.

At the same time, if the pain varies in intensity and occurs every night, this is a manifestation associated with much more serious changes in the functioning of the body. Experts also note that the characteristics of painful sensations can be very different. In particular, two main categories are identified, namely spastic and convulsive. The latter always go away accompanied by an obsessive feeling of hunger; it should be noted that such symptoms are called gastalgia and require prompt treatment.

Speaking directly about the characteristics of night pain, it should be noted that they can be shooting, aching, throbbing and some others. However, the presented indicators reflect the health characteristics of a particular person, and therefore may not be information that is necessary for diagnosing the condition. The most important information criterion should be the localization of the symptom. It is the focus of sensation that indicates which area is affected.

Taking all this into account, it should be noted that the reasons for the development of pain may lie in the development of a whole range of diseases.

They may be associated with the functioning of the stomach, intestines, esophagus, pancreas and other organs or internal departments. More details about the reasons for the development of the condition will be discussed below.

Development factors

Answering the question why abdominal pain occurs at night, experts point to receptor irritation (especially if there is a tendency to peptic ulcer disease), impaired motor functions of the stomach or intestines. In addition, the reasons for the development of the condition may be an increase in the concentration of hydrochloric acid, which leads to an increase in the overall level of acidity and the formation of spasms and thrombosis. No less rarely, this is influenced by a variety of inflammatory algorithms.

Next, I would like to draw attention to the fact that the manifestation of stretching or squeezing painful sensations indicates inflammatory infectious reactions, rapid accumulation of gases. In addition, the main factors in the development of the condition may be in this case an increased degree of peristaltic activity and nervous stress. Further, experts point out that constantly occurring pain, especially of an abdominal nature, is evidence of the formation peptic ulcer, abscess, acute pancreatitis.

In some cases, the causes of development are certain endocrine disorders. It is equally important to consider that nighttime stomach pain may be associated with problematic work CNS (central nervous system), peptic ulcer 12- duodenum. Quite often, symptoms develop in women at any stage of pregnancy, which is associated with hormonal changes, toxicosis or poor nutrition. That is why it is necessary to seek help from a specialist in a timely manner, and also to be able to correctly differentiate the manifestations of the condition in order to understand exactly why it formed.

Main symptoms

Most characteristic manifestations Associated with gastralgia should be considered a feeling of discomfort, heaviness in the area behind the sternum, slight nausea, as well as heartburn. No less often, patients experience belching and painful attacks, which are less intense after eating food.

In addition, nightly discomfort in the stomach is associated with nagging pain in the lower part under the ribs, vomiting with sour impurities and constipation.

Quite rarely, the condition is associated with worsening appetite during the day.

Less rarely, specialists identify symptoms such as night pain, which is accompanied by nausea or vomiting. Next, I would like to draw attention to the following nuances:

a likely symptom of the condition is flatulence, which is accompanied by increased sweating;
pain becomes much less intense if you take the most comfortable position bodies and intensify when it changes;
such manifestations can indicate a variety of diseases - from gastritis to cholecystitis, pancreatitis and other ailments.

If the cause of night pain is intestinal infections, then such a lesion is characterized by complete intoxication of the body, the formation of chills and feverish state. Experts note that in the presented case, the shade of urine and feces changes - the first discharge darkens, and the second, on the contrary, becomes lighter. If an internal infection is attached, the color of the stool may change to dark with traces of blood.

Considering the significant variability of symptoms, experts note the importance of using diagnostics as early as possible and refusing self-treatment. This is what will make it possible to get the most accurate diagnosis and prescribe an effective recovery course.

Diagnostic methods

The examination involves the use of laboratory and instrumental techniques. In the first case, it is necessary to take a blood, urine and stool test to determine the presence or absence infectious process, other types of lesions. In addition, laboratory techniques allow us to identify the current state of the body and all its features. Speaking about instrumental methods of examination, experts pay attention to the advisability of ultrasound and radiography.

However, such techniques are often not enough, and therefore experts insist on performing irrigoscopy, CT, MRI and other methods. In general, they provide a unique opportunity to visualize not only the stomach itself, but also all its parts.

Thus, the presence or absence of inflammatory algorithms, ulcerative lesions and all other processes is identified.

It is important that diagnostic examination turned out to be full-fledged, because it is in this case that it will turn out possible definition all the features of the condition. In addition, experts point out that when prescribing a restoration process, a repeat diagnostic course may be required. It allows you not only to determine all the nuances in the development of the patient’s condition, but also to find out how effective the treatment was. How exactly it is carried out and what its features are will be discussed further.

Priority treatments that can help

The formation of night pain, provided that it occurs frequently, involves the use of symptomatic techniques, namely those that alleviate the symptoms of the condition. First of all, it is recommended to refrain from eating or using exclusively useful components and dishes - porridges, broths, plant foods. It is possible to alleviate negative symptoms by using a warm heating pad, but this will only give a temporary effect.

Experts insist on the benefits of drinking diluted warm tea; mint is the best option. Further, when the symptoms are alleviated, it is permissible to use low-fat broth prepared on the basis of chicken. It is advisable to constantly remain in a horizontal position until a specialist or ambulance arrives. In this case, the legs must be placed above the general level of the body.

Significant and prolonged pain is the reason for prescribing Cerucal and other similar medicinal components. It is also recommended to use painkillers, namely analgesics. In this regard, experts draw attention to the fact that getting rid of pain once should not be a reason for refusing medical intervention. Thus, it is after the examination that the gastroenterologist will have the opportunity to prescribe exactly the restorative course that is necessary in this particular case.

