What causes upper abdominal fullness and a sensation of throat blockage, and what should be done about it?

Dec 07, 2022 Source: Cainiu Health
Dr. Xu Gang
Introduction
Upper abdominal fullness and a sensation of throat blockage may be caused by factors such as insufficient gastric motility, indigestion, gastroesophageal reflux disease (GERD), gastritis, or gastric ulcers. Insufficient gastric motility can lead to prolonged retention of food in the stomach, resulting in impaired gastric secretory function and symptoms such as upper abdominal bloating, nausea, and a feeling of blockage in the stomach. Under medical guidance, medications such as mosapride tablets or itopride hydrochloride granules may be used for treatment.

Generally, upper abdominal fullness and a sensation of throat blockage may be caused by insufficient gastric motility, indigestion, gastroesophageal reflux disease (GERD), gastritis, or gastric ulcers. It is recommended to seek timely medical evaluation at a hospital to determine the underlying cause and receive targeted treatment. Specific analyses are as follows:

1. Insufficient Gastric Motility

When gastric motility is inadequate, food remains in the stomach for prolonged periods, leading to dysfunction in gastric secretion and causing symptoms such as upper abdominal bloating, nausea, and a blocked feeling in the stomach. Under medical guidance, medications such as mosapride tablets or itopride hydrochloride granules can be used to enhance gastrointestinal motility and improve digestive function.

2. Indigestion

Overeating can lead to indigestion, resulting in gastric distension and upward movement of food, which causes bloating and a sensation of throat blockage. Under a doctor's supervision, oral medications such as domperidone tablets or Sisiao Pills may be used for treatment.

3. Gastroesophageal Reflux Disease (GERD)

GERD causes stomach acid to flow back into the esophagus, potentially leading to feelings of upper abdominal fullness and throat blockage. The acid irritates the lining of the esophagus and throat, causing discomfort and inflammation. Patients can take medications such as enteric-coated esomeprazole magnesium tablets or enteric-coated rabeprazole sodium tablets under medical guidance.

4. Gastritis

Gastritis can lead to excessive gastric acid secretion. Food fermentation in the stomach causes bloating and epigastric pain, producing large amounts of gas that rise through the cardia, resulting in upper abdominal fullness and a sensation of throat blockage. Under medical advice, patients can take oral medications such as potassium citrate bismuth tablets or colloidal pectin bismuth capsules for treatment.

5. Gastric Ulcer

Gastric ulcers may result from Helicobacter pylori infection and can cause upper abdominal fullness and throat blockage. Patients may also experience stomach pain and bloating. Treatment may include medications such as lansoprazole tablets or cimetidine tablets, taken according to medical instructions.

In daily life, it is advisable to eat easily digestible foods and pay attention to keeping the abdomen warm, avoiding exposing the gastrointestinal tract to cold stimuli.


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