Causes of heartburn and pain in the right hypochondrium

We have all ever experienced an unpleasant burning sensation in the intestines or stomach. This is heartburn, which we all hate, which is caused by the release of stomach contents into the esophagus.

The development of certain diseases of the gastrointestinal tract, hiatal hernia, and gastric displacement due to cholecystitis is also noted. The cause may also be a stomach ulcer that affects the walls of the esophagus.

When do people get heartburn?

This disease occurs as a result of:

  • nervous disorders;
  • passive lifestyle;
  • neglect of proper nutrition.

Frequent heartburn in almost all cases confirms the presence of GERD - gastroesophageal reflux disease, and if no measures are taken, hydrochloric acid will soon begin to corrode the lining of the stomach.

Heartburn is much more common in people who smoke and who abuse alcohol. This disease is not uncommon in healthy people, but the cause may be the usual overeating of junk food, or a heavy dinner just before bedtime.

Motor mode for heartburn

Many people feel an unpleasant burning sensation in the stomach area when they lie on their right side. Sometimes it is enough to lie on your left side to feel better and the discomfort in the esophagus has completely stopped. This is due to the fact that the stomach is located closer to the left half of the abdominal cavity, and is thereby more curved to the left.

The food lump passes much better through the digestive tract and does not linger in its sections. This helps prevent fermentation in the intestines, significantly reduce gas formation, and eliminate the reflux of acidic contents back into the esophagus.

It has been scientifically proven that people who try to lie more or sleep on their left side have much better blood circulation and lymphatic drainage, which helps the esophagus work better and perform its functions. Therefore, it is so necessary to develop the habit of falling asleep on your left side or on your back.

Pregnant girls especially need to pay attention to the position in which they lie, because in addition to the above tips, the position in sleep helps to increase blood flow to the kidneys and uterus and reduce the load on the spine.

A person suffering from heartburn should reconsider their lifestyle, stop smoking, start drinking alcohol in moderation, lead an active lifestyle, follow a diet and take vitamins prescribed by a doctor. You should not think that heartburn will go away on its own - it can lead to a huge number of diseases that will be ten times more difficult to cure.

You should not self-medicate; it is better to consult a specialist and follow all his recommendations.

The gastroenterologist recommends taking medications, maintaining an active regimen, physical therapy, and professional massage.

All this together will improve and normalize nervous and trophic processes, the exchange of useful elements, which helps restore the functionality of the gastrointestinal tract.

Sleeping on your back

If the patient does not suffer from breathing problems and snoring, then sleeping on the back will be beneficial. This position allows the body to fully rest and restore strength more effectively, since lying on your back is the optimal position for our spine.

In this position, there is minimal stress on the abdominal organs; the stomach is located below the esophagus, which has a beneficial effect on overall well-being.

Prevention

What preventive measures can be taken to prevent heartburn?

Doctors recommend:

  • Lie exclusively on your left side or back, only occasionally turning over to your right side for a short time.
  • I chew more slowly and thoroughly. No quick snacks or eating on the go.
  • Refrain from physical activity immediately after eating, wearing tight belts and belts.
  • Include more fermented milk products, boiled foods, vegetables and dishes prepared using a double boiler in your diet.
  • Complete exclusion of everything spicy, fried, smoked and fatty.
  • Reduce the amount of flour, chocolates, caffeine, green tea, cheese.

Frequent heartburn from: flour, tea, rice, cigarettes, cottage cheese - a signal to consult a doctor for advice.

  • Drink moderately warm water and food.
  • Eat often, but in small portions. The optimal number of meals is up to 6 times a day;
  • Go to bed a couple of hours after eating.
  • It is recommended to raise the head of the bed by ±13 cm.


According to the results of a large-scale study, 60 million people experience heartburn once a month, 27 million once a week, and 15 million respondents suffer from it daily. According to the most conservative estimates, this disorder occurs in 50 million people, and most often in the summer. To avoid both heartburn and the consequences that it may entail, you must follow a number of rules.

