Upset Tummy? Symptoms You Shouldn’t Ignore
It’s easy to overindulge during the holiday season — believe me. Even FBGs occasionally go overboard on those sometimes foods … and feel the ill effects of doing so shortly afterward. We always assume it’s just a little stomach discomfort — nothing to worry about, right? But sometimes, there’s more to it.
That’s why we were pretty psyched when we received the following info from Dr. Gina Sam, MD/MPH is an Assistant Professor in the Division of Gastroenterology, Department of Medicine at Mount Sinai School of Medicine in New York, about six stomach issues people really shouldn’t ignore.
6 Stomach Issues You Shouldn’t Ignore
1. Indigestion. Common symptoms include feeling full fast during a mean, a slicing pain, burning or tightness between your breastbone and navel or bloating. The tricky thing with indigestion is that it can be triggered by something else that is worse. Persistent indigestion may be a side effect of a medication, caused by smoking, thyroid disease, ulcers, infection or gastroesophageal reflux disease.
“If you rarely have indigestion and feel funny or discomfort after a spicy meal that may go away on its own. However, if indigestion is a daily occurrence for more than two weeks and is coupled with trouble swallowing, fatigue or weakness then absolutely see your doctor to be sure it isn’t due to something more serious,” advises Dr. Sam.
2. Lactose intolerance. When the small intestine fails to product enough lactase, an enzyme that digests milk sugar (lactose) food reaches the colon before it has been processed and absorbed. Undigested lactose interacts with normal bacteria in the colon leading to diarrhea, nausea, bloating, cramping, gas and sometimes even vomiting. These symptoms usually begin 30 minutes to two hours after consuming foods or drinks with lactose. Dr. Sam explains that the challenge with lactose intolerance is that it often leads to calcium deficiency so it’s always a good idea to see your doctor to create a plan that explores which foods trigger discomfort and which are still okay.
3. Kidney stones. According to Dr. Sam, kidney stones don’t cause symptoms until they pass on from the kidney towards your bladder. That’s when there may be cloudy or foul smelling urine that can appear brown, or pink. There may also be a frequent need to urinate but the ability to only urinate small amounts. Nausea and vomiting along with fever and chills are also symptoms. Usually when lower back pain is so severe sleeping and even sitting is difficult the patient seeks medical attention. “When you have kidney stones you just know something isn’t right, yet sometimes it takes people longer to see several symptoms before they seek medical attention,” explains Dr. Sam.
4. Gallstones. These are stones that form in the gallbladder, a tiny sac that hangs out under the liver, emptying bile as needed to digest fats. These stones cause swelling and can block the duct into the intestine, resulting in pain. Gallstone pain tends to strike the right side of the upper abdomen, particularly after fatty meals triggering the gallbladder to contract. “If the gallbladder is inflamed, any contraction of that nature will be amplified and typically will cause pain to the patient,” says Dr. Sam.
5. Appendicitis. While it’s more common to people ages 10-20 it can strike at any age. Typical symptom is pain specifically in the lower right quadrant of the abdomen however, half of those with appendicitis have pain elsewhere. Also not everyone has his or her appendix in the same place, making the pain site vary.
“This is why it is important to monitor symptoms closely. Many of the symptoms are similar to ones associated with other conditions such as kidney stone, Crohn’s disease, even ectopic pregnancy,” offers Dr. Sam. She further explains that the patient can expect several tests (blood, urine, MRI, CT or ultrasound) to confirm diagnoses. Some doctors don’t want to risk waiting for test results and based on how the patient describes his or her own symptoms may opt to surgically remove the appendix.
6. Side effects from medications. “No drug is without side effects and sometimes that includes abdominal pain.
Oral bisphosphonates, a popular class of drugs that helps preserve bone density and prevent osteoporosis, can cause swelling— and therefore pain — in the lower esophagus,” says Dr. Sam. Pain medications known as NSAIDs (nonsteroidal anti-inflammatory drugs) such as ibuprofen and aspirin can also cause swelling in the stomach lining and may even lead to ulcers.
Rule of thumb: trust the gut. When something feels more serious, it usually is. Some stomach issues can either be symptoms of other more serious issues or if left unaddressed, can escalate into something worse. “Whenever you’re feeling prolonged discomfort and sharp pain it’s worth seeing your doctor,” advises Dr. Sam.
Here’s to a holiday season free of any upset tummy issues! —Kristen