What causes irregular dull pain in the stomach?

　　In general, irregular dull abdominal pain may be caused by improper diet, stress and emotional fluctuations, gastroesophageal reflux, gastritis, or gastric ulcers. Symptomatic management through general treatments and medication is usually required. If symptoms are severe, timely medical consultation and following medical advice for treatment are recommended. Detailed analysis is as follows:

　　1. Improper Diet

　　Excessive eating, consuming overly greasy foods, or binge eating can require the stomach to secrete large amounts of digestive fluids, potentially causing tension in the stomach muscles and resulting in discomfort or dull abdominal pain. Symptoms may also include nausea, vomiting, and bloating. It is recommended to adjust eating habits to avoid overeating and consuming excessively greasy foods.

　　2. Stress and Emotional Fluctuations

　　Prolonged mental stress or emotional fluctuations can affect the balance between the sympathetic and parasympathetic nervous systems, slowing gastrointestinal motility and causing abnormal gastric acid secretion, which may lead to dull abdominal pain. Symptoms may also include anxiety and insomnia. It is recommended to practice relaxation techniques such as deep breathing, yoga, or meditation to help alleviate mental stress.

　　3. Gastroesophageal Reflux

　　Gastroesophageal reflux is associated with dysfunction of the lower esophageal sphincter and reduced esophageal clearance ability, causing stomach acid and gastric contents to flow back into the esophagus, leading to inflammation of the esophageal mucosa and dull abdominal pain. Symptoms may also include retrosternal burning sensation, acid regurgitation, and belching. It is recommended to use medications such as cisapride tablets, esomeprazole magnesium enteric-coated tablets, or lansoprazole tablets under medical guidance for treatment.

　　4. Gastritis

　　Inflammation of the gastric mucosa may be caused by various factors, such as Helicobacter pylori infection, drug irritation, or alcohol consumption. Inflammatory stimulation of the gastric mucosa can lead to irregular dull abdominal pain, accompanied by symptoms such as nausea, vomiting, and loss of appetite. It is recommended to follow medical advice to use medications such as rabeprazole sodium enteric-coated tablets, omeprazole enteric-coated capsules, or amoxicillin capsules to relieve symptoms.

　　5. Gastric Ulcer

　　Long-term alcohol consumption, smoking, and eating spicy foods can damage the protective mechanisms of the gastric mucosa, leading to gastric ulcers. At this point, increased gastric acid secretion after eating irritates the ulcer surface, causing pain, and symptoms such as postprandial fullness, belching, and acid regurgitation may occur. It is recommended to use medications such as famotidine capsules, sucralfate tablets, or pantoprazole enteric-coated tablets under medical guidance for treatment.

　　In daily life, maintaining good eating habits and lifestyle routines is also important to prevent the occurrence of gastric diseases.

　　References

　　[1] Liu Shuqin. Clinical Observation of Omeprazole Combined with Cimetidine in the Treatment of Stress-induced Gastric Ulcer [J]. Maternal and Child Health and Medicine, 2025, 31(02): 67-69.

　　[2] Xi Xiaohou, Zhang Mingxin, Lin Qiang, et al. Advances in the Diagnosis and Treatment of Gastroesophageal Reflux Disease [J]. Chinese Journal of Gastroenterology and Hepatology, 2025, 34(02): 297-302.