Prevention and treatment

To avoid heartburn in children, it is necessary to limit the child's dinner before bed. Excessive amounts of food negatively affect the entire gastrointestinal tract of the baby. Children may experience a burning sensation during sleep, just like adults.

Increased acidity of gastric juice causes heartburn during sleep. It is necessary to regulate the consumption of foods to avoid unpleasant symptoms. Fruits, vegetables and other foods that can affect the concentration of hydrochloric acid in the body should be excluded from the diet.

There is a popular belief that after eating it is necessary to take a horizontal position for better absorption of microelements. This is wrong. It is advisable not to engage in physical activity and limit yourself to quiet activities. If a person is lying down, then the pillow should be set high.

If heartburn attacks recur daily, you should consult your doctor and determine the causes of the disease. The specialist will prescribe tests and necessary examinations. If you have heartburn, you need to take medications systematically to achieve the intended effect. It is not recommended to suppress symptoms on your own. Treatment must be prescribed by a doctor, and you cannot change the dosage of the drug on your own or on the advice of friends. By eliminating the symptoms, a person does not eliminate the root cause.

We recommend: Do cigarette ashes help with heartburn?

Which side should you sleep on to avoid heartburn - right, left or back?

Heartburn can affect anyone, regardless of their health status, age or gender. The main cause of burning is the waste of stomach contents into the esophagus. In this case, the esophageal valve does not cope with its functions, so the person begins to suffer from irritation of the organ’s mucosa.

Sometimes, due to the burning sensation, people cannot sleep peacefully. In this case, the doctor will advise which side to sleep on if you have heartburn or how to get rid of it before bed. There are several poses that will help in the fight against burning, but which one will help is difficult to say. Most likely, you will have to try each of them due to the individual characteristics of each person’s body.

What causes heartburn?

In medical practice, there are three forms of heartburn, severe, moderate and moderate. With moderate burning, symptoms occur no more than once a month. On average - 4 times a month. Severe heartburn is characterized by daily discomfort. The appearance of medium and moderate forms is facilitated by the following:

  • eating shortly before bedtime, regardless of when a person goes to bed during the day or at night;
  • frequent stressful situations;
  • excess weight;
  • consumption of incompatible products;
  • a person eats excessive amounts of spicy, sour, salty or fried foods;
  • in the process of eating, a lot of air enters the stomach;
  • binge eating;
  • drinking alcohol, smoking and excessive love of sweets.

To avoid heartburn at night, doctors recommend not having dinner before bed. The last meal should be at least 3 hours before getting ready for bed.

Before going to bed, it is better not to eat fruits or vegetable salads that contain a lot of acid. If a person most often lies down to sleep on his back, the contents of the stomach easily enter the esophagus.

As a result, substances that are intended for processing food enter another organ and provoke an inflammatory process.

Before going to bed, it is not recommended to prepare dinner with the addition of garlic, lemon, herbs, lemon, avocado, sea vegetables, root vegetables (beets, radishes, carrots, horseradish), celery and cucumber.

Which side should you sleep on to avoid heartburn?

Depending on the causes of the burning sensation, it can disturb a person just before or during sleep.

In this case, if you can’t get rid of it quickly, you need to know which side you should go to sleep on to avoid heartburn or to avoid provoking a dangerous and difficult-to-treat disease.

Since the internal organs are located asymmetrically in the body, the sleeping position directly affects the person’s state after waking up.

It is also worth considering that some people feel better when sleeping on their left side, while others feel better when sleeping on their right. But whether it is worth focusing on individual characteristics in case of heartburn, you need to find out from your doctor. If a person is physically more comfortable in one position, but it is harmful to health, it is better to overcome the habit, since the treatment will take a long time.

On the left

The left side is the dominant side of the human lymphatic system.

Lymph contains all the necessary nutrients, such as proteins, glucose, metabolites and other elements, which are filtered by the lymph nodes.