In this case, certain criteria must be taken into account, namely the duration of development of symptoms, the intensity of manifestations, the type of disease and certain individual characteristics of the body. For example, it is necessary to take into account the presence or absence of diseases associated with other organs.

In addition to all this, it is necessary to use drug therapy, which consists of the use of certain drugs, namely means of stabilizing secretory and motor functions, and antispasmodics. Treatment also involves the possible use of hepatoprotectors, painkillers, anti-inflammatory and sedative components.

In addition, in order to achieve an antisecretory effect, they resort to the introduction of blockers into therapy proton pump. They are characterized by a high degree of efficiency and we're talking about about such components as Omeprazole, Lasoprazole.

Depending on the diagnosis, the recovery course can last more than a month. In general, the elimination of negative symptoms and improvement of the condition is achieved quite quickly. In order to consolidate the effect obtained, it is recommended to take into account certain preventive measures.

Prevention of pain

2015-03-17 17:03:46

Evgeniya asks:

Good evening. Tell me, for 3 days in a row in the evening I have been overcome by an attack of nausea. It is weak and intermittent. On the 3rd day, a slightly bitter belch appeared. Nausea comes along with lethargy and weakness. In the flesh until your hands tremble. I had sexual intercourse about a week and a half ago, but it was protected. The nausea itself lasts from 2 to 4 hours. Then it goes away. Sometimes it can occur during the day, but lasts no more than an hour. Before this, my stomach hurt very often if I didn’t eat on time. Until I lie on it for 15-30 minutes, it will not go away. It will also not go away without eating. But when he sore throat I couldn’t do anything, that is, I had to lie on my stomach and then immediately eat. Tell me what suits me best?

2014-06-06 13:07:52

Irina asks:

Good afternoon) Please tell me, my young man is in the army, he has no one there to turn to. He has a dry cough, as if he is coughing up something, but nothing comes out, every morning he gets up wet and sweats. Every evening his heart hurts, not too much (he used to have an arrhythmia), the snot is yellow-green in color, it hasn’t gone away for about three weeks and his stomach hurts, or rather his stomach.. What could it be? Thanks for the answer)

Answers Shidlovsky Igor Valerievich:

He needs to go to the hospital! Or at least the doctor listened to the lungs. Maybe pneumonia. If without hospitalization, then antibiotics are needed, for example amoxicillin 500 mg three times a day, 7 days. And omeprazole 20 mg twice a day, 30 days.

2013-11-23 21:13:33

Aidan asks:

Good evening! I'm in Lately I didn’t eat, I was running errands, Well, about a week! Just drank tea, something else there, but drank tea twice a day! And later my stomach started to hurt! Off to the hospital! The doctor felt the stomach in the area, (and I don’t remember what he said) prescribed Amoxil tablets 3 times a day, Trihapol three times a day, and Omez, drink this for all 10 days! I took the pills! And I started to feel better! That’s how the pills ran out, a week has passed, and today it hurts again and seems to be painful, but it doesn’t feel good! And then it hurts again, and back again It doesn’t hurt, but it feels strange, It doesn’t hurt, but it feels so bad, something like this! What should I do?!

2013-07-29 18:48:18

Nick asks:

Hello, I’ve had a stomach ache for 3 days now, which could be the reason, and also because I don’t have time for almost the whole day, I go hungry, only in the evenings I eat a little something.

2013-01-14 16:23:49

Olesya asks:

Good evening, please tell me. During my period, the first day I have a very strong pain below the navel, the pain is unbearable, especially when you go to the toilet, a lot of blood comes out, the pain begins to be unbearable, I just want to die.. my stomach hurts, my heart hurts... even while I feel pain during my period and it’s hard to go to the toilet, why is this, please tell me, is it scary or not??

2013-01-12 14:38:43

Evgeniya asks:

Good evening. Please advise what should I do? I am registering health resort card, so they sent me for general blood and urine tests. They found blood in the urine, high levels of soya and low hemoglobin. Before the tests, my stomach hurt terribly, but the pain went away, nothing bothers me. And yesterday I went to the toilet, from anus there was blood, a small amount. Please advise what this could be, and will they sign me for a health resort card with such tests?

Answers Klofa Taras Grigorievich:

Good afternoon, regarding the card - a question for your doctor. But the appearance of blood in the stool and urine test should alert you and you need to be examined.

2013-01-03 18:29:51

Ildar asks:

