Upper abdominal pain with flatulence
Pain in the upper abdomen in combination with flatulence may indicate an inflammation of the stomach lining (gastritis). Those affected often complain of pain in the area of the middle upper abdomen, which is sometimes stronger, sometimes weaker. In addition, they often describe a feeling of fullness and the feeling that the stomach would swell – especially after a meal.
If these complaints persist over a longer period of time, a more precise diagnosis can be made by means of a gastroscopy.If it really concerns a Gastritis can – depending on the type of the Gastritis – among other things medicines from the group of the proton pump inhibitors such as Pantoprazole be ordered around a relief of the complaints to reach. In addition the consumption of alcohol and nicotine should be kept as small as possible. With a certain kind of the Gastritis is present a colonization of the stomach with a bacterium called Helicobacter pylori, in this case a special combination therapy with antibiotics and proton pump inhibitors should be accomplished.
A so-called irritable stomach, also known as a “nervous stomach” in the vernacular, can cause pain in the upper abdomen and a feeling of flatulence. In the case of an irritable stomach, no pathological changes can be detected, despite existing complaints. Therapeutically, a change in living and eating habits can help here, and psychotherapeutic measures are also a possibility to get the complaints under control.
Upper abdominal pain with diarrhea
Diarrhea is a symptom that does not have equal disease value. It is not uncommon for diarrhea to occur 1-2 times and the symptoms then stop. Nevertheless, the combination of abdominal pain and diarrhoea can be an indication of a gastrointestinal infection.
Most of these infections are self-limiting and do not require specific therapy. The affected person should ensure a sufficient fluid intake and take care of himself. If other symptoms such as fever and chills are added or if the abdominal pain and diarrhoea persist for more than 2-3 days, a doctor should be consulted urgently.
Upper abdominal pain and diarrhea that looks greasy and shiny can also indicate chronic pancreatitis. Due to a permanent latent inflammation of the pancreas, it loses part of its function and no longer produces sufficient digestive enzymes, resulting in the relatively characteristic-looking diarrhea. In this case, the missing pancreatic enzymes often have to be replaced by medication to ensure adequate digestion and metabolism.