Doctors believe that if you have heartburn, it is better to sleep on this side, since in this case, gastric juice will only be in the stomach cavity and will not be able to enter the esophagus.

Sleep without nightmares

Sometimes people ask experts which side is better to sleep on after eating. So, doctors say that the best position for this is resting on the right side of the body. And all because in this case, the processes of food digestion will be in the active phase, and it will be easier for food to be sent to the duodenum. “What do nightmares have to do with it?” – many will be surprised. It's simple. Often, if a person goes to bed with a full stomach, especially if they consumed fatty or fried foods before going to bed, this is fraught with nightmares and night horror films. But we also need to remember that you shouldn’t go on a night’s rest in a state of hunger. In this case, the sleep will be sensitive and weak. As a result, the body will not be able to fully rest.

Vulnuzan ointment - indications and instructions for use

Sometimes in life there are situations when it is urgently necessary to deal with various suppurations, open scratches or gynecological fissures. In such cases, topical external preparations are used to act locally on the damage. Vulnuzan ointment is recognized as one of the best remedies in the fight against real ailments.

Release form and composition of the ointment

Vulnuzan ointment for the treatment of wounds and open inflammations is produced by the famous Bulgarian company Sopharma, PLC. The unique composition was developed by the best pharmacists of the concern and includes:

  1. stabilized lye “Solilug”;
  2. Castor oil;
  3. carmellose sodium;
  4. lanolin;
  5. sodium benzoate;
  6. purified spring water.

The drug is intended for external use only. It looks like a homogeneous yellow ointment and has a specific odor that lingers on the body and clothes. Distributed in aluminum tubes of 45 grams, packed in a cardboard box.

The main active agent is of natural origin and is extracted from the mother liquor of Lake Pomerania in pharmacological laboratories. The resulting substance is characterized by a large accumulation of iron, magnesium, calcium, potassium, iodine, bromine and chlorine in the composition. It also includes colloids, alkalis and acids.

The auxiliary elements are designed not only to “dilute” Vulnuzan, but to enhance the effect of the lye and give the drug the greatest healing effect. However, it is important to follow the rules and shelf life of the ointment, otherwise the effect of the substances will lose its effect.

Properties

The main active ingredient of Vulnuzan ointment promotes the rapid healing of open wounds and inflammations, having a detrimental effect on pathogenic bacterial microflora and activating the production of protective antibodies. At the same time, it stimulates tissue repair and epithelization of the damaged area.

During an open inflammatory process, the amount of potassium in the wound area decreases significantly. However, it is this element that strengthens the walls of blood vessels, causing faster healing. Therefore, it is important to provide the damaged surface with the real element, which is available in abundance in Vulnisan.

Important! Thanks to the unique natural composition, allergic reactions to the ointment are almost absent. Therefore, the drug is used in many areas: surgery, cosmetology, gynecology and others.

Zinc, which is part of the royal liquor, has a disinfectant property and ensures that pus is drawn out from the ulcer. Also, thanks to this element, aesthetically neat scarring of the open wound occurs.

Clotrimazole ointment

Iron supplies damaged cells with oxygen, leading to rapid tissue regeneration. A sufficient amount of the most important component of the body’s vital functions is the key to seamless wound healing and successful suppression of pathogenic bacteria.

Therapeutic action and effects

When using the unique Vulnuzan ointment, you can observe numerous healing effects:

  • anti-inflammatory;
  • disinfectant;
  • regenerating effect;
  • beneficial effect on scarring;
  • nutrition of the skin with liquid;
  • rapid restoration of damaged tissues.

The greatest effect is achieved with regular application and strict adherence to instructions. Before using the ointment, it is recommended to treat the damaged surface with alcohol-free antiseptics. If necessary, can be used with occlusive dressings.

