Abdominal pain and nausea during bowel movement
Abdominal pain during bowel movement is called defecation pain. In most cases, this pain is stabbing and burning and indicates increased intestinal activity. The causes for this are very different.
As the mucous membrane of the anus is very sensitive, there is often severe pain when small damages or tears occur here. Pain after defecation often occurs in connection with the so-called irritable bowel syndrome. This syndrome is, as the name suggests, an irritation of the bowel.
This is often accompanied by other symptoms such as diarrhoea or flatulence, which can also be the cause of the abdominal pain. Other chronic inflammations of the bowel, such as Crohn’s disease and ulcerative colitis, can also cause abdominal pain during bowel movements. In addition, these pains can also occur with reduced intestinal activity.
Abdominal pain in constipation is even quite common. Tumours in the intestinal area can also be the cause. If the diagnosis cannot be detected immediately, a rectoscopy or colonoscopy is often necessary.
In order to avoid pain during bowel movement as much as possible, it is important to ensure a regular and soft bowel movement. This can be achieved by proper nutrition, sufficient exercise and, above all, by drinking sufficient quantities of liquids. If the abdominal pain during bowel movement occurs in conjunction with nausea, either an inflammatory disease or intolerance, for example to histamine or lactose, may be present.
Abdominal pain and nausea with diarrhoea
Diarrhoea can very often occur in addition to abdominal pain and nausea. When diarrhoea occurs, the abdominal pain often manifests itself in the form of abdominal cramps. This combination usually occurs with viral or bacterial infections of the gastrointestinal tract.
The cause of diarrhoea can also be food intolerance to lactose, histamine, wheat or fructose. In the case of lactose intolerance, for example, the body lacks the enzyme lactase, which is needed to break down lactose. As a result, the undigested lactose accumulates in the intestines and is broken down by bacteria.
This results in the formation of acids and gases, which then lead mainly to diarrhoea and abdominal pain. Another cause can be irritable bowel syndrome. Here, phases of mushy, watery diarrhoea alternate with those of hard stool. The exact cause for the development of irritable bowel syndrome is not yet known. Presumably, many factors such as stress, previous infections or genetic predisposition to the disease play a role.
Stomach ache and nausea in the evening
If abdominal pain and nausea only occur in the evening, this is often an indication of a digestive problem. The food eaten throughout the day and also in the evening ferments, which causes a lot of air in the abdomen. This can lead to abdominal pain and even nausea.
If similar food is always eaten in the evening, a food intolerance could also be present. Histamine, wheat, fructose or lactose intolerance are common and can trigger these symptoms. Abdominal pain during pregnancy and nausea during pregnancy are among the typical first signs of pregnancy, even if they are very unspecific.
The nausea usually occurs in the morning and lasts all day long for many women. In others, the nausea does not occur or they only feel a dizzy feeling in their stomach. This nausea is usually not a cause for concern.
However, if it causes the pregnant woman to vomit several times a day, a doctor should be consulted to prevent excessive fluid loss. The pain during early pregnancy usually manifests itself as more or less strong pulling. In some cases, cramp-like abdominal pain may also occur.
These are caused by the heavy strain on the ligaments and muscles of the uterus, which expands more and more. These pains are also usually harmless. However, if they are very severe or occur in conjunction with other symptoms such as bleeding, this may indicate complications and a doctor should be consulted.
An ectopic pregnancy or miscarriage may be present. and nausea during pregnancyIf a woman regularly suffers from symptoms before her period, these are known as “premenstrual syndrome” (menstrual disorders). In addition to abdominal pain and nausea, it also includes headaches, a feeling of tension in the breasts, mood swings and other psychological symptoms.
All these symptoms are triggered by changes in the hormone balance of the woman during the menstrual cycle. If the egg is not fertilised and dies, the lining of the uterus is shed and expelled with the menstrual cycle. The process begins about two to three days before the period occurs and can manifest itself as stabbing, pulling or cramping pain caused by the contraction of the uterus.
In connection with these pains, nausea may also occur during this period. Young women and girls in particular often experience pain during the first bleeding, as the uterine muscles are still very tight. To relieve the pain, it is often helpful to place a hot water bottle on the lower abdomen.
If the pain and nausea are very severe and restrict the affected woman very much, a gynaecologist should be consulted in order to possibly initiate a therapy. Abdominal pain and nausea can also occur during ovulation during the female menstrual cycle. When ovulation occurs, one egg, the most developed, is ejected from the ovary and passes into the fallopian tube.
This is where the path to the uterus begins, where the egg can be fertilised if it meets a sperm cell within the first 24 hours after ovulation. The ejection from the ovary is triggered by certain hormones that cause the muscles of the ovary to contract. This muscle contraction can be felt by the woman as a pulling in the abdomen (mittelschmerz), which can be more or less painful.
Nausea can occur due to this pain if it is very strong. On the other hand, nausea can also occur independently of pain and be a sign that ovulation has occurred. Both symptoms can occur, but do not necessarily happen in every woman. Some do not notice their ovulation at all due to a lack of symptoms.
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