Pain in lower abdomen at night. Causes of night pain

Nighttime abdominal pain is an extremely common problem and can occur for a variety of reasons. Many cases of nocturnal abdominal pain are caused by digestive problems. Nighttime abdominal pain can also be a sign serious illnesses such as cancer or cardiovascular diseases, which are usually accompanied by additional, more severe symptoms. Digestive problems are considered the most common cause of abdominal pain at night. They can be symptoms of conditions such as peptic ulcers, irritable bowel syndrome, and inflammatory diseases intestines.

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Causes of nighttime abdominal pain

acid reflux This is when stomach acid backs up into the esophagus and causes a burning sensation. Acid reflux is often accompanied by nausea, vomiting, bloating, sore throat, and cough. There are a number of factors believed to increase the risk of acid reflux, with the most common being:
Excessive alcohol consumption;
overeating, especially at night;
Sleep immediately after eating;
Overweight;
Spicy and fried foods as well as chocolate and coffee.
(GERD) is a common cause of nocturnal stomach pain.
Gastritis- a condition where the walls of the stomach become irritated and inflamed. This can lead to pain or burning, as well as nausea and vomiting. If gastritis is left untreated, it can lead to ulcers, bleeding, and cancer.
Ulcer of the stomach and intestines can cause burning in the stomach area. The pain may increase after eating, and also when the stomach is empty. Nighttime is often the longest stretch between meals. The most common causes of ulcers are:
bacteria Helicobacter pylori;
Excessive or prolonged use non-steroidal anti-inflammatory drugs (NSAIDs);
Gallstones can be caused when they block the duct of the gallbladder, liver, or pancreas. People with recurring episodes of pain in the projection of the gallbladder or inflammation may need surgical intervention to remove the gallbladder. In addition to the pain gallstones can also cause the following complications:
nausea or vomiting;
fever;
yellowing of the skin and eyes;
Weakness;
Light chair;
Irritable bowel syndrome () also causes epigastric pain at night. Gas and bloating are common symptoms that can occur especially after eating. A large dinner can cause nighttime abdominal pain.
Allergy to gluten, a protein in wheat, barley and rye, causes inflammation small intestine, often with cramps and abdominal pain. Symptoms usually include diarrhea, severe fatigue and bloating;
Crohn's disease is an inflammation of the digestive system that causes abdominal pain, weight loss, and extreme fatigue. The disease usually occurs between the ages of 15 and 35;
Cramping, bloating, gas, and general discomfort often occur during menstruation. In endometriosis, the lining of the uterus grows excessively, often causing severe and prolonged menstrual pain;
Persons who cannot digest certain products often experience pain, bloating, and diarrhea. Lactose intolerance is often caused severe spasms and abdominal pain;
Gas is a very common cause of abdominal pain, especially at night when digestion slows down;
Constipation - when waste accumulates in the large intestine, causing pain in the abdomen.

Most cases of nocturnal abdominal pain are not cause for concern. If symptoms occur more than once a week, interfere with daily activities, especially healthy sleep, you should consult a doctor.

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Symptoms associated with nocturnal abdominal pain

Symptoms associated with nocturnal abdominal pain that require medical attention include:

strong or constant pain, which does not decrease when taking medicines;
Fever;
Labored breathing;
unexplained weight loss;
Enlargement of the abdomen;
Abdomen, painful to touch;
yellowing of the skin and eyes;
Constant nausea or vomiting, especially when vomiting blood;
blood in the stool;
Pain that occurs during pregnancy;
Pain in joints and muscles.

Severe abdominal pain that comes on suddenly and for no apparent reason can be a sign of serious health conditions.

It is a life-threatening condition. In some cases, the cecum (appendix) becomes inflamed, leading to peritonitis, causing a serious infection that requires immediate medical attention and surgery. Often appendicitis starts with pain that starts around the belly button and moves down to the lower right side.

Other conditions associated with intense abdominal pain include:

Stones in the kidneys. Sharp, stabbing pain that starts in the middle of the back and spreads to the abdomen. Blood is often found in the urine.

Food poisoning. Intense and sudden onset of vomiting, nausea, diarrhea, fever, or chills. If symptoms persist for more than 24 hours, seek medical attention medical care.

Cardiovascular diseases. Stomach pain along with increased heart rate, increased sweating, nausea or vomiting, difficulty breathing, a tingling sensation in the arms, or pain in the jaw and neck requires immediate medical attention.

hiatal hernia. Occurs when part of the stomach passes into the chest cavity.

Stomach cancer. Gastric cancer can cause almost all of the symptoms usually associated with generalized abdominal or epigastric pain.

Literature

Ali T. et al. Sleep, immunity and inflammation in gastrointestinal disorders // World J Gastroenterol. - 2013. - T. 19. - No. 48. - S. 9231-9239.
Fashner J., Gitu A. C. Diagnosis and treatment of peptic ulcer disease and H. pylori infection // gastric cancer. - 2015. - T. 100. - P. 2.
Wilkins T. et al. Diagnosis and management of IBS in adults //American family physician. - 2012. - T. 86. - No. 5. - S. 419.