Hello. 4 years after a powerful course of antibiotics (4 courses in a row), periodic pain began under the ribs, mainly after drinking alcohol the day before, on the right and left. For the last six months, the pain under the left rib has been generally constant; the pain on the right goes away by the end of the next day after the feast. If you lie down the pain goes away, as soon as you get up it starts to drag. If you press the area under the ribs inward with your palms, even just a little, the pain goes away. From the morning I get up, it hurts until the evening, until I lie down. In a sitting position, it feels like the ribs on both the right and left are pressing on something inside, and that something hurts and aches. The last six months have added to the constant pain under the left rib nagging pain in the sides of the lower abdomen 15 minutes after eating, and sometimes the same pain in the left side of the lower back, sometimes pulling, sometimes burning. After drinking alcohol, literally ten minutes later, nagging pain begins in the area of the lower ribs in the back. Frequent bloating after eating. Constant burping! after eating. Ultrasound of the abdominal cavity: in the bile duct there are 2 polyps of 4 mm each, and a liver hemangioma 15*12, the pancreas and spleen are normal. Ultrasound of the kidneys - no abnormalities. Biochemistry is normal, amylase, lipase, bilirubin, everything is normal. General blood and urine tests - no abnormalities. Sugar is within normal limits. Half a year ago, when it became sharply worse, I had loose stools for a week. Again, after drinking 2 bottles of beer the day before. At night I woke up from throbbing and pain under my left rib. After that I don’t drink beer at all. At first there was a constant burning pain in the solar plexus area; I could not sit, as if everything was burning in my chest. I drank Klacid because... Helicobacter was discovered, and the chest pain stopped. Now the analysis for pylori is negative. FGDS - slight inflammation of the stomach and 2 point erosions of the 12 duodenum. Colonoscopy is a very small inflammation of the mucous membrane. Stool analysis for dysbacteriosis - bifidobacteria and lactobacilli - is below normal. Clepsiella 10 to 7 degrees. I’ve been drinking bifidumbacterin and lactobacterin + lean for 4 months now! ex + hilak forte. Recently I re-passed the exam. - bifidobacteria - 10 to 11 degrees, lactobacilli - still not enough, clepsiella - the same amount. But after that I had to take a course of sumamed again, because... chronic was discovered. prostatitis due to mycoplasmas. Most likely he killed all the bacteria again. I don't follow a diet. The gastroenterologist and the therapist unanimously claim that dysbacteriosis is to blame. Could dysbacteriosis really cause such constant pain? All symptoms point to the pancreas. Maybe I should do an abdominal CT scan for a more accurate diagnosis? I don’t know where to turn anymore, the unknown is very tormenting. I feel like a 70 year old man from within. Please help me make an accurate diagnosis. Thank you in advance.

Night abdominal pain is one of the most common complaints when visiting a gastroenterologist. Intensity and localization pain may be different, it depends on the existing pathology.

If you notice that your stomach often hurts at night, you should definitely consult a doctor, because this could be a sign of dangerous diseases.

Possible reasons

Abdominal pain at night can be divided into 2 types. The first type is colic. These sensations can occur suddenly with varying frequency and intensity. They are usually accompanied by intestinal deformities. If the pain is sharp and severe, you need to call an ambulance.

The second type is constant, dragging and debilitating. Most often, such sensations are observed in cases of serious inflammatory diseases of the gastrointestinal tract.

Only a doctor can make an accurate diagnosis, but you can suspect the cause of the pain yourself, taking into account the location, nature, intensity of the pain and the presence of accompanying symptoms.

Gastritis

Gastritis is a disease characterized by inflammation of the gastric mucosa. With chronic gastritis, the pain has a dull, nagging character, and with exacerbation the pain becomes sharp, stabbing. The pain is localized in the upper abdomen, and most often the discomfort occurs after eating and subsides at night. Additional symptoms of gastritis are:

No appetite;
involuntary belching of air;
Nausea, sometimes with vomiting.

If gastritis is suspected, you should contact a gastroenterologist to confirm the diagnosis and prescribe therapy. The most effective method for diagnosing gastritis is gastroscopy.

Treatment of gastritis consists of taking antibacterial drugs, antiseptic and regenerating agents, as well as following a diet.

Stomach ulcer

Gastric ulcer is a chronic pathology in which there are ulcerative lesions gastric mucosa. Most often the causative agent of the disease is Helicobacter bacterium pylori Pain with a stomach ulcer is stable, aching in nature.

Pain occurs in the upper abdomen, mainly at night, in stressful situations and between meals.

After eating, the pain may return, but if the ulcer is located on the duodenum, eating, on the contrary, alleviates the condition. Additional symptoms of a stomach ulcer include:

Frequent heartburn;
sour belching;
sour vomiting;
hunger pains.

If you have these symptoms, you should seek help from a gastroenterologist. Diagnosis of gastric ulcer includes interviewing the patient, external examination with palpation, blood test, pH measurement, FGDS. Treatment of the disease consists of taking medications and following a diet.

For complications and frequent relapses surgical treatment is recommended for the patient.

GERD

GERD is a common disease of the stomach, which is accompanied by regular reflux of stomach contents into the esophagus. As a result, damage occurs to the mucous membranes of the esophagus and neighboring organs. Pain with GERD is often felt behind the sternum, it resembles pain symptom heart attack and angina. Symptoms worsen after eating, physical activity, and at night. Associated symptoms are:

Heartburn;
sour belching;
discomfort when swallowing food;
difficulty swallowing.

If you have the above symptoms, you should consult a therapist or gastroenterologist.

Diagnosis of GERD includes a set of studies:

Laboratory tests of blood and stool;
proton pump inhibitor;
daily pH control of the esophagus;
X-ray of the esophagus;
Analysis on Helicobacter pylori.

Treatment of GERD consists of giving up bad habits, following a nutritional schedule, following a diet, taking medications as prescribed by a doctor, limiting physical activity.

Muscle and joint pain;
skin rashes;
signs of anemia;
weight change;
sleep disturbance;
chronic fatigue;
decreased immunity.

Appendicitis is inflammation of the appendix. The pain most often occurs at night or in the early morning hours. Localization of pain first around the navel, later with right side belly. The pain is growing, intensifies with movement and coughing. As inflammation develops, the following symptoms appear:

Nausea;
vomit;
chills;
fever.

The chronic form has less severe symptoms.

The pain in this form is dull, aching, and there are no accompanying symptoms. If you suspect appendicitis, you should call an ambulance.

Diagnosis of the disease can be carried out by an emergency physician. The diagnosis is made if the patient's pain increases sharply when the doctor gently presses on the abdomen and sharply raises his hand. If in doubt, the patient can undergo an ultrasound and CT scan. Treatment is always surgical.

