Q. I have frequent gnawing pain when stomach is empty. Why?

Answered by
Dr. Happykumar Kagathara
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Dec 06, 2016 and last reviewed on: Dec 22, 2020

Hi doctor,

I have frequent gnawing pain when stomach is empty, which is relieved after eating. There is a continuous mucus accumulation in the throat throughout the day, which obstructs proper breathing and flares the nose nostril followed by dry mouth. It is particularly in the early morning hours. If light food is taken at dinner, discomfort in the stomach during midnight and whole body feels dry and no proper bowel movements the next morning. Most of the time, stomach gets bloated after eating. When the stomach is empty