Stomach hurts at night, what are the causes of this symptom? In most cases, in parallel there is a feeling constant hunger, which stops after a person eats not a large number of food.

Painful sensations at night are of the following types:

Psychogenic. This symptom occurs with constant or frequent stress. Pain appears, which manifests itself in the form of a signal of suspiciousness and anxiety.
Parietal. Occurs with irritation of the peritoneum, as well as a clear location. It hurts a lot, especially when moving and breathing.
Neurogenic. Pains appear in the form of lumbago. They appear and then disappear again.
Visceral. Painful sensations arise due to irritation of the nerve fibers that are in abdominal cavity. It can be renal, intestinal or renal colic.

Basic pains

Pain, which is accompanied by convulsions, and can have completely different intensity. Night pains in the stomach, the causes of the following:

Gas formation.
Transferred stress.
Very intense intestinal peristalsis.
infectious inflammation.

Why are these processes taking place? Pain occurs due to the modification of organs. For example, with the appearance of pancreatitis, abscesses, and gallstone disease. It can manifest itself in the form of pain, burning and sharpness.

Root cause and symptoms

The pain gets worse with movement. In parallel, in addition to problems with the stomach, there may be a violation of the intestines and pancreas.

Symptoms can be used to determine which disorders internal organs lead to the appearance of such a symptom as pain in the stomach at night.

For example, if the temperature further rises, then it is quite possible that there is an intestinal infection or a blockage of the biliary tract occurs.

It is necessary to pay attention to whether the color of feces and urine has changed. In some cases, blood clots may even appear in the feces.

Stressful situations often have a negative impact on general state human, including lead to disruption of the functioning gastrointestinal tract. Pain in the stomach, frequent passage or constipation, bloating - very often this is a consequence of a previously transferred remedy.

How to respond to the appearance of pain in the stomach

At night, the human digestive system works in sleep mode. The pancreas produces much less enzymes, the intestines remove waste substances from the body much more slowly.

It is absolutely clear for all people the occurrence of pain during the day, because the activity of the internal organs of the gastrointestinal tract. Moreover, the main meal occurs at night, just like the poisoning of the body.

The body reacts to external stimuli in the same way: a spasm of muscle tissue. In this regard, there are pain that accompany any disruption of the gastrointestinal tract.

In the presence of painful sensations, it is necessary to determine the violation in the digestive system, as well as the diagnosis of the body and the necessary recovery methods.

Symptoms

The most common cause of abdominal pain is the appearance of a stomach ulcer. In most cases, young people, as well as middle-aged people, are at risk.

Peptic ulcer is a violation of the wall of the esophagus, stomach or intestines. During the period of exacerbation, an inflammatory process takes place around the ulcer.

In most cases main reason The occurrence of stomach ulcers is a bacterium - Helicobacter pylory, the inflammatory process occurs as a defense of the body.

Additionally, the following symptoms may occur:

It hurts when a person has not eaten. Hungry pains in the stomach can be caused by irritation of the nerve fibers by the acid content of the stomach.
Pain in the stomach appears in the upper abdomen, at the base 2 hours after eating.
Increased appetite, which is associated with the fact that after eating a person's pain decreases.

There is only one method for determining an ulcer - this is to do a gastroscopy. The procedure is performed for several minutes, but not too pleasant. All operating rules must be strictly observed.

It is necessary to undergo a course of treatment in order to avoid aggravation of the situation, and sometimes even surgical intervention.

Colon dysfunction

The second most common cause of pain at night is a disease of the colon. This may manifest itself due to the presence of tumors, inflammation, or other serious pathologies.

Night pain in the stomach is one of the typical symptoms of the appearance inflammatory processes in the colon, as well as Crohn's disease or ulcerative colitis.

These 3 diseases are very similar in symptoms and have the following clinical manifestations:

Carrying with impurities of mucus, blood or purulent manifestations.
A sharp increase in body temperature and chills.
Pain in joints, muscle tissue and abdomen.

These diseases occur in middle-aged people. If problems in the stomach were detected in a timely manner, then with the help of medicines, the problem can be eliminated with the help of medications.

But when time was lost, and the disease develops at a rapid pace, then surgical intervention is necessary, which consists in removing part of the colon.

Very often, pain occurs due to the appearance of oncology. This is especially dangerous for people whose relatives and friends suffered from cancer.

Need to be tested for increased amount cancer cells if you have the following symptoms:

Sharp weight loss.
Appetite worsens or disappears completely.
Increase in body temperature.
Completely no meat.
Appearance in feces impurities of blood or pus.

The presence of a disease such as irritable bowel syndrome is considered very common. This disorder was established as a disease quite recently. With this disease, drifts often alternate with constipation.

Additionally, abdominal cramps may occur. You can defeat this disease with the help of drugs such as: Duspatalin, Buscopan, No-shpu.

Other causes of stomach pain at night

There are other reasons for the appearance of pain during the night. Some of them need to be applied drug treatment or hospitalization in intensive care unit hospitals.

For example, upper stomach pain in the elderly may be a symptom of myocardial infarction.

At the same time, there is an increase blood pressure, vomiting, nausea. This is especially dangerous for people who suffer from diabetes.

