My stomach hurts sometimes and then not. What's going on?

Stomach pain is a very common condition in people's daily lives. There are many reasons for stomach pain, which may be eating bad food, catching a cold due to the cold weather, or a disease in the human intestinal tract, etc. Stomach pain can be divided into other different situations such as upper abdominal pain, lower abdominal pain, and sometimes the stomach hurts and sometimes it doesn't hurt. So here we will explain why the stomach hurts and sometimes it doesn't hurt.

Cause:

1. Upper abdominal pain: abdominal pain above the navel

1. Abdominal pain caused by gastroenteritis

When you have an upset stomach, such as food poisoning, you may experience stomach cramps a few hours after a meal, followed by nausea and vomiting, which is called "gastroenteritis." Some people also have diarrhea after the stomach pain, which does not stop, which is called "small intestinal colitis." The former mainly affects the stomach, while the latter affects the large intestine. Both are caused by toxins produced by rotten food or bacteria, which stimulate inflammation of the gastrointestinal tract. Except for a few who need intravenous drips, they will usually recover within a few days.

2. Stomach pain

Abdominal pain caused by inflammation or ulcer of the stomach or duodenum, the pain point is usually above the navel. Duodenal ulcer is caused by excessive secretion of gastric acid. It will be improved by eating something, but the pain will return when you are hungry. This is a typical duodenal ulcer patient. In addition, a small number of cases of true stomach pain are caused by stomach cancer. It is necessary to undergo a gastroscopy to find out the exact cause so as not to delay the disease.

3. Gallstones

Gallstones fall out and get stuck in the gallbladder duct, causing the gallbladder to contract and produce severe abdominal pain. The pain point is usually in the upper abdomen, which is often mistaken for stomach pain. The pain usually lasts half an hour to an hour after a meal. Gallstones often cause cholecystitis, and the pain will become continuous pain. The pain point is in the right upper abdomen and is often accompanied by obvious tenderness.

4. Pancreatic inflammation or pancreatic cancer

Pancreatitis is common in patients with gallstones, and patients with high triglycerides have thick blood, which makes it difficult for the digestive juices secreted by the pancreas to flow into the small intestine, causing pancreatic juice reflux and also leading to pancreatic inflammation. Abdominal pain caused by pancreatitis usually worsens slowly and can be easily mistaken for stomach pain.

Pancreatic cancer can also cause symptoms similar to stomach pain, especially cancer that grows in the body or tail of the pancreas, which often causes stomach or even back pain. Many people think it is a bone spur, and only realize that something is wrong when the condition worsens.

5. Terminal liver cancer

Except for the capsule on the surface, the liver has no pain nerves, so liver cancer usually does not cause pain. Unless the liver cancer is very large or in the late stage, the capsule is stretched and pain occurs. Or if the liver cancer is not large but grows on the surface, stomach pain will occur in the early stages. The pain point is usually in the upper abdomen and is persistent. In Taiwan, another common cause of abdominal pain is liver cancer rupture, which usually occurs in the right upper abdomen or right lower chest. Some people even fall to the ground in pain.

2. Lower abdominal pain: pain below the navel

1. Appendicitis

In the early stages of appendicitis, you may feel pain in the upper abdomen or stomach, which later moves to the lower right abdomen, where the appendix is ​​located. In addition, there will be a slight fever and elevated white blood cell count, which is usually not difficult to diagnose, but it is often difficult to diagnose in the elderly.

2. Ectopic pregnancy rupture

Women suddenly experience lower abdominal pain, break out in cold sweats, and even faint. Severe symptoms of ectopic pregnancy rupture often occur in patients with fallopian tube adhesions.

3. Bladder inflammation or stones

When stones get stuck in the urethra, they can cause severe pain in the bladder, urethral pain during urination, and even hematuria. If the bladder is infected by bacteria, there will also be pain in the same area, but the pain will be milder and usually accompanied by a burning sensation when urinating. A urine test can show an increase in white blood cells.

4. Menstrual pain

Women may experience varying degrees of lower abdominal pain during menstruation, which is normal. However, if the pain is severe or accompanied by