IBS

Irritable bowel syndrome is a collection of symptoms of intestinal dysfunction. The pain in this disease can be either dull or sharp. Unpleasant sensations worsen after eating and nervous experiences. The disease is considered incurable, treatment is symptomatic. Signs of IBS are:

Stomach ache;
bowel dysfunction;
flatulence;
feeling of not having a bowel movement after going to the toilet;
mucus secretion;
ineffective urge to go to the toilet.

If you suspect IBS, visit a general practitioner or gastroenterologist. Diagnosis of the deviation is based on the exclusion of other pathologies with similar symptoms. Treatment is aimed at improving bowel function and relieving the main symptoms.

Slow intestinal motility

Intestinal atony develops against the background of weakening of the muscles of the intestinal tract. The disease is accompanied by constipation, which causes a feeling of discomfort and cramping attacks in the abdomen. The localization of pain depends on the location of the accumulation of feces. Associated symptoms are:

Constipation;
ineffective urge to go to the toilet;
heaviness in the stomach;
anemia and vitamin deficiency.

This disease is treated by a gastroenterologist. Diagnostics includes laboratory tests for dysbacteriosis and coprogram. Additionally, an analysis of thyroid hormones is carried out to exclude hypothyroidism.

Therapy includes medication, diet and exercise therapy.

Nephropathy

Nephropathy is a kidney disease in which the parenchyma is damaged and glomerular apparatus. Abdominal pain with this disease can be either nagging or acute. Localization can be encircling or on the side with a return to the back; it is observed for more than one day. TO associated symptoms relate:

Constant thirst;
sweating;
urinary incontinence;
signs of intoxication;
swelling of the eyelids;
disturbances in the functioning of the heart.

If you suspect kidney disease, you should contact your physician, who will give you a referral for tests. After this, the treatment will be carried out by a nephrologist. Diagnosis of nephropathy consists of evaluating urine and blood tests, and ultrasound of the kidneys.

Treatment is medicinal with adherence to diet and drinking schedule.

Inflammation of the bronchi or lungs

Inflammatory processes in the bronchi or lungs are not always characterized by pain in these organs. Sometimes pain may be felt in the abdomen or around the heart. Pain in the abdomen or side may be acute, indicating inflammation of the lower parts of the lungs or bronchi. This pain can be distinguished by the accompanying symptoms:

Pain is always associated with breathing;
increased body temperature;
no appetite;
cough;
difficulty breathing.

Diseases of the lungs and bronchi are treated by a general practitioner, pulmonologist, and oncologist. Diagnosis is carried out using external examination, listening to breathing, tests and x-rays.

Treatment depends on the nature of the pathology and consists of taking antibacterial or antiviral drugs.

Infected kidneys and bladder

Infectious diseases of the bladder and kidneys often manifest as abdominal pain at night or during the day. Inflammation is characterized by pain in the lower abdomen, sometimes the pain radiates to the back. With urolithiasis, pain intensifies at night. The nature of the pain is sharp, cutting. Symptoms by which inflammation of the bladder and kidneys can be recognized:

Pain when urinating;
frequent urge to go to the toilet;
urination is difficult.

To make a primary diagnosis, you need to contact a therapist, who will give a referral to a specialist. Diagnosis consists of interviewing the patient, examination, evaluation of urine and blood tests, and ultrasound. Treatment depends on the form and stage of the disease.

Most often, drug therapy is used.

Bronchitis, sore throat or acute respiratory infection

With a sore throat, acute respiratory infections or bronchitis, night pain in the abdomen may also bother you. The pain is acute without a specific localization. These sensations are associated with enlarged abdominal lymph nodes. The pain intensifies when coughing and may persist for several days. Associated symptoms:

Increased body temperature;
cough;
fever;
inflammation of the tonsils, etc.

If you have these symptoms, you should consult a therapist. The diagnosis is made after examining the patient, evaluating biochemical tests, and hardware diagnostics.

Treatment consists of eliminating the underlying disease.

Physiological intolerance to certain foods

Often, abdominal pain at night is associated precisely with poor nutrition. Pain occurs 3 hours after the last meal. The location may vary, but most often it is the area around the navel. The stomach can also hurt from unbalanced food, when it is difficult for the stomach to digest it. This could be fatty, salty or spicy food. Associated symptoms:

Feeling of heaviness;
rumbling;
gas formation.

Diagnosis of this condition does not require additional hardware methods (only as an exception for pathology).

The pain goes away after a bowel movement. To improve digestion, it is recommended to balance your diet. You need to see a therapist, gastroenterologist, or nutritionist.

Increased acidity of gastric contents

Pain can occur at any time of the day. Its intensity can vary from stretching and tingling to acute attacks. Localization - stomach area. Additional symptoms:

Heartburn;
heaviness in the stomach;
belching;
bloating.

You need to contact a gastroenterologist.

Diagnosis consists of determining the cause of the deviation, most often it is gastritis. Treatment depends on the root cause and necessarily includes diet.

In what case should you see a doctor immediately?

The pain is severe;
the pain does not subside within 2 hours;
the pain increases;
Dangerous symptoms appear (temperature, fever, weakness, sweating, etc.).

First aid, how to relieve pain?

Before you relieve pain, you need to accurately determine the cause discomfort. Doctors advise not to self-medicate, but to call a doctor. Only after diagnosis will a specialist be able to prescribe adequate therapy. If the pain is not severe, you can take medications that relieve spasms, but it is better to avoid painkillers. Going to the toilet can also help.

If the intensity of symptoms increases, call an ambulance.

Prevention

Most often, abdominal pain occurs from poor nutrition. It can be a harbinger of the development of pathology or its symptom.