Diagnostics

The diagnosis of the disease can only be determined by a doctor. He listens to the symptoms of the patient, finds out how often the patient has pain and prescribes a change. necessary analyzes. It is necessary to donate blood for tests, undergo an ultrasound of the internal organs, and also undergo fibrogatroduodenoscopy.

X-ray of the esophagus using barium. It is necessary to undergo an examination in order to determine the presence of ulcers in the walls in the stomach area.

Additionally, it is desirable to be screened for the presence of Helicobacter pylori bacteria.

First aid and treatment in the stomach area

If pain occurs in the stomach at night, the patient should consult a doctor in order to determine the disease for which it is necessary to undergo a course of treatment.

Treatment at home can adversely affect the body. But with intense pain, first aid must be provided. First, you need to stop eating for several hours. When you feel hungry, you need to drink a cup of tea.

To reduce pain in the stomach, it is necessary to take a horizontal position, so that the patient is comfortable.

Stomach pain can be relieved with ice water. You need to act carefully so as not to harm the body. To do this, take a few sips of cold water.

Also mute hyperacidity stomach, you can use a not too fatty broth or add mint. It must be remembered that the stomach during the day should not be empty.

The body of each person is individual, so the treatment is prescribed by a specialist individually. The most important treatment for pain at night will be taking medications, as well as dietary nutrition.

How to treat stomach at home

Why do most people now try to use folk methods? They have a very large number of positive nuances. For example, the minimum side effect.

Plantain juice. You need to take 200 grams of plantain juice. You need to drink it during the day. Plantain will help eliminate pain. The stomach will stop hurting a few days after the start of juice intake.
Cucumber juice. It is also very good at relieving spasm and throbbing pain. It is necessary to take a teaspoon before meals. A cucumber diet or fasting days is good for the health of the stomach.
Hypericum juice. This juice helps to soothe nerve fibers. You need to use it in a tablespoon.
Infusion from meadowsweet. It is necessary to fill the flowers with 300 grams boiled water and leave it in a dark, warm place for several hours.

If the treatment does not bring the desired result, then more radical measures must be taken. For example, surgery. Night pain in the stomach causes treatment will help determine the doctor himself.

Among the problems associated with gastroenterology, the most common are stomach pains that occur at night. This symptom causes significant discomfort, because it deprives you of proper sleep. What causes abdominal pain? And how to get rid of them?

The nature of nighttime discomfort

If pain occurs in the epigastric region at night, it is necessary to deal with the causes of their formation. Accurate Diagnosis the attending physician can deliver. This should take into account the localization of pain, its intensity and the etiology of the pathological process.

Night pains in the abdomen can occur against the background of such diseases:

Also, discomfort in the abdominal cavity can be neurotic in nature and occur due to conflict situations, stress.

If pain occurs, it is necessary to pay attention to the duration of the syndrome, its nature and intensity. As a rule, taking the fetal position helps to relieve pain.

Night pain can have an unbearable dagger, sluggish, aching, dull form. Often there are colic and spasms. Colic usually signals that the evacuation function of the intestine is impaired. Of particular danger is dagger pain in the stomach. Such a sign may indicate an ulcer, peritonitis or appendicitis. In such a situation, it is necessary to immediately call an ambulance, and apply cold to the stomach.

Etiology of the disease

Before starting therapy, it is necessary to establish the causes of symptoms. Helps in making a diagnosis full inspection, analyzes and consultation of a gastroenterologist.

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If the duration of discomfort is a few minutes, you can usually not worry. In order to get rid of such symptoms, it is enough to review the diet. If the pain syndrome lasts more than an hour, you should immediately go to the hospital to get help.

Causes of stomach pain that occurs at night can be the following:

Spasms are observed with indigestion as a result of disturbances in the acid-base balance.
Painful abdominal sensations are manifested due to excessive production of gastric secretions.
Due to incomplete bowel movement.
The presence of irritable bowel syndrome, biliary dyskinesia.
Unbalanced nutrition. Abuse of fatty, spicy, fried, smoked and pickled foods.
Products rich in cholesterol can cause the active promotion of stones from the gallbladder.
As a result of individual intolerance to products: lactose, milk.

Qualified diagnostics will help to establish provoking factors.

Diagnostic measures and therapeutic therapy

To make a reliable diagnosis, you will need a comprehensive examination: ultrasound, X-ray, CT, biopsy and MRI, as well as FGDS. In addition, blood, urine and feces are taken. The doctor must take into account all the symptoms, conduct a competent palpation of the abdomen in order to collect a detailed history.

Do not self-medicate, so as not to harm own health. With increased pain, it is necessary to take a horizontal position. For some time you need to stop eating, you can drink warm, but not strong tea.

Helps in some cases cold water, which is drunk in small sips. Peppermint tea or light chicken broth will help relieve pain. If despite the manipulations it gets worse, it is worth abandoning them and calling a doctor. Medical therapy should be prescribed individually, after a complete examination. In addition to any therapy, medical nutrition which must be strictly adhered to.

If you experience stomach pain, you should not postpone a visit to the doctor for later. It is recommended to undergo an examination and, if necessary, start treatment. In this way, dangerous complications can be avoided.

Many patients complain of nocturnal abdominal pain and want to find out what this may be due to.

