Why does my stomach feel uncomfortable at night if I eat a little more in the evening, and what should I do about it?

May 14, 2023 Source: Cainiu Health
Dr. Zhou Chao
Introduction
Slight overeating at night causing stomach discomfort may be due to physiological factors or pathological conditions such as indigestion or chronic gastritis. Eating a little more in the evening can lead to excessive food accumulation in the gastrointestinal tract, resulting in impaired digestion and absorption, thereby causing nighttime stomach discomfort—a normal physiological phenomenon.

Discomfort in the stomach at night after eating slightly more in the evening may be caused by physiological factors or pathological factors, such as indigestion, chronic gastritis, etc. The specific analysis is as follows:

1. Physiological Factors

Eating slightly more in the evening may lead to excessive food accumulation in the gastrointestinal tract, which cannot be properly digested and absorbed, resulting in stomach discomfort at night. This is a normal physiological phenomenon and can be relieved by moderately reducing food intake in the evening.

2. Pathological Factors

1) Indigestion

If one suffers from indigestion with weak gastrointestinal motility, food entering the stomach may not be adequately processed due to insufficient peristalsis, leading to the aforementioned symptoms. Patients may take medications such as itopride hydrochloride tablets or domperidone tablets as directed by a physician.

2) Chronic Gastritis

Chronic gastritis is usually caused by Helicobacter pylori infection damaging the gastrointestinal mucosa. Under the influence of the bacteria, the gastric mucosa fails to secrete gastric acid normally, potentially causing these symptoms. Patients may follow medical advice to use medications such as omeprazole enteric-coated capsules or amoxicillin capsules for treatment.

In addition, nighttime stomach discomfort after eating slightly more in the evening could also be caused by conditions such as duodenitis, gastric ulcer, duodenal ulcer, or even stomach cancer. It is recommended to maintain a positive mindset during treatment.


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