Pain Or Discomfort In The Upper Abdomen?
Morning…rnDoc at first I was stressed, then I ate spicy and sour food and ate too full.rnThis month I have had stomach pain.rnIt’s not clear that I like to change. Sometimes it’s like a stab. Sometimes like heartburn. Sometimes it’s like it’s hot..rnI’ve been going to the doctor for a month, but there’s no change. The pain sometimes radiates to the chest. Actually, my pain is not serious yet.rnAccording to the doctor, what is my pain? Is it because of stress, what should I do, do I have to go to a neurologist first or go to an internal medicine specialist first?
Hello, Risty Fathul Arhiztie, thanks for asking HealthReplies.com.
Pain or discomfort in the upper abdomen is known as dyspepsia. Dyspepsia can be caused by:
1. Gastritis, or inflammation of the stomach. Often caused by high stomach acid, foods that irritate the stomach such as spicy and sour, smoking, and psychological stress.
2. Peptic ulcer, or peptic ulcer, is an inflammation of the stomach that has formed an ulcer in the stomach.
3. Gastrointestinal acid disease or GERD. Often caused by the same things as gastritis, supported by poor muscle work between the stomach and lower esophagus so that food and stomach acid in the stomach rises to the top. This causes a burning sensation or pain in the chest area. Things that increase the risk for suffering from this disease are people who are obese / overweight, smoke, often eat foods that irritate the stomach or increase stomach acid, wear clothes that are too tight on the stomach, and go to bed immediately after eating.
To determine the diagnosis, it is necessary to do a direct examination to the doctor. If you've had treatment but it doesn't go away, try making lifestyle changes such as:
1. Reduce or avoid food/things that are irritating to the stomach: spicy, sour, coffee, fizzy drinks, alcohol, cigarettes, chocolate, durian
2. Drink lots of water
3. Give a break between eating in a lying position or sleeping for at least 2-3 hours.
4. Control your stress by trying to solve problems, telling a story to someone you trust or keeping a diary, recreation, doing hobbies/activities you like, and meditation/praying
5. Regularly exercise
6. Do not wear clothes that are too tight on the stomach
If the lifestyle changes do not improve, or symptoms get worse, accompanying symptoms such as shortness of breath, chest pain that radiates to the arms/neck/back, fever, diarrhea, or severe vomiting, go to the doctor immediately. Supportive examinations that may be carried out by the doctor are complete blood tests, X-rays, heart records, to endoscopy.
That's it, I hope it's useful.
dr. Sarah Rizqia