Causes of the development of night pain in the abdomen

Is it possible to consider such sensations as symptoms of diseases? The answer to this question can be found out only after passing a full examination, passing all the required tests. And after that, the treatment of night pains in the abdomen will be prescribed. In addition, there is such pain that signals an emergency seeking medical help, which is why it is so important not to self-medicate. Be able to distinguish pain and, of course, see a doctor as soon as possible.

So, for example, abdominal pain can begin due to diseases of the abdominal space or abdominal organs, spine, genital organs, nervous system, or even “flow” from the chest with myocardial infarction or pericarditis. So, in the case of pain in diseases of the abdominal cavity, the symptoms may occur due to:

blood flow disorders
spasms of smooth muscles,
as well as inflammatory processes occurring in tissues and organs.

Night pains in the abdomen as symptoms of diseases

If you have pain in the upper section and on the right, then this is most often observed in diseases of the gallbladder, liver, biliary tract head of the pancreas, right kidney, as well as damage to the hepatic flexure of the intestine. If you have a disease of the biliary tract, then the pain will also radiate to the right shoulder, with an ulcer - and diseases of the pancreas - to the back, if kidney stones, the inguinal region will hurt. In the upper section, on the left, pain will signal possible lesions stomach, pancreas, spleen, left kidney, as well as in the presence of a hernia.

In case of pain in the lower abdomen, you should be alert. This can signal an inflamed appendix, right kidney and genitals - with pain on the right side. If the pain is on the left, this may indicate that you have damage to the left kidney, diseases of the genital organs, infections or lesions sigmoid colon.

In order for the doctor to correctly diagnose, it is necessary first of all to establish the exact location of the pain. If you are taking painkillers, it will be quite difficult to do this, which is why it is so important not to self-medicate, because in this way you can only harm yourself and delay the process of treating the disease prescribed by the doctor after your thorough examination and correct diagnosis.

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

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

Stomach pain or pain in the stomach area because irritation occurs pain receptors mucous membrane of this zone of the digestive system - 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 receptors of the stomach enter the sensory nuclei of the thalamus - the area of \u200b\u200bour brain, in which all information from the sense organs and receptors is “sorted out”. Pain signals are then sent to the cerebral cortex.

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

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

This nature of the pain often occurs in those who have problems in the form of an insufficient amount of gastric juice produced by the cells of the stomach. In this case, the stomach hurts slightly, 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 in pathologies. thyroid gland and also as a side effect of some medicines, for example, the same insulin.

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

After eating, the stomach hurts and pressure is felt in its area, turning into severe pain? In addition, stomach pain and diarrhea, as well as stomach pain and bloating? These symptoms suggest that you acute gastritis, that is acute form inflammation of the gastric mucosa. According to experts, such pain subsides after a few hours or within two to three days.

The stomach hurts after eating and with chronic gastritis. Gastritis is hypoacid - with reduced secretory function stomach, and hyperacid - with increased.

In the first case, the stomach simply cannot cope with the digestion of food, and the person complains that he has a stomachache and belching (rotten) and that his stomach hurts and feels sick, and diarrhea often occurs. 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 a lot right in the process of eating or immediately after it. The pain may continue throughout the day. Other symptoms of this disease include belching (but not rotten), nausea, vomiting, and constipation.

Stomach pain due to stress neurotic state, accompanied by symptoms such as a feeling of heaviness and fullness in the hypochondrium, belching, vomiting and intestinal disorders. At the same time, the stomach hurts on a nervous basis, regardless of meals, and the pains can become burning and quite strong with a sharp increase in emotional and mental stress.

It's all about increasing the production of the stomach of hydrochloric acid in stressful situations and high degree innervation (that is, the supply of tissues 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 the epigastric region is also possible with a heart attack. In clinical practice, this is called the gastralgic form of myocardial infarction. According to doctors, upon admission to a medical institution in such situations, an incorrect diagnosis can be made: not a heart attack, but food intoxication or exacerbation of gastritis.

Spasmodic pain in the stomach of neurotic etiology is directly related to premenstrual syndrome(PMS). So if a woman has a stomachache before menstruation or a stomachache during menstruation, then the main reason for this is various disorders her neuropsychic state, as well as cyclic vegetovascular and endocrine "shifts".

What causes stomach pain during pregnancy? Because during the period of restructuring of the whole organism, 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. Accurate localization will help determine which disease provoked the attack. discomfort, their nature, duration, frequency, and other features of the clinical picture.

Common causes of pain are:

Violation hormonal background.
Malfunctions of the organs of the gastrointestinal tract.
Decreased peristalsis.
inflammatory processes.
Diseases genitourinary system.
Wrong nutrition.
Frequent stress.

There are other reasons for the appearance of pain during the night. Some of them require medical treatment or hospitalization in the intensive care unit of the hospital.

For example, upper stomach pain in the elderly may be a symptom of myocardial infarction.

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

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

Pain in the stomach can cause diseases of the stomach itself, as well as pathologies of other organs and systems of the human body. Main question at the same time - violations of which particular organ caused pain in the epigastric region. qualified

can only carry out professional doctor. Therefore, if you feel pain in the abdomen, it will be unwise, and sometimes even dangerous, to self-diagnose and begin self-medication.