Indications for use

The range of applications of Vulnuzan ointment is quite extensive and includes various branches of medicine and cosmetology. Indications for use:

  1. purulent lesions of various nature: infection, surgery, superficial purulent reactions (also pararectal and post-infectious abscesses), trophic ulcers, post-traumatic wounds and atherosclerotic lesions;
  2. medicinal maceration of the skin;
  3. erosive-inflammatory processes in Buerger's disease;
  4. ulcers resulting from varicose veins;
  5. cervical erosion;
  6. cracked nipples of the mammary gland.

Important! When using Vulnuzan ointment, you must carefully follow the instructions of your doctor and not self-medicate. The substances in the drug have a strong effect and a local reaction is possible.

One of the main advantages of the ointment is the possibility of using it from 6 years of age and during lactation. But during feeding, it is recommended to pay special attention to the application regimen and dosage. It is also necessary to consult a doctor before use.

On the right side

There are those who find it uncomfortable to lie on their left side; they prefer the right. Scientists argue that this situation also has its advantages, these are:

  1. Normalization of rest in summer. Doctors have confirmed that during hot periods it is better to sleep on the right side. This is how the body cools down naturally.
  2. Symptoms of gallstone disease are reduced. Sleeping on the right side of the body alleviates the condition.
  3. More vivid and positive dreams. Experts recommend that people with chronic stress choose the right side. This reduces anxiety.

But there are also disadvantages that should also be taken into account.

This position should not be chosen by people who have problems with acidity levels.

Also at this time, the lymphatic system is inhibited. The slowdown in its work is insignificant, but it still affects health.

Which side to sleep on if you have heartburn?

Disclaimer

Please note that all information posted on the Prowellness website is provided for informational purposes only and does not constitute a personal program, a direct recommendation for action or medical advice. Do not use these materials for diagnosis, treatment or any medical procedures.

Consult your physician before using any method or product. This site is not a specialized medical portal and does not replace professional advice from a specialist.

The Site Owner does not bear any liability to any party who has suffered indirect or direct damage as a result of improper use of materials posted on this resource.

How are heartburn and sleep position related? Which side is better to sleep on if you have gastroesophageal reflux?

The cause of heartburn is the reflux of stomach contents into the esophagus, which leads to irritation of the mucous membrane of this organ and a burning sensation in the sternum. Hydrochloric acid, pepsin and lysolecithin contained in the food mass have an irritating effect.

Heartburn is a burning sensation behind the breastbone that occurs due to the reflux of stomach contents into the esophagus.

It usually occurs against the background of diseases such as peptic ulcer of the intestines and stomach, Zollinger-Ellison syndrome, reflux esophagitis, erosive esophagitis.

However, its appearance can also be caused by poor diet, smoking on an empty stomach, alcohol abuse, and even poor sleeping position. Heartburn may occur if you sleep on your right side.

Symptoms:

  • hiccups;
  • sour taste;
  • belching;
  • bitterness in the mouth;
  • burning behind the sternum.
  • eating before bed;
  • regular stressful situations;
  • excess weight;
  • binge eating;
  • alcohol abuse;
  • smoking;
  • abuse of fatty, sour, salty, spicy, spicy foods;
  • consumption of incompatible products.

The risk of heartburn is affected by your sleeping position. If you often suffer from heartburn at night and when waking up in the early morning, make sure you sleep on the correct side.

On the left side

Sleeping on your left side prevents heartburn. The stomach is located to the left of the esophagus. Therefore, when sleeping on this side, the gastric valve does not open so easily, and the contents of the stomach do not flow back into the esophagus.

This sleep position is considered the most competent and beneficial for general health. The main thing is to accept it correctly. It is better to extend your arms along your body. You can also hug a second pillow with them. Do not tuck them under the main pillow to avoid causing neck pain. The legs should be slightly tucked. The torso and head should lie flat.

On the right side

Sleeping on the right side with heartburn is contraindicated. It will definitely make the situation worse. The stomach is located to the left of the esophagus. Therefore, when a person lies on his right side, the contents of the stomach flow back into the esophagus, irritating its mucous membrane and causing heartburn.