To prevent gastrointestinal diseases, you need to eat right, give up bad habits and lead an active lifestyle.

Be sure to watch the next video

Conclusion on the topic

Why does abdominal pain occur at night? Unpleasant sensations never come without a reason. It is at night that the human body relaxes, and we can feel that the gastrointestinal tract organs are under special stress.

Periodic pain cannot be ignored; it always indicates existing problems in the body.

IN daytime patients often feel normal, without complaining of discomfort in the abdomen. However, as soon as the person relaxes and tries to fall asleep, the discomfort returns.

Most often, pain is the most common and striking symptom of possible diseases in the abdominal cavity, as well as nearby organs.

The stomach hurts or hurts in the stomach area because the pain receptors of the mucous membrane of this area of the digestive system are irritated - due to spasm or stretching of the smooth muscles of the stomach, inflammation of its tissues, and also due to impaired blood supply.

Pain signals from the stomach receptors enter the sensory nuclei of the thalamus - the area of our brain in which all information from the sensory organs and receptors is “sorted out.” Pain signals are then sent to the cerebral cortex.

There a motivational-affective assessment of these signals occurs, and then.

In general, as a result of complex biochemical metamorphoses, we are faced with gastralgia - pain in the stomach.

This type of pain often occurs in those who have problems such as insufficient quantity gastric juice produced by stomach cells. In this case, the stomach pain is not severe, the pain is not clearly localized and is not associated with food intake.

The feeling of discomfort in the hypochondrium is accompanied not only by heaviness in the stomach, but by loss of appetite and deterioration in general well-being. This happens with pathologies of the thyroid gland, as well as side effect some medicines, for example, the same insulin.

By the way, stomach pain after taking medications is a common problem for those who are inclined to take medications “without fear or reproach” for the slightest reason. A classic example of severe drug irritation of the gastric mucosa is aspirin, cardiac glycosides and drugs containing hormones.

After eating, does your stomach hurt and you feel pressure in its area that turns into severe pain? Also, stomach pain and diarrhea, as well as stomach pain and bloating? These symptoms suggest that you have acute gastritis, that is acute form inflammation of the gastric mucosa. As experts note, such pain subsides after a few hours or within two to three days.

Stomach pain after eating and with chronic gastritis. Gastritis can be hypoacid - with reduced secretory function of the stomach, and hyperacid - with increased secretory function.

In the first case, the stomach simply cannot cope with digesting food, and the person complains that his stomach hurts and belches (rotten), and that his stomach hurts and feels nauseous, and often has diarrhea. But the pain is diffuse, and the patient cannot accurately determine and indicate to the doctor the “pain point”.

With hyperacid chronic gastritis, the stomach hurts severely during or immediately after eating. The pain may continue for 24 hours. Other symptoms of this disease include belching (but not rotten), nausea, vomiting, and constipation.

Pain in the stomach, caused by stress and a neurotic state, is accompanied by symptoms such as a feeling of heaviness and fullness in the hypochondrium, belching, gagging and intestinal disorders. At the same time, my stomach hurts nervous soil regardless of meals, and the pain can become burning and quite severe when sharp increase emotional and mental stress.

It's all about enhancing the production of hydrochloric acid by the stomach in stressful situations and a high degree of innervation (that is, supplying tissue with nerves) of this organ. As a result, this can lead to erosions and ulcers of the gastric mucosa and trigger the development of gastrointestinal diseases such as gastritis and ulcers.

Pain in epigastric region is also possible during a heart attack. IN clinical practice this is called the gastralgic form of myocardial infarction. As doctors say, upon admission to medical institution in such situations, an incorrect diagnosis may be made: not a heart attack, but food intoxication or exacerbation of gastritis.

Spasmodic pain in the stomach area neurotic etiology directly related to premenstrual syndrome(PMS). So if a woman has a stomach ache before menstruation or a stomach ache during menstruation, then the main reason for this is various disorders of her neuropsychic state, as well as cyclical vegetative-vascular and endocrine “shifts”.

Why does my stomach hurt during pregnancy? Because during the period of restructuring of the entire body, an exacerbation of all chronic diseases of a woman, especially inflammatory ones, is possible.

Causes of night pain

There are several factors that can cause night pain in the stomach. The exact localization of unpleasant sensations, their nature, duration, frequency, and other features of the clinical picture will help determine which disease provoked the attack.

Common causes of pain are the following:

Violation hormonal levels.
Malfunctions of the gastrointestinal tract.
Decreased peristalsis.
Inflammatory processes.
Diseases of the genitourinary system.
Poor nutrition.
Frequent stress.

There are other reasons for pain during the night. Some of them need to be used drug treatment or admission to a hospital intensive care unit.

For example, upper stomach pain in older people may be a symptom of myocardial infarction.

Pain lasting anywhere from a couple of seconds to a minute should not be a cause for concern in most cases. If the pain lasts for hours or even days, then this is already serious sign and a signal for speedy medical examination.

The main causative factors are a sharp compression of the organs of the digestive system or, conversely, stretching of their elastic walls.

Pain in the stomach can be caused by diseases of the stomach itself, as well as pathologies of other organs and systems human body. The main question in this case is which organ disorders caused pain in the epigastric region. Qualified

can only be performed by a professional doctor. Therefore, if you experience abdominal pain, it would be unwise, and sometimes even dangerous, to diagnose yourself and begin self-medication.

If the pain begins to bother you regularly at night, there is a high probability of exacerbation chronic disease.

Acute attacks often accompanied additional symptoms, by which the main violation is determined.