If the pain began to disturb regularly at night, there is a high probability of exacerbation chronic disease.

Acute attacks often accompanied additional symptoms which determine the main violation.

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 in humans develops 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 with different causes and characteristics.

Visceral pain

In order to make it easier to establish a diagnosis and further organize the process therapeutic impact on the focus of pathology, gastroenterologists divide gastric pains that disturb the patient at night into the following types.

Visceral

Pulling the stomach means pregnant

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

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

Throughout the entire period of pregnancy, pulling pains may appear from time to time.

In this case, you need to listen to the body, because on early dates is considered the norm when it pulls the lower abdomen, but for more later dates the reasons may be different.

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

Instability and drastic changes in the hormonal background in a woman's body during pregnancy always carry the risk of exacerbating 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 the stomach hurts for more than an hour, then during the day it is better to seek advice from a gastroenterologist or call an ambulance.

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

You should also pay attention to other signs:

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

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 other signs of diseases. They may indicate the following:

With an increase in temperature, the presence of chills can be diseases of the small pelvis: gonorrhea, chlamydia, and other diseases.
If appetite disappears, nausea, vomiting, that is, pathology of the gastrointestinal tract.
fainting and state of shock, with a sharp change in pressure, indicates bleeding inside the abdomen.
Painful urination, cloudy urine, and fever indicate problems with the kidneys and urinary tract.

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 in order to establish an accurate and correct diagnosis.

So if discomfort appears abruptly, then the cause may be exacerbations or diseases in an acute form.

Such symptoms should not be joked about, otherwise a perforation may appear, bleeding will occur, or a certain organ will tear.

Why is there pain in the stomach in the morning? There are different causes of abdominal pain. However, you should not self-medicate, you need to visit a doctor for advice.

The following symptoms in the morning require immediate medical attention:

vomit;
increase in body temperature;
flatulence;
diarrhea with blood;
limb edema.

Correct treatment of night pains in the stomach involves the use of antispasmodic drugs. They are aimed at effective disposal from muscle spasms and operate locally.

Other principles of correct treatment include a pathogenetic approach. This is an item that is part of the emergency aid project and involves the use of antibacterial agents. Such drugs are effective against night pains in the stomach area for the reason that Helicobacter pylori, a bacterium that causes many stomach problems, is susceptible to them.

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

heartburn;
bitter or sour belching;
Nausea, vomiting;
Possible flatulence and impaired stool;
insomnia;
Weakness and sweating;
elevated temperature, chills;
Loose stool, with an admixture of blood or modified (black, or, conversely, light).

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

Diagnostics

When referring to a therapist or gastroenterologist of patients with complaints of nocturnal pain in the stomach, the doctor first of all interviews the patient and collects an anamnesis. Then he performs an external examination and palpation to identify the exact location of the localization of painful sensations. Then he prescribes urine and blood tests, ultrasound. In some cases, MRI, FGDS, manometry and pH-metry may be necessary.

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

He is likely to appoint additional examination, which can include the following methods:

Tests to detect Helicobacter pylori- bacteria that is the cause of most cases of gastritis and peptic ulcer.
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. More about endoscopy→
X-ray of the esophagus and stomach with barium contrast. The patient swallows a liquid containing barium, which coats the inside of the mucous membranes of the gastrointestinal tract. Then an X-ray examination is performed, which allows doctors to assess the condition of the esophagus and stomach. Learn more about fluoroscopy→

The diagnosis of night pains cannot be based only on the patient's complaints. It is necessary to carry out a series of studies in order to establish true reason pain:

Careful history taking;
Ultrasound of the stomach and other organs of the gastrointestinal tract helps to identify pathological changes in the structure of the stomach, to detect neoplasms;
Fibrogastroduodenoscopy (FGDS), effective technique allowing for detailed examination of the mucosa upper division Gastrointestinal tract, assess the degree of their damage. including discovering ulcer defect. Together 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 gastric bacterial contamination of Helicrbacter pylori ( breath test, gastropanel);
X-ray of the stomach and esophagus if it is impossible for any reason to conduct an EGD
Blood analysis.
Analysis of feces for occult blood.

Determine the exact cause painful syndrome at night only a doctor can. For this, diagnostic measures are carried out. The specialist listens to the patient's complaints, palpates the abdomen, examines the tongue, studies clinical picture pathology and is the primary history. To obtain more accurate data on the state of the body, the patient must undergo a full examination.

Additionally, the doctor prescribes:

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

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

Night pains in the stomach and the causes of this pathology are a serious problem, so it needs to be addressed without delay. Usually, during the examination, the doctor collects an anamnesis (asks about lifestyle, nutrition, whether there were any recent times severe stress etc.), palpates the abdomen and prescribes fibrogastroduodenoscopy (FGDS).

Treatment

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

To restore the functioning of the organs 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 antiemetic drug Metoproclamide (Cerucal).
To relieve pain, antispasmodics are used (No-shpa, Drotaverin, Spasmolgon).
To reduce the production of hydrochloric acid. These drugs help to normalize the acidity of the stomach. Proton pump blockers (Pantoprazole, Lansoprazole, Omeprazole) are considered the most effective.

