My stomach hurts and I want to poop but I can't. What's going on?

Stomachache is a disease that occurs in the internal tissue of the skin. This condition may be a manifestation of a certain disease, but most of the time it is a symptom of the need to defecate. However, there are also cases where the stomach hurts but the stool cannot be defecated. This is an abnormal condition, and most of the time it is possible that there is a problem with other substances in the stomach. So why does the stomach hurt but the stool cannot be defecated?

It may be caused by gastrointestinal dysfunction or constipation.

Gastrointestinal dysfunction is also known as gastrointestinal neurosis. On the premise of excluding organic lesions, mental factors are the main cause of this disease. For example, emotional tension, anxiety, difficulties in life and work, worries, unexpected misfortunes, etc. can all affect the normal gastrointestinal function and cause gastrointestinal dysfunction.

Causes

There are mainly the following aspects:

1. Irregular diet

It causes gastric motility disorder, promotes the secretion of gastric juice, and eventually leads to gastritis or gastric ulcer.

2. Pathological causes

Such as indigestion, gastritis, ulcer disease, acute gastroenteritis and so on.

3. Mental factors

Negative emotions can cause hypothalamic dysfunction through the cerebral cortex, thereby affecting gastrointestinal function and leading to gastrointestinal dysfunction.

Clinical manifestations

Gastrointestinal dysfunction usually has a slow onset, and the clinical manifestations are mainly gastrointestinal symptoms. Patients with gastric neurosis often show symptoms such as acid reflux, belching, anorexia, nausea, vomiting, a burning sensation under the xiphoid process, fullness after eating, and upper abdominal discomfort or pain. The symptoms worsen with every mood change. Enteric neurosis, also known as irritable bowel syndrome, is the most common functional disease of the gastrointestinal tract. The main symptoms are intestinal symptoms. Patients often have abdominal pain, abdominal distension, intestinal rumbling, diarrhea and constipation. When there is pain in the left lower abdomen, a cord-like mass can be felt. The abdominal pain is often aggravated by eating or drinking cold drinks, and is relieved after defecation, flatulence and enema. Abdominal pain is often accompanied by symptoms such as abdominal distension, difficulty in defecation or increased frequency of bowel movements, and stools that may be loose or dry. In the past, this was called colon dysfunction, spastic colon, allergic colon, spastic colitis, mucous colitis, emotional diarrhea, etc.

The onset is usually slow, the course of the disease often lasts for years, and it is persistent or has recurring attacks. The clinical manifestations are mainly gastrointestinal symptoms, which may be limited to the pharynx, esophagus or stomach, but intestinal symptoms are the most common. They may also be accompanied by other common symptoms of neurosis.

treat

1. General treatment

The treatment of gastrointestinal dysfunction can only be fundamentally adjusted through mental adjustment and behavioral changes. Traditional treatment uses a combination of diet therapy, nutritional support therapy, sedatives, hypnotics, antispasmodics and analgesics. Doctors can use intestinal regulating, stomach regulating and tranquilizing agents, oryzanol, digestive enzymes, vitamin B1, metoclopramide, etc. according to the condition of the disease. For patients with obvious mental symptoms, anti-anxiety or antidepressant drugs are given to relieve psychological barriers. It is important to adopt psychotherapy, whose methods are generally explanation, comfort, guidance, analysis, understanding, positive suggestion and emotional transfer, so that patients can truly understand their condition, actively regulate their emotions, eliminate mental concerns, and increase their confidence in curing the disease.

2. Medication

Regulate nerve function and improve sleep. Depending on the condition of the disease, the following drugs and methods can be used.

(1) Sedatives include chlordiazepoxide, diazepam, chlorpromazine, phenobarbital, meprobamate or oryzanol.

(2) Antispasmodic and analgesic anticholesterol drugs can relax smooth muscles and have antispasmodic and analgesic effects; such as belladonna preparations, atropine, propantheline, etc.

(3) Vitamin B6 can be used for nervous vomiting. If vomiting is severe, give metoprolol, promethazine, morphine, etc. as appropriate.

(4) Constipation caused by intestinal neurosis can be treated with lubricants such as paraffin oil, magnesium oxide, antalol and plant mucus substances. Diarrhea can be treated with compound phenoxylate or 0.25% novocaine enema once a day, or Imodium.