Other disadvantages of sleeping on the right side:

  • slowdown of the lymphatic system;
  • slowing down the body's cleansing of toxins;
  • slowing down the digestive process;
  • entry of poorly processed food into the esophagus.

Attention! It is recommended to sleep on the right side for people with gallstone disease and those who often worry and experience stress.

On the back

Sleeping on your back is the best choice. It is not suitable only for those who suffer from snoring and apnea.

Sleeping on your back promotes rapid recovery of the body and ideal relaxation of the gastrointestinal tract. There is no pressure on the stomach in this position, and it is located below the esophagus, which prevents reflux.

Causes

The medical community distinguishes three forms of burning: moderate, moderate and severe. A moderate degree of burning occurs once a month. A moderate burning sensation is detected up to four times a month. Severe heartburn is characterized by daily occurrence.

Moderate and moderate heartburn appears if:

  • have dinner before going to bed;
  • there are constant stress factors;
  • excess weight is noted;
  • food consumption norms are greatly exceeded;
  • a lot of air got in during the process of consuming the product;
  • a person leans on alcoholic drinks, cigarettes and sweets;
  • the diet contains large quantities of fried, salty, sour, spicy foods;
  • the products consumed are incompatible.

Which side to sleep on if you have heartburn: advice from a gastroenterologist

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Quite often, a person’s well-being depends on how he rests. In this case, even what side he lies on or sleeps matters. There are certain recommendations from experts on this matter. By following them, you can get rid of heaviness in the stomach, heartburn, etc.

Rest after eating

Which side is better to lie on after eating? In order to facilitate the digestion process, it is better to sleep on the left side. This is due to the fact that in this position the stomach and pancreas are not compressed by other organs. Therefore, food is digested faster, and enzymes are produced better by the pancreas.

Also, food masses pass through the intestines faster if you lie on your left side, especially after a heavy dinner. The digestive process will speed up (when compared with another horizontal position of the body), and by the morning the person will feel the urge to defecate.

It is important that if a person lies on his left side, the lymphatic system is strengthened, which also contributes to the normal functioning of the body as a whole. It has been proven that there are more lymphatic vessels on the left side. Consequently, waste products that are processed by the lymphatic system are eliminated from the body faster and more efficiently.

Additional Information! Sleeping on the left side is also recommended for diabetes. But to relieve excess stress on the kidneys, it is recommended to bend your knees.

The liver functions better if a person sleeps on the left side. This is due to the fact that many different processes take place in it during sleep, and in this position blood circulation increases. Thanks to this, congestion in the liver is prevented.

Heartburn

Many people suffer from heartburn, but not everyone knows that you can prevent its occurrence by developing the habit of lying and sleeping on your left side. This is explained by the fact that the stomach is on the left side. And due to its specific curved shape, in this position the stomach contents do not reflux into the esophagus.

People with frequent heartburn are not recommended to lie down on a flat horizontal surface. It is better to have a pillow under your head, then the upper body will be raised. Therefore, if you have heartburn and pain in the right hypochondrium, you need to pay special attention to your body position while resting.

Right side

Which side is better to sleep on for better health? This is an individual question. Sometimes people are still advised to rest after eating and sleep on their right side. Namely, this applies to people with gallstone disease. This measure will help reduce the manifestations of characteristic symptoms and significantly alleviate the patient’s condition.

The disadvantages of this situation are the inhibition of the digestive process. This way food masses can be thrown into the esophagus. The lymphatic system also slows down. Because of this, toxins are not eliminated from the body on time.

Recommendations

It often happens that you want to lie down after eating. Doctors still recommend overcoming this desire and staying awake for 1 hour. This will allow the body to digest food faster.

Sleeping immediately after eating is not beneficial, since the body cannot fully rest. The digestion process will be in the active phase, and due to the supine position it will also be slowed down. In addition, if a person falls asleep with a full stomach, then the sleep will be restless with nightmares.

Note! It is generally not recommended to overeat at night. Eating should not occur later than 3 hours before bedtime. If you constantly break this rule, then diseases of the gastrointestinal tract are guaranteed. For example, reflux, obesity, etc.