For pain syndrome of low intensity, experts recommend:

Refuse to eat for several hours, even if severe hunger. Instead of eating, you can drink tea or a decoction of mint;
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 if the recipe helps or not. If there is no improvement, stop drinking.

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

Why do most people now try to use folk methods? They have a very large number of positive nuances. For example, the minimum side effect.

Therapy for pain in the stomach at night depends entirely on what cause they are caused.

For example:

At GERD treatment includes lifestyle changes, antacids, and drugs that reduce stomach acid production.
With gastritis and ulcers, treatment is aimed at eliminating etiological factor. If these diseases are caused by Helicobacter pylori, its eradication is carried out. If the inflammatory process has developed during the treatment of NSAIDs, it is necessary to stop taking them.

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

For the treatment of the digestive system, they turn to a gastroenterologist. Night pains in the stomach serious symptom requiring a visit to the hospital.

The doctor collects a history of the disease: when it fell ill, where, what is the diet, 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 consists in conducting a special device with a video camera through the throat, the gastrointestinal tract is examined.

Today it the only way obtaining information about the state of internal organs. A biopsy is ordered if there is suspicion malignant tumor.

The gastroenterologist prescribes medications to relieve pain and spasms, to normalize the functions of the stomach, antibiotics. Medicines are taken according to the prescriptions of the doctor, do not self-medicate.

Each patient has the right to consult several doctors. The treatment plan and the regimen of taking drugs depends on the period of the disease, on the intensity of the symptoms, on the general state of health of the person. For more effective use of medications, the patient must follow a diet. Exclude from the diet spicy, sour, fried, fatty, smoking and alcoholic drinks.

What does effective treatment of such diseases imply? First of all, professionals try to eliminate the causes of the problem. The principles of correct treatment are based on pre-empting the formation and development of pathological mechanisms that lead to night pains in the stomach.

Complete treatment possible only after diagnosing the cause that caused them. Such treatment can be prescribed by a specialist doctor. As a pain reliever of a spastic nature, you can take an antispasmodic. But this is not a cure, but only a way to provide first aid.

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

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

Lansoprazole;
pantoprazole;
Rabeprazole;
Omeprazole and their analogues.

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

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

If peptic ulcer of the stomach and duodenum is detected, treatment is carried out in a hospital or on an outpatient basis. Apply antibacterial drugs aimed at the destruction of Helicobacter pylori - bacteria, causing problems in the stomach.

Additional Treatment consists in the appointment of enzymes that improve digestive function stomach and gastrointestinal tract in general. To activate immune function digestive system immunomodulators are prescribed.

In the complex treatment of epigastric pain mandatory component is a healthy diet. Dietitians recommend sticking to following recommendations:

Eat low-fat dairy products;
Eliminate from the diet fatty varieties meat - pork, lamb;
In no case should you eat canned and pickled foods, spicy, sour and salty foods;
Do not overeat during the day. Eat food in fractional portions - 6 times a day;
The last meal should be in the form of a light meal and at least 2 hours before bedtime;
Categorically exclude night snacks, alcohol and smoking. All these bad habits contribute to the development various pathologies Gastrointestinal and night pains.

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

There are quite a lot of folk remedies used in relieving gastric pain syndrome. Against their background, a group stands out 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 a sick 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 specialist gastroenterologist. After all, what seems to you a pathology of the stomach, may actually be a completely different disease. And self-treatment in such a situation can be not only useless, but sometimes even dangerous to your health.

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

Therapy of night pains should be complex.

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

Emergency help

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

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

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

Alternative methods are an addition to the main treatment. Phytotherapy has many good points. It well eliminates the symptoms of the disease, has an analgesic effect, enriches the body with valuable substances, removes inflammation of the mucous membrane, and accelerates the healing of erosions.

Therapy for pain in the digestive system

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 examination methods are prescribed.

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

If malignancy is suspected, a biopsy is performed. To do this, take the affected tissues and cells.

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

After all examinations, the patient is prescribed effective therapy.

Main principle treatment is to timely prevent and prevent the development pathological processes that lead to pain at night.

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

In the presence of severe, regular pain, painkillers are prescribed to the patient. They quickly and effectively help to cope with soreness.

To reduce the release of hydrochloric acid in the stomach, antisecretory drugs are prescribed. When used, an increase in the level of acidity is blocked.

First aid

With pain in the stomach, self-medication is dangerous. Consultation with a doctor, examination, tests is necessary.

are called general rules providing first aid to a patient without taking strong drugs that can relieve pain in order to avoid negative effects on other organs.

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

Doctors advise drinking mint tea and chicken broth, but in small doses. The intake of any means and liquids should be accompanied by self-monitoring of the state of the stomach on the part of the patient. If the pain is aggravated by tea, water or broth, 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, send for examination, make a diagnosis. The main thing is to prescribe a treatment that is suitable for a particular patient, taking into account the characteristics of his body.

Prevention

The main measures to prevent night pain include:

adherence to dietary nutrition;
exception bad habits;
strengthening defensive forces organism;
healthy sleep;
refusal of a late dense dinner;
absence stressful situations;
suitable physical exercise;
regular diagnosis of ailments.

