Abdominal discomfort can be a perplexing and incapacitating ordeal. Given the plethora of potential causes, pinpointing the actual root of the problem can be daunting. In this all-encompassing guide, we delve into the common culprits of stomach-related issues, their respective symptoms, and potential holistic solutions from a functional medicine perspective. By grasping the root causes, you can take the necessary measures to enhance your gut health and alleviate distress.
Experiencing pain on the left side of your abdomen is typically an indicator of stomach-related discomfort rather than pancreatic issues. Nonetheless, it is essential to consider potential pancreatic complications as these can also lead to abdominal discomfort. Conditions like pancreatitis or pancreatic cancer often mimic symptoms of stomach issues, necessitating professional medical consultation for accurate diagnosis and treatment.
Dyspepsia, often called indigestion, manifests as unease in the upper abdomen. Various factors can contribute to indigestion, including insufficient stomach acid production, which hinders effective digestion. This acid deficiency can lead to undigested food particles generating harmful acids in the stomach, causing inflammation, heartburn, and additional discomfort.
Insufficient stomach acid production can be attributed to several factors, including aging, stress, or the consumption of certain medications like antacids or proton pump inhibitors (PPIs). Low stomach acid can instigate various digestive issues, such as nutrient deficiencies, bacterial overgrowth, and food intolerances. For personalized functional medicine support from Dr. J, click here.
Poor digestion can stem from inadequate stomach acid production and other factors like a lack of digestive enzymes, food sensitivities, or a low-fiber diet. Enhancing digestion can significantly alleviate indigestion symptoms and promote overall gut health.
Also known as acid reflux, heartburn is a burning sensation experienced in the chest when stomach acid regurgitates into the esophagus. This can occur due to a weak esophageal sphincter, the muscle that prevents the backflow of stomach contents. Persistent heartburn can evolve into gastroesophageal reflux disease (GERD), a more severe condition necessitating medical intervention.
A dysfunctional esophageal sphincter can lead to the backflow of stomach acid into the esophagus, causing heartburn and inflammation. Factors such as obesity, pregnancy, or certain medications can contribute to a weakened sphincter. Addressing the root cause can help alleviate symptoms and prevent further complications.
Inflammation or other digestive issues can impact the nerves connecting the stomach to other muscles, such as the diaphragm. This can result in pain and discomfort beyond the stomach, complicating the diagnostic and treatment process.
A hiatal hernia occurs when the upper part of the stomach protrudes through the diaphragm, the muscle separating the abdomen from the chest. Symptoms can include heartburn, chest pain, and difficulty swallowing. Factors such as obesity, aging, or increased abdominal pressure due to pregnancy or heavy lifting can contribute to developing a hiatal hernia.
A hiatal hernia can disrupt digestion by inducing acid reflux and further weakening the esophageal sphincter. This can exacerbate indigestion and heartburn symptoms, underscoring the importance of addressing the hernia to alleviate discomfort.
The location of stomach pain can offer valuable insights into the underlying cause. A frequent site for stomach pain is the midline, just below the sternum, which could signify issues such as an H. pylori infection, heartburn, or a hiatal hernia.
Helicobacter pylori (H. pylori) is a type of bacteria known to cause inflammation and ulcers in the stomach lining. It's estimated that approximately half of the global population harbors this bacteria, although not everyone develops symptoms. When symptoms do manifest, they can include stomach pain, nausea, bloating, and a sensation of fullness. H. pylori treatment typically involves a combination of antibiotics and acid-suppressing medications.
Gastritis is a broad term for inflammation of the stomach lining. Various factors can cause gastritis, including infection, prolonged use of nonsteroidal anti-inflammatory drugs (NSAIDs), excessive alcohol consumption, or autoimmune disorders. Gastritis symptoms can include stomach pain, nausea, vomiting, and a sensation of fullness. Treatment for gastritis depends on the root cause and may involve medication, dietary alterations, or stress management techniques.
Stress can significantly influence digestion, leading to poor digestion, heartburn, and gastritis. Chronic stress can decelerate the digestive process, reduce blood flow to the digestive organs, and stimulate the stomach to produce more acid. Managing stress through relaxation techniques, regular exercise, and adequate sleep can help mitigate stress-related digestive issues.
Small intestinal bacterial overgrowth (SIBO) and fungal overgrowth, such as Candida, can contribute to stomach pain and digestive issues. These imbalances can result from various factors, including a diet rich in sugar and refined carbohydrates, antibiotic use, or compromised immune function. Treatment for SIBO and fungal overgrowth may involve dietary changes, antimicrobial supplements, or medications a healthcare professional prescribes.
Visceral manipulation is a manual therapy technique that gently manipulates the internal organs to correct structural imbalances, enhance function, and alleviate pain. This technique can be highly beneficial for conditions like hiatal hernia, where the stomach has protruded through the diaphragm.
Abdominal pain and digestive issues can be uncomfortable and disruptive to your daily routine. By understanding potential causes such as indigestion, heartburn, hiatal hernia, H. pylori infection, and gastritis, you can collaborate with a healthcare professional to craft an appropriate treatment plan. Incorporating dietary changes, stress management techniques, and targeted therapies like visceral manipulation can help alleviate symptoms and improve overall gut health. To explore further avenues of functional medicine with Dr. J, click here.
“Functional Medicine Approach to Chronic Disease” by Mark Hyman, M.D.
“Gastrointestinal Diseases and Disorders: Diagnosis and Treatment” by James S. Scolapio, M.D.
“Indigestion: Diagnosis and Treatment” by Nimish Vakil, M.D.
“Helicobacter Pylori: Physiology and Genetics” by Harry L. T. Mobley, George L. Mendz, Stuart L. Hazell.
“Gastritis: Causes, Diagnosis, and Treatment” by Peter Malfertheiner, M.D., Ph.D., M.Sc.
“The Role of Gut Microbiota in Health and Disease” by Emad M. El-Omar, Ph.D.
“The Gut-Brain Connection: How Stress Impacts Digestive Health” by Emeran Mayer, M.D.
“Small Intestinal Bacterial Overgrowth: Roles of Antibiotics, Prebiotics, and Probiotics” by Grace L. Su, M.D.
“Visceral Manipulation in Functional Gastrointestinal Disorders” by Jean-Pierre Barral, D.O., P.T.
“Hiatal Hernia: An Overlooked Cause of Disease” by Steve Rochlitz, Ph.D.