Conclusion

In order to prevent heartburn and other pathological conditions, you need not only to eat right, but also to rest properly. Therefore, experts recommend lying on your left side after eating, if necessary. But still, do not forget that in a lying position the digestion process slows down.

Influence

The position in question is the most beneficial for health. Sleeping on your left side is necessary to improve digestion and heart function. This pose also helps to relax the spine.

To the lymphatic system

The left side of the body is the dominant lymphatic side. Resting in this position helps the body filter lymph fluid better. The processing of waste products from the brain is also accelerated.

For blood circulation

This position relieves some of the tension from the heart, improves arterial circulation, and has a positive effect on varicose veins.

In this case, the pressure on the vena cava, which is located on the right side, is reduced. But people with heart failure and those who have had a heart attack should avoid this position at night.

For the functioning of the gastrointestinal tract

The position discussed in the article will facilitate the transition of food from the stomach to the intestines. Lying on your right side can cause heartburn.

On the digestive process

In this case, gravity is involved. A night's rest in this position helps food waste pass through the large intestine better. Enzyme production also improves.

On the musculoskeletal system

Sleeping on the left side of the body is suitable for those who suffer from back pain. In this position, the spine rests, the back muscles do not experience excessive tension.

Severe heartburn at night: what to do

“I wake up at night with severe heartburn,” if you can say this about yourself, you can try using folk remedies before seeing a doctor.

At home, you can provide yourself with accessible first aid:

  • alkaline mineral water without gas;
  • warm milk (you need to be careful with this product; in some people, milk can cause an increase in stomach acidity);
  • Activated carbon;
  • nuts;
  • carrot juice;
  • buckwheat.

How to get rid of heartburn accompanied by vomiting? You need to drink a suspension of 5-8 crushed tablets of activated carbon with water. If possible, consult a doctor.

What to do if you have belching, heartburn, or a feeling of heaviness? You can drink a glass of mineral water or milk in small sips. You can keep ready well-dried and crushed buckwheat in the oven, which you eat a pinch in the morning on an empty stomach. Try drinking a glass of freshly squeezed carrot juice or simply nibbling on a carrot.

Snoring: a common consequence of resting on your back

Many scientific studies and human observations suggest that more men sleep on their backs and many of them snore in their sleep. This disorder has a reason - the amount of oxygen in the blood decreases. For asthma and apnea, it is recommended to sleep on your sides.

Sleeping on your side is more important in hot and sultry weather, as this is the easiest method to cool the body without auxiliary means. It is very useful to rest on the right side for those who have problems with the functioning of bile or kidney stones.

Consequences of heartburn during sleep

The most common causes of a burning sensation behind the sternum and even in the throat are weakening of the sphincter tone and increased production of gastric juice.

In case of a single mild attack, you can simply drink a glass of still mineral water in small sips or take a pinch of soda. It is not recommended to experiment with the latter - the method is suitable for extremely rare use.

If unpleasant sensations are constantly present or occur frequently, you should consult a doctor for examination. The effects of heartburn at night can be quite unpleasant.

Heartburn, which is caused by physiological changes without organic disorders, can provoke an inflammatory process. Regular irritation of the esophagus and stomach will lead to the fact that the patient can “get” acute or chronic gastritis, which over time transforms into an ulcer, inflammation of the esophagus.

Long-term heartburn causes esophagitis. The patient begins to suffer from belching, ulcers and erosions appear.

In turn, advanced esophagitis is a prerequisite for the formation of Barrett's esophagus. This disease is considered dangerous because malignant neoplasms often develop against its background.

Diet for Barrett's esophagus (sample menu for a week)

Therefore, it is necessary to be examined in time and prevent serious consequences.

Important! The patient should be immediately sent to the doctor if, in addition to heartburn, any of the following phenomena are observed:

  • vomit;
  • headache;
  • temperature increase;
  • tarry stools;
  • lack of appetite and sudden weight loss.

