What causes stomach pain when you have gas but can't pass it?

Generally, the inability to pass gas along with abdominal pain may be caused by poor dietary habits, lack of physical activity, indigestion, irritable bowel syndrome (IBS), intestinal obstruction, and other related factors. It is recommended to seek medical attention promptly and follow medical advice for treatment. Details are as follows:

1. Poor dietary habits: Consuming excessive high-fat, high-sugar, high-salt, and low-fiber foods, along with heavy alcohol consumption and smoking, can slow intestinal motility, thereby affecting gas release and possibly causing mild pain. It is advised to adjust your diet by reducing intake of high-fat and high-sugar foods while increasing dietary fiber and water intake. Avoid excessive alcohol consumption and smoking. Abdominal massage may be performed to stimulate intestinal motility and help expel gas.

2. Lack of physical activity: Prolonged sitting or insufficient exercise can slow intestinal motility, causing gas to accumulate in the intestines and lead to abdominal pain and bloating. Increase physical activity such as walking, jogging, or practicing yoga to stimulate intestinal movement. Avoid prolonged sitting and take regular breaks to move around, which can help alleviate abdominal pain.

3. Indigestion: Indigestion is often caused by gastric motility disorders or Helicobacter pylori infection, which delays food transit in the intestines, leading to excessive gas accumulation and difficulty in gas expulsion, often accompanied by post-meal fullness. Under medical guidance, medications such as domperidone tablets, mosapride tablets, or compound digestive enzyme capsules may be used to enhance gastrointestinal motility and promote gas expulsion.

4. Irritable Bowel Syndrome (IBS): IBS is a functional bowel disorder characterized by abdominal pain and altered bowel habits. Increased intestinal sensitivity to food or emotional factors can disrupt intestinal motility, causing gas retention and constipation. Under medical supervision, medications such as loperamide hydrochloride capsules, otilonium bromide tablets, or amitriptyline hydrochloride tablets may be used to relieve intestinal spasmodic pain and reduce intestinal sensitivity.

5. Intestinal Obstruction: Intestinal obstruction refers to the inability of intestinal contents to pass smoothly through the intestine, leading to bloating and impaired gas and stool passage. Intestinal adhesions, inflammatory bowel disease, and other factors may cause intestinal obstruction, which can result in abdominal pain and vomiting. Follow medical advice for drug treatment, such as ampicillin capsules, cefadroxil capsules, or domperidone tablets, to control inflammation.

Maintain healthy lifestyle habits in daily life and avoid consuming spicy or irritating foods such as pepper, chili, and garlic, which may hinder recovery.