General Practice 2022

Pain in the mouth of the estômagus: 6 causes and what to do

Pain in the mouth of the estômagus: 6 causes and what to do
Pain in the mouth of the estômagus: 6 causes and what to do

Pain in the pit of the stomach is the popular name for the so-called epigastric pain or epigastralgia, which is pain that arises in the upper part of the abdomen, just below the chest, a region that corresponds to the place where the stomach begins.

Most of the time, this pain is not a cause for concern, and can indicate some change in the stomach, esophagus or beginning of the intestine, such as reflux, gastritis or poor digestion, for example, and is usually associated with other symptoms, such as heartburn, nausea, vomiting, gas, bloating or diarrhea, for example.

However, it is important to remember that, in some rarer cases, pain in the pit of the stomach can also indicate other more serious diseases such as inflammation in the gallbladder, pancreatitis or even a myocardial infarction, so whenever If this pain appears with strong intensity, does not improve after a few hours or is accompanied by shortness of breath, dizziness, tightness in the chest or fainting, it is important to go to the emergency room for a doctor's evaluation.

Although stomach pain can have several possible causes, and only medical evaluation can determine the change and treatment in each case, here are some of the main causes:

1. Gastritis

Gastritis is inflammation of the mucous membrane that lines the inside of the stomach, causing pain in the mouth of the stomach that varies from mild, moderate, to intense, which is usually like burning or tightness and that appears especially after eating.

Generally, in addition to pain, gastritis causes other symptoms such as nausea, feeling very full after eating, belching, excessive gas and even vomiting, which produce a feeling of relief.

This inflammation can be triggered by various causes such as an unbalanced and high-fried diet, stress, frequent use of anti-inflammatories, or an infection with the bacteria Helicobacter pylori, for example.

What to do: the treatment must be indicated by the gastroenterologist or general practitioner, who may indicate the use of medications such as omeprazole to reduce stomach acidity. In the case of H. pylori infection, the use of antibiotics such as clarithromycin and amoxicillin, for example, may also be indicated.

It is also important to change eating habits, avoiding the consumption of alcoholic, spicy or highly seasoned beverages. Check out the nutritionist's guidelines on diet in gastritis in the video below:

2. Esophagitis

Esophagitis is inflammation of the tissue of the esophagus, usually caused by gastroesophageal reflux disease or a hiatal hernia. This inflammation usually causes stomach pain and burning in the chest region, which worsens after meals and with certain types of food, such as caffeine, alcohol and fried foods. In addition, the pain is more frequent at night and does not improve with rest alone.

What to do: Treatment is doctor-recommended and includes medications to decrease stomach acid, such as famotidine or omeprazole, as well as lifestyle changes, how to avoid smoking and consuming alcoholic beverages, foods high in fat, sugars and ready or frozen meals. In some cases, surgery may be recommended to prevent the return of food and promote improvement of symptoms. See more details of treatment for esophagitis.

3. Bad digestion

Eating in excess or ingesting foods that the body does not tolerate well, that are contaminated with microorganisms or that contain lactose, for example, can cause difficult digestion, with irritation of the stomach mucosa, excessive production of gases, reflux and increased intestinal motility.

The result is pain that can appear in the pit of the stomach or elsewhere in the abdomen, and may be accompanied by gas, diarrhea or constipation.

What to do: in these cases, the pain usually goes away after a few hours, and it is recommended to take medication to relieve the discomfort, such as antacids and analgesics, drink plenty of fluids and eat light foods. You can also opt for home remedies, such as boldo and anise tea. In addition, it is also recommended to consume foods that do not irritate the stomach, such as jellies and cookies without filling, for example.

4. Gallbladder stone

The presence of stones in the gallbladder can cause severe abdominal pain that, despite most often appearing in the upper right part of the abdomen, can also manifest itself in the region of the pit of the stomach. The pain is usually colicky and usually gets worse very quickly, and may be accompanied by nausea and vomiting.

What to do: the gastroenterologist can guide the use of medication to dissolve the stones and relieve symptoms, such as ursodeoxycholic acid, as well as analgesics and antiemetics to relieve discomfort and the pain.Some techniques indicated are shock waves and, in more severe cases, removal through surgery. It is also important to change lifestyle habits, such as avoiding the consumption of embedded, fatty and red meat foods, for example. See the main forms of treatment for gallstones.

5. Acute pancreatitis

Pancreatitis is inflammation of the pancreas, an organ located in the center of the abdomen and with a very important role in food digestion and hormone production. In these cases, the pain almost always comes on suddenly and is very intense, and can radiate to the upper abdomen. Pain may also be associated with vomiting, abdominal distention and constipation.

What to do: Acute pancreatitis is a medical emergency and its treatment must be started quickly, to prevent it from getting worse and causing generalized inflammation of the body. The first measures include fasting, hydration in the vein and use of analgesics.If an infection is identified, the doctor may indicate the use of antibiotics, such as ciprofloxacin, ofloxacin or vancomycin, for example. In severe cases, surgery may be indicated. Check out how the treatment for pancreatitis is done.

6. Heart problems

It can happen that a cardiac disorder, such as a myocardial infarction, presents with pain in the pit of the stomach, instead of the typical chest pain. Although not common, stomach pain due to a heart attack is usually burning or tight, and is associated with nausea, vomiting, cold sweat, or shortness of breath.

Heart alterations are usually suspected in people who already have a risk factor for heart attack, such as the elderly, obese, diabetics, hypertensive patients, smokers or people with heart disease.

What to do: if a heart attack is suspected, it is necessary to go immediately to the emergency room, where the doctor will carry out the first evaluations to identify the cause of the pain by performing of an electrocardiogram and will request the measurement of cardiac troponins, so it is possible to start treatment more quickly.Know how to identify the main symptoms of a heart attack and how to treat it.

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