Pain in the stomach at night can 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 chooses an effective treatment regimen, which can be independently supplemented with non-hazardous folk remedies.

So that pain in the stomach does not appear day or night, first of all you need to eat right. Even healthy person fast food, carbonated and alcoholic drinks, canned food, fatty and spicy foods should be excluded from the diet.

Dry snacks are undesirable, you should try to arrange yourself a full meal. 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. In order to recover faster, you should immediately consult a doctor, conscientiously treat yourself and change your diet in favor of natural products.

Do you have a stomach ache at night, and you do not know what are the causes of this symptom?

In most cases, in parallel, there is a feeling of constant hunger, which stops after a person eats a small amount of food.

Varieties

Painful sensations at night are of the following types:

Psychogenic. This symptom occurs with constant or frequent stress tensions. It is characterized by the appearance of pain, which manifests itself in the form of a signal of suspiciousness and anxiety.
Parietal. Occurs with irritation of the peritoneum and has a clear location. It hurts a lot, especially when moving and breathing.
Neurogenic. Pains appear in the form of lumbago. They appear and then disappear again.
Visceral. Painful sensations arise due to irritation of the nerve fibers that are in the abdominal cavity. It can be renal, intestinal or renal colic.

Basic pains

The pain is accompanied by cramps, and can be absolutely different localization, characteristic and intensity. Night pains in the stomach, the causes of the following:

Gas formation.
Transferred stress.
Very intense intestinal peristalsis.
infectious inflammation.

Why are these processes taking place? Pain occurs due to the modification of organs.

For example, with the appearance of pancreatitis, abscesses, and cholelithiasis. It can manifest itself acutely in the form of pain, burning, spasms.

Root cause and symptoms

In addition to the appearance of night pains in the stomach area, bloating, vomiting, nausea, and excessive sweating may additionally occur.

With slight movement, the pain intensifies. In parallel, in addition to problems with the stomach, there may be a violation of the work of all parts of the intestines, the pancreas.

By the symptoms, you can determine which disorders of the internal organs lead to the appearance of such a symptom as pain at night.

For example, if the temperature further rises, then it is quite possible that there is an intestinal infection or a blockage of the biliary tract occurs.

It is necessary to pay attention to whether the color of feces and urine has changed. In some cases, blood clots may even appear in the feces.

Stressful situations very often negatively affect the general condition of a person, including the disruption of the functioning of the gastrointestinal tract. Pain in the stomach, diarrhea or constipation, bloating - very often this is a consequence of previous stress.

How to respond to the appearance of pain in the stomach

At night, the human digestive system works in sleep mode.

The pancreas produces much less enzymes, the intestines remove digested food from the body much more slowly.

The body reacts to external stimuli most often: a spasm of muscle tissue. In this regard, there are painful sensations that accompany any disruption of the gastrointestinal tract.

In the presence of painful sensations, it is necessary to determine the type of violation in the digestive system, as well as to diagnose the body and carry out the necessary recovery methods.

Symptoms

The most common cause the occurrence of pain in the abdomen is the appearance of a stomach ulcer. In most cases, young people, as well as middle-aged people, are at risk.

A peptic ulcer is a violation of the wall of the esophagus, stomach or intestines. During the period of exacerbation, an inflammatory process takes place around the ulcer.

In most cases, the main cause of gastric ulcers is a bacterium - Helicobacter pylori, but it should be noted that there are other theories. The inflammatory process takes place defensive reaction organism.

Additionally, the following symptoms may occur:

It hurts when a person has not eaten. Hungry pains in the stomach can be caused by irritation of the nerve fibers by the acidic contents of the stomach.
Pain in the stomach appear in the upper abdomen, mostly 2 hours after eating.
Increased appetite, which is associated with the fact that after eating a person's pain decreases.

There is only one method for determining an ulcer - this is to do a gastroscopy. The procedure is performed for several minutes, but not too pleasant. All recommendations must be strictly followed.

It is necessary to undergo a course of treatment in order to avoid aggravation of the situation, and sometimes even surgical intervention.

Colon dysfunction

The second most common cause of pain at night is a disease of the colon. This may manifest itself due to the presence of tumors, inflammation, or other serious pathologies.

Nighttime pain in the stomach is one of the typical symptoms of inflammatory processes in the colon, as well as Crohn's disease or ulcerative colitis.

These 3 diseases are very similar in symptoms and have the following clinical manifestations:

Carrying with impurities of mucus, blood or purulent manifestations.
A sharp increase in body temperature and chills.
Pain in joints, muscle tissue and abdomen.

These diseases occur in middle-aged people. If problems in the stomach were detected in a timely manner, then with the help of medicines, the problem can be eliminated with the help of medications.

But when time was lost, and the disease develops at a rapid pace, then surgical intervention is necessary, which consists in removing part of the colon.

Very often, pain occurs due to the appearance of oncology. This is especially dangerous for people whose relatives and friends suffered from cancer.

It is necessary to undergo a survey for the presence of a certain number of tumor markers, if you have the following symptoms:

Sharp weight loss within 2-3 months.
Appetite worsens or disappears completely.
Increase in body temperature.
Completely no meat.
The appearance in the feces of an admixture of blood or pus.