Pain due to ulcers and GERD

During the period of exacerbation of the disease, the patient experiences severe pain, approximately 3-4 hours after the meal.

Acute or It's a dull pain in the lower abdomen develops in a person with problems with organs digestive tract, against the background of gynecological and urological pathologies, venereal, infectious diseases.

Causes of pain from different sides

Main types

There are several types of abdominal pain, each of which has various reasons origin and characteristics.

Visceral pain

In order to make it easier to establish a diagnosis and subsequently organize the process of therapeutic action on the source of pathology, gastroenterologists divide stomach pains that bother the patient at night into the following types.

Visceral

A tummy tug means you're pregnant

In women up to critical days Possible pain in the lower abdomen, more often abdominal cavity pulls, but if there are delays and nagging pain, fatigue and breast sensitivity appear, then pregnancy may be the cause.

The stomach feels tight at this time for a simple reason - the uterus begins to constantly change its size, which is why women experience some discomfort.

Throughout pregnancy, nagging pain may appear from time to time.

In this case, you need to listen to the body, because in the early stages it is considered normal for the lower abdomen to pull, but in later stages, there may be other reasons.

The reasons for tightness in the lower abdomen during pregnancy are very different. Some of them are safe for the health of mother and child, and some can signal terrible pathologies.

Instability and sudden changes in hormonal levels in a woman’s body during pregnancy always carry the danger of exacerbation of any chronic pathologies. Among them are gastritis, stomach ulcers, and any other diseases that manifest as pain in the stomach.

Symptoms

Stomach pain can occur regardless of the time of day. If the pain suddenly started and stopped after a couple of minutes, then there is no reason to worry.

If your stomach hurts for more than an hour, then during the day it is better to consult a gastroenterologist or call an ambulance.

Often, pain at night is not the only symptom of a malfunction in the body.

You should pay attention to other signs:

Changing the position of the body, the pain intensifies.
There is a urge to vomit.
Sweating increases.
There is intense rumbling in the stomach.

Intestinal infections or problems with the biliary tract are manifested not only by pain and spasms.

In addition to the main symptoms, you need to monitor for other signs of disease. They may indicate the following:

With an increase in temperature and chills, there may be pelvic diseases: gonorrhea, chlamydia, and other diseases.
If you lose your appetite, feel nauseous, vomit, that is, gastrointestinal pathologies.
Fainting and shock, with a sharp change in pressure, indicates bleeding inside the abdomen.
Painful urination, cloudy urine, and temperature indicate kidney and urinary tract problems.

Additionally, you need to know the nature of the pain that occurs in the lower abdomen. This will allow you to correctly describe your condition to the doctor to establish an accurate and correct diagnosis.

So if discomfort appears suddenly, then the cause may be exacerbations or acute diseases.

There is no need to joke with such symptoms, otherwise a perforation may appear, bleeding will occur, or a certain organ will rupture.

Why do you feel soreness in the stomach area in the morning? Exist different reasons abdominal pain. However, you should not self-medicate; you should visit a doctor for advice.

The following symptoms in the morning require immediate consultation with a medical specialist:

vomit;
increased body temperature;
flatulence;
bloody diarrhea;
swelling of the limbs.

Correct treatment of night pain in the stomach involves the use of antispasmodics. They are aimed at effectively relieving muscle spasms and act locally.

Other principles of correct treatment include the pathogenetic approach. This item is part of the project urgent assistance and implying the use antibacterial agents. Similar drugs effective against night pain in the stomach due to the fact that Helicobacter pylori, a bacterium that causes many stomach problems, is susceptible to them.

The main symptom is pain, which may have different characteristics: intensity, frequency, localization. It may be accompanied by additional symptoms:

Heartburn;
Gorky or sour belching;
Nausea, vomiting;
Possible flatulence and bowel dysfunction;
Insomnia;
Weakness and sweating;
Fever, chills;
Loose stools, mixed with blood or modified (black, or, conversely, light).

Of course, these signs are not observed all at once, but according to the disorder that occurs in the stomach or in gastrointestinal tract.

Diagnostics

When patients contact a therapist or gastroenterologist with complaints of nighttime stomach pain, the doctor first conducts a survey of the patient and collects an anamnesis. Then he carries out an external examination and palpation to identify the exact location of the pain. Then he prescribes urine and blood tests, ultrasound. In some cases, MRI, FGDS, manometry and pH measurements may be necessary.

To identify the cause of stomach pain at night, you need to see a doctor.

He will most likely order an additional examination, which may include following methods:

Tests for the detection of Helicobacter pylori- bacteria that cause most cases of gastritis and peptic ulcers.
Endoscopy – examination of the esophagus, stomach and duodenum using a flexible instrument (endoscope). During the procedure, the doctor can detect signs of an inflammatory process and take a piece of tissue from the pathological focus for further laboratory study. Read more about endoscopy→
X-ray of the esophagus and stomach with barium contrast. The patient swallows a liquid containing barium, which coats the mucous membranes of the gastrointestinal tract from the inside. Then it is carried out x-ray examination, which allows doctors to assess the condition of the esophagus and stomach. Read more about fluoroscopy→

The diagnosis of night pain cannot be based solely on the patient's complaints. It is necessary to conduct a series of studies to establish the real reason pain:

Careful history taking;
Ultrasound of the stomach and other gastrointestinal organs helps to identify pathological changes in the structure of the stomach, detect neoplasms;
Fibrogastroduodenoscopy (FGDS), an effective technique that allows you to examine in detail the mucous membrane of the upper gastrointestinal tract and assess the extent of their damage. Including detecting an ulcerative defect. Along with the study, material is taken from the area affected by the ulcer for a biopsy. The purpose of the study is to identify oncological pathology;
Magnetic resonance or computed tomography - detects all pathological changes in the organ and differentiates them;
Tests for bacterial stomach infection Helicobacter pylori (breath test, gastropanel);
X-ray of the stomach and esophagus if it is impossible for any reason to perform an FGDS
Blood analysis.
Fecal occult blood test.

