What disease does upper abdominal pain indicate?

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Question
Hello doctor,
My stomach is always tight in the upper abdomen which is very uncomfortable. Eating rice only about 2 bowls is the stomach can not eat. I have had it for a long time, about 6 months, can't do anything, my mind is always uncomfortable because of stomach ache. Ask your doctor to advise you on what symptoms of abdominal pain on the warning? I thank Dr. much sir.
Anonymous customer
Answer
Answered by Master, Doctor Ta Que Phuong - Gastroenterologist - Endoscopy - Department of General Internal Medicine, Vinmec Times City International General Hospital.
Hello,
With the question "What disease does abdominal pain indicate?", the doctor would like to answer as follows:
Your symptoms can be thought of as functional dyspepsia, also known as dyspepsia. no ulcers (non-ulcer dyspepsia). This is the term used to describe a syndrome of pain or discomfort in the epigastrium (upper abdomen).
Some factors lead to indigestion such as:
Bad eating habits such as: not chewing well before swallowing, eating at night and eating too fast, eating a lot of starch, abusing fats, spices, overeating fast. Abuse of stimulants: alcohol, coffee, tobacco. Due to swallowing a lot of air (during and between meals). Gastroduodenal contractile disorders: 30-50%. People with the disease slow down the process of emptying food from the stomach into the intestines due to a lack of bile that helps digest fats, increasing the sensitivity of the nerves to pressure in the stomach and duodenum. Psychosocial factors such as stress, tension and anxiety in life also make many people sick, especially in today's stressful life conditions.
However, indigestion is also a symptom of digestive system diseases (such as peptic ulcer disease, gastroesophageal reflux disease, stomach cancer...); metabolic disorders (diabetes, hyperthyroidism); due to infection with H.Pylori bacteria or by taking medicine...
The patient may have symptoms similar to those of a peptic ulcer: epigastric pain, pain when hungry, pain relieved when eating . Pain symptoms may appear at night, causing the patient to wake up. However, pain symptoms can only appear at a certain time of day. Some patients present with symptoms of contractility disorders such as: patients feel full after eating, feel heavy stomach after eating, may have nausea or vomiting, belching, bloating in the epigastrium, ... The symptoms increase after eating, making the patient afraid to eat. The diagnosis of the disease is based on the exclusion of physical diseases by ultrasound and gastroduodenal endoscopy, blood tests.
Ultrasound: Helps rule out hepatobiliary diseases such as gallstones, intrahepatic stones, common bile duct stones, liver tumors, pancreatic tumors, chronic pancreatitis, pancreatic stones... Gastroduodenal endoscopy: To Excluding gastrointestinal diseases such as: gastric ulcer, duodenal ulcer, ... Your symptoms also take place for a while, you should visit and consult a gastroenterologist to find the cause and treatment.
If you still have questions about abdominal pain on the warning, you can go to the hospital of Vinmec Health System for further examination and advice. Thank you for trusting and sending questions to Vinmec. Wishing you lots of health.
Best regards!

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