The presence of a disease such as irritable bowel syndrome is considered very common.

This disorder was established as a disease quite recently. With this disease, diarrhea often alternates with constipation.

Additionally, abdominal cramps may occur. You can defeat this disease with the help of drugs such as: Duspatalin, Buscopan, No-shpa.

Other causes of stomach pain at night

There are other reasons for the appearance of pain at night. Some of them require the use of drug treatment or hospitalization in the gastroenterological, surgical department of the hospital.

For example, upper stomach pain in the elderly may be a symptom of myocardial infarction.

In parallel, there is an increase in blood pressure, vomiting, nausea. This is especially dangerous for people who suffer from diabetes.

Diagnostics

The diagnosis of the disease can only be determined by a doctor. He listens to the patient's symptoms, finds out how often the patient has pain and prescribes the necessary tests.

It is necessary to pass blood and urine tests, undergo an ultrasound of the internal organs, as well as fibrogatroduodenoscopy.

X-ray of the esophagus using barium. This examination is necessary in order to determine the presence of ulcers in the walls in the stomach.

Additionally, it is desirable to be screened for the presence of Helicobacter pylori bacteria.

First aid and treatment of pain in the stomach

If pain occurs in the stomach at night, the patient should consult a doctor in order to determine the disease for which it is necessary to undergo a course of treatment.

Treatment at home can adversely affect the body. But with intense pain, first aid must be provided.

First, you need to stop eating for several hours. When you feel hungry, you need to drink a cup of tea.

To reduce pain in the stomach, it is necessary to take a horizontal position, so that the patient is comfortable.

Pain in the stomach can be relieved with water. You need to act carefully so as not to harm the body. To do this, take a few sips of cold water.

You can also muffle the increased acidity of the stomach with a not too fatty broth or add mint. It must be remembered that the stomach during the day should not be empty.

How to treat stomach at home

Why do most people now try to use folk methods? They have a very large number of positive nuances. For example, the minimum side effect.

Plantain juice. You need to take 200 grams of plantain juice. You need to drink it during the day. Plantain will help eliminate pain. The stomach will stop hurting a few days after the start of juice intake.
Cucumber juice. It is also very good at relieving spasm and throbbing pain. It is necessary to take a teaspoon before meals. A cucumber diet or fasting days is good for the health of the stomach.
Hypericum juice. This juice helps to calm the nerve fibers. You need to use it in a tablespoon.
Infusion from meadowsweet. It is necessary to fill the flowers with 300 grams of boiled water and leave it in a dark, warm place for several hours.

If the treatment does not bring the desired result, then more radical measures must be taken. For example, surgical intervention, however, this can be provided only after consulting a gastroenterologist and a surgeon.

Useful video

Late evening is the time when the ambulance and reception departments hospitals are especially busy. During the day, changes occur in the human body. Late in the evening, the production of glucocorticoids, hormones of the adrenal cortex that suppress inflammation and associated pain, reaches a minimum. The threshold of pain sensitivity decreases. Any pain associated with inflammatory processes makes itself felt stronger.
Closer to the night, hospitals are usually more intensively filled with new patients, many of whom complain of pain in the abdomen, under the ribs, in the pit of the stomach. Some morning it will get better and they will go home. Others will have to undergo a course of treatment for a week or two.

Often it is at night that pain begins to disturb acute appendicitis. Usually, at the beginning, the whole abdomen hurts, around the navel, then the pain shifts to the right iliac region.
"Hungry", nocturnal pain in the upper abdomen is characteristic of some forms chronic gastritis, ulcers in the lower part of the stomach, duodenum. Usually, if you eat, the condition improves.
With gastroesophageal reflux disease (a condition in which the contents of the stomach are periodically thrown into the esophagus), chalazia cardia (insufficiency of the muscular sphincter in the lower part of the esophagus), diaphragmatic hernia, the condition worsens when a person is in horizontal position, especially if he ate shortly before bedtime. In this case, the contents of the stomach enter the esophagus more easily, heartburn and pain occur.
Dyspepsia is an indigestion that occurs when various diseases. Pain, heaviness and bloating in the abdomen can bother you at night if you eat before bed.
Night and morning pains under the right rib can disturb with cholecystitis, cholelithiasis, liver diseases. Especially if there was a holiday the night before, a stormy feast with an abundance of fatty foods and alcohol.

Where to go for help?

If the pain is very intense, the general condition has greatly worsened, other symptoms are disturbing, such as nausea and vomiting, yellowness of the skin, pallor, dizziness, fever - you need to call an ambulance. Before the arrival of the doctor, you can not take painkillers, laxatives, do an enema.
If there was no ambulance, the next day you need to visit a general practitioner or gastroenterologist. If the pain does not bother you for the first night in a row or occurs periodically for a long time, do not hesitate to go to the hospital. Symptoms of a chronic disease can be tolerated for some time, but gradually the condition will worsen anyway, serious complications can develop.
In order to diagnose the cause of nighttime abdominal pain, the doctor may prescribe blood tests, abdominal ultrasound, X-ray contrast studies, CT, MRI, and other procedures.