Only a doctor can determine the exact cause of the painful syndrome at night. For this purpose, diagnostic measures are carried out. The specialist listens to the patient’s complaints, palpates the abdomen, examines the tongue, and examines clinical picture pathology and makes up the primary anamnesis. To obtain more accurate data about the condition of the body, the patient must undergo a full examination.

Additionally, the doctor prescribes:

fluoroscopy of the esophagus and stomach using contrast agents;
Ultrasound internal organs;
gastroendoscopy or fibrogastroduodenoscopy;
computed tomography or MRI of the digestive system;
passing the necessary tests.

Based on the results obtained from laboratory research and instrumental diagnostics, the gastroenterologist makes a diagnosis and prescribes appropriate treatment.

Night pain in the stomach and the causes of this pathology is a serious problem, so it needs to be solved without delay. Usually, during an examination, the doctor collects an anamnesis (asks about lifestyle, diet, whether there has been any severe stress recently, etc.), palpates the abdomen and prescribes fibrogastroduodenoscopy (FGDS).

Treatment

During therapy, it is important to eliminate the underlying disease that causes unpleasant symptom. Correct treatment involves preventing the development of pathological mechanisms that lead to nocturnal gastralgia. The treatment regimen involves the use of the following:

To restore the functioning of the gastrointestinal tract, the use of prokinetics (Motilium, Trimedat) is indicated. They allow you to normalize motor skills. For this purpose, you can use the antiemetic drug Metoproclamide (Cerucal).
Antispasmodics (No-shpa, Drotaverine, Spazmolgon) are used to relieve pain.
To reduce the production of hydrochloric acid. These drugs help normalize stomach acidity. Proton pump blockers (Pantoprazole, Lansoprazole, Omeprazole) are considered the most effective.

At pain syndrome low intensity, experts recommend:

Avoid eating for several hours, even if severe hunger. Instead of food, you can drink tea or mint decoction;
Lie down on a bed or sofa. In this case, the legs should be slightly higher than the rest of the body;
Try to relax, stop being nervous;
Drink some ice water. First you need to take a few sips to find out whether the recipe helps or not. If there is no improvement, you should stop drinking.

However, with prolonged gastralgia, you need to consult a specialist. He will carry out diagnostic measures, prescribe effective therapy. Often, for treatment it is enough to adjust the diet, but for intense gastralgia, medications are used.

Why do most people now try to use traditional methods? They have a very large number of positive nuances. For example, minimal side effects.

Therapy for stomach pain at night depends entirely on what is causing it.

For example:

At GERD treatment includes lifestyle changes, taking antacids and medications that reduce stomach acid production.
For gastritis and ulcers, treatment is aimed at eliminating the etiological factor. If these diseases are caused by Helicobacter pylori, its eradication is carried out. If the inflammatory process has developed against the background NSAID treatment, you need to stop taking them.

Night stomach pain - common complaint patients suffering from diseases of the digestive tract. For successful treatment it is necessary to identify and eliminate their cause.

To treat the digestive system, consult a gastroenterologist. Night pain in the stomach area is extremely serious symptom requiring a hospital visit.

The doctor collects a history of the disease: when it got sick, where, what your diet is, your habits, the presence or absence of stress. This is followed by a physical examination (palpation of the patient’s abdomen).

Fibrogastroduodenoscopy is prescribed. This examination involves inserting a special device with a video camera through the throat to examine the gastrointestinal tract.

Today it is the only way obtaining information about the state of internal organs. A biopsy is prescribed if a malignant tumor is suspected.

The gastroenterologist prescribes medications to relieve pain and spasms, to normalize stomach functions, and antibiotics. Medicines are taken as prescribed by the doctor; you should not self-medicate.

Each patient has the right to consult several doctors. The treatment plan and drug regimen depend on the period of the disease, the intensity of the symptoms, and the general health of the person. For more effective application medications, the patient must follow a diet. Eliminate spicy, sour, fried, fatty, smoking and alcoholic drinks.

What does effective treatment of this type of disease mean? First of all, professionals try to eliminate the causes of the problem. The principles of correct treatment are based on preventing in advance the formation and development of pathological mechanisms leading to night pain in the stomach.

Complete treatment possible only after diagnosing the cause that caused them. Such treatment can be prescribed by a specialist doctor. To relieve spastic pain, you can take an antispasmodic. But this is not a treatment, but only a method of providing first aid.

Effective treatment night stomach pain is based, first of all, on eliminating the causes that cause them. This is the so-called correct treatment, the principle of which is to prevent pathological mechanisms leading to night pain.

During treatment, antisecretory drugs are prescribed. They reduce the activity of secretory cells and block the increase in acidity levels in the stomach. These drugs include proton pump inhibitors (PPIs):

Lansoprazole;
Pantoprazole;
Rabeprazole;
Omeprazole and their analogs.

For heartburn, Maalox, Rennie, Gastal tablets are used.

To restore gastric motility, metoclopramide, motilium, itopride or cerucal are prescribed.

If a gastric ulcer and duodenal ulcer is detected, treatment is carried out in a hospital setting or on an outpatient basis. Apply antibacterial drugs, aimed at destroying Helicobacter pylori - bacteria that cause stomach problems.