In any case, repeated heartburn cannot be ignored.

Causes and symptoms of night heartburn

Heartburn

These diseases often accompany each other. Usually the first to develop is a hiatal hernia, which can also occur together with ulcers and chronic cholecystitis.

Its formation can be caused by weakness of the diaphragm, increased pressure in the abdominal area as a result of physical activity. As a consequence of the development of a hernia, insufficiency of the esophagogastric sphincter appears, due to which the contents of the stomach disappear into the esophagus and leads to reflux esophagitis.

Symptoms of the disease are disturbances in the passage of food through the esophagus, heartburn itself, and sometimes pain in the chest.

Peptic ulcer of the duodenum and stomach

Heartburn with an ulcer can occur for several reasons. Often those suffering from ulcers have increased acidity of the stomach juice, so even short-term reflux into the esophagus irritates its mucous membrane and leads to heartburn.

An ulcer also reduces the contractile function of the duodenum or stomach, which increases the time food remains in the stomach and increases the number of its releases into the esophagus.

Disease of the operated stomach. Heartburn may occur after resection or complete removal of the stomach due to the release of bile or pancreatic juice.

Heartburn occurs due to food entering the esophagus from the stomach. The acids of the gastric juice begin to act on its walls, irritate the mucous membrane, and this becomes the main reason for the appearance of this unbearable feeling and discomfort in the sternum.

The appearance of heartburn is preceded by symptoms, among them are:

  1. Severe nausea and vomiting
  2. Belching (with a strong sour or bitter odor)
  3. Excessive secretion of saliva (this process is observed only before heartburn occurs)
  4. Severe burning in the esophagus, spreading throughout the sternum, radiating to the neck or scapular region
  5. Unreasonable cough
  6. Difficulty swallowing due to a lump in the throat

Heartburn must be treated, otherwise it will cause various ulcers, erosions or malignant tumors.

Diagnostic aspects for pain in the right hypochondrium

The following are extremely informative for a doctor when making a diagnosis:

  • nature of pain (intensity, recurrence, frequency of attacks, duration of episodes);
  • its connection with food intake, movement, changes in body position, breathing intensity, time of day;
  • nature of the pain (spastic, bursting, pressing);
  • information about how the pain is relieved or then weakened;
  • what phenomena accompany it (vomiting, heartburn, belching, sweating, fever);
  • degree of intensity increase.

For example, a characteristic dull pain with a duodenal ulcer occurs 2-3 hours after eating, at night. Helicobacter pylori infection dramatically increases the likelihood of stomach and duodenal ulcers.

Liver and gallbladder

  • Inflammation of the gallbladder, manifested by: prolonged pain;
  • belching with a bitter taste;
  • nausea with vomiting.
  • Hepatitis. Acute/chronic inflammation of the liver, provoked by viruses, alcohol abuse, autoimmune pathologies, intoxication, is accompanied by: icteric pallor;
  • general weakness;
  • subfibrality;
  • weight loss due to refusal to eat;
  • itching on the skin;
  • colic in the right upper epigastrium;
  • bitter belching.

https://youtube.com/watch?v=AJq3oAAfFfA

  • GSD, when stones form in the gallbladder and/or ducts. The disease is characterized by: dull, aching pain in the right shoulder blade, shoulder;
  • increased symptoms due to severe anxiety, malnutrition, shaking, and changes in weather conditions;
  • periodic attacks of biliary colic with strong, cutting sensations;
  • nausea, vomiting, belching with a bitter aftertaste.
  • Dyskinesia of the gallbladder, when the flow of bile in the duodenum is disrupted. There are two types of the disease with different symptoms: hypotension, when there is aching, constant pain and heaviness in the hypochondrium, bloating that develops 60 minutes after eating, nausea, belching, weakness;
  • hypertension, when severe, stabbing, paroxysmal pain appears in the right side under the ribs and near the navel, appearing 30 minutes after eating and accompanied by belching.
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