Stomach pain every day in the evening
May 15, 2023
Source: Cainiu Health
Dr. Zhou Chao
Introduction
Stomach pain occurring every day in the evening may be caused by physiological factors or pathological conditions such as chronic gastritis or duodenal ulcer, and appropriate treatment should be based on the specific situation. If dinner includes raw, cold, or irritating foods, this may increase irritation to the gastric mucosa, leading to increased gastric acid secretion and resulting in stomach pain, which is generally considered a normal phenomenon.
Generally, stomach pain that occurs every evening may be caused by physiological factors or pathological conditions such as chronic gastritis or duodenal ulcer. Appropriate treatment should be based on the specific cause. The details are as follows:
I. Physiological Factors
If one consumes raw, cold, or irritating foods for dinner—such as ice cream or chili peppers—the gastric mucosa may become irritated, leading to increased gastric acid secretion and resulting in stomach pain. This is usually a normal phenomenon. It is recommended to choose light and easily digestible foods for dinner and avoid overeating to reduce the burden on the stomach.
II. Pathological Factors
1. Chronic Gastritis
In patients with chronic gastritis, eating dinner too late or experiencing prolonged hunger can lead to gastric acid production. Without food in the stomach, the acid directly erodes the gastric mucosa, worsening pain and causing stomach discomfort. It is advisable to maintain regular meal times. Under medical guidance, medications such as silibinin capsules or ornithine aspartate granules may be used for treatment.
2. Duodenal Ulcer
Duodenal ulcer is a type of ulcerative disease. High levels of daily stress or irregular eating habits may increase gastrointestinal motility, weaken the protective function of the duodenum, and lead to excessive secretion of digestive fluids, damaging the mucosa and triggering duodenal ulcers. When hungry, digestive fluids from the duodenum enter the stomach, causing this symptom. Patients are advised to take medications such as omeprazole sodium enteric-coated tablets or ilaprazole enteric-coated tablets as directed by a physician.
In addition, similar symptoms may also result from other conditions such as gastroesophageal reflux, pancreatitis, or gastric ulcer. It is important to follow medical advice when taking medication and avoid self-medication, which could further irritate the gastrointestinal tract.