Additional treatment consists of prescribing enzymes that improve the digestive function of the stomach and gastrointestinal tract as a whole. To activate immune function immunomodulators are prescribed for the digestive system.

IN complex treatment epigastric pain mandatory component is correct therapeutic nutrition. Nutritionists recommend sticking to the following recommendations:

Consume low-fat dairy products;
Eliminate fatty meats from the diet - pork, lamb;
Do not under any circumstances consume canned and pickled foods, spicy, sour and salty foods;
Don't overeat during the day. Eat food in fractional portions - 6 times a day;
The last meal should be a light meal and at least 2 hours before bedtime;
Strictly exclude late-night snacking, alcohol and smoking. All these bad habits contribute to the development various pathologies Gastrointestinal tract and night pain.

You can use folk remedies only when established diagnosis and after consultation with your doctor. They are not the main ones in the treatment of gastrointestinal diseases, but are used as additional treatment.

There are quite a few folk remedies used to relieve stomach pain. The group stands out against their background vegetable oils. For example, a good analgesic and wound-healing effect gives sea buckthorn oil. It contains vitamins B and E, and also creates a protective film on the mucous membrane of the diseased stomach, which is manifested in its analgesic effect.

Treatment of stomach pain must begin with a thorough diagnosis and identification of the exact cause of the pain syndrome. The best option– contact a gastroenterologist. After all, what seems to you to be a pathology of the stomach may actually turn out to be a completely different disease. And self-medication in such a situation can be not only useless, but sometimes even dangerous for your health.

Remember - only a qualified doctor can give you correct diagnosis and prescribe appropriate treatment!

Therapy for night pain should be comprehensive.

To relieve the syndrome at home, use the following tips.

Emergency help

A person can help himself when he first encounters painful attack. In such cases, you need to act carefully and focus on the intensity and duration negative manifestations.

To reduce nighttime pain in the stomach, you should give up late dinner and drink a glass of ice water, take a horizontal position and try to fall asleep.

If the pain does not subside at night and nothing helps, then you can resort to painkillers. The main thing is not to wait until it becomes unbearable, but to call an ambulance.

Traditional medicine

Traditional methods are an addition to the main treatment. Herbal medicine has many positive aspects. It eliminates the symptoms of the disease well, has an analgesic effect, and enriches the body valuable substances, removes inflammation of the mucous membrane, accelerates the healing of erosions.

Treatment of pain in the digestive organs

If your stomach hurts, you should find out the reasons leading to this situation. To do this, you should consult a gastroenterologist. After a thorough history taking, additional methods examinations.

Fibrogastroduodenoscopy is the most effective method for identifying pathologies of the gastrointestinal tract. This study makes it possible to view in detail the ulcer formations and the size of the lesions.

If the development of malignant tumors is suspected, a biopsy is performed. To do this, affected tissues and cells are taken.

They are carefully examined to confirm or refute the assumption of oncological pathology.

After all examinations, the patient is prescribed effective therapy.

The main principle of treatment is timely prevention and prevention of development pathological processes which lead to pain at night.

All therapy is aimed at restoring the functions of the gastrointestinal tract.

If there is severe, regular pain, the patient is prescribed painkillers. They quickly and effectively help cope with pain.

To reduce the secretion of hydrochloric acid in the stomach, antisecretory drugs are prescribed. When consumed, the increase in acidity levels is blocked.

First aid

For stomach pain, self-medication is dangerous. A consultation with a doctor, examination, and tests are required.

Name the general rules for providing first aid to a patient without taking strong drugs that can relieve pain in order to avoid negative impact to other organs.

The first thing to remember: if you have pain in the stomach, you should not eat. Fasting for several hours will significantly improve the condition. If necessary, it is permissible to drink warm tea. Lie down, calm down, don’t be nervous, raise your legs above your head. Sometimes there is a case when ice water helps, but the patient only needs to take one or two sips and understand whether it will help or not.

Doctors advise drinking mint tea and chicken bouillon, but in small doses. The intake of any medications and liquids should be accompanied by self-monitoring of the stomach condition on the part of the patient. If tea, water or broth increases pain, it is recommended to immediately stop drinking these liquids.

On the day the pain develops or the next day, you need to contact a gastroenterologist, who will examine, feel, refer you for examination, and make a diagnosis. The main thing is to prescribe treatment that is suitable for a particular patient, taking into account the characteristics of his body.

Prevention

Basic measures to prevent night pain include:

compliance dietary nutrition;
eliminating bad habits;
strengthening the body's defenses;
healthy sleep;
refusal of a late heavy dinner;
absence stressful situations;
suitable physical activity;
regular diagnosis of ailments.

Stomach pain at night may be accompanied by different symptoms. Such a negative state indicates the development of pathologies in the gastrointestinal tract. Exact reason pain is determined by the doctor after the diagnostic measures. He is choosing effective scheme treatment, which can be independently supplemented with non-hazardous folk remedies.

To prevent stomach pain from appearing day or night, first of all you need to eat right. Even a healthy person should exclude fast food, carbonated and alcoholic drinks, canned food, fatty and spicy foods from their diet.

Dry snacks are not advisable; you should try to arrange full meals for yourself. You also need to maintain a balance of proteins, fats and carbohydrates, eat more healthy food: vegetables, fruits, honey and bee products.

Need to visit more fresh air and move so that what you eat is better absorbed.

Serious illness The gastrointestinal tract may begin with pain at night. To recover faster, you must immediately consult a doctor, undergo conscientious treatment and change your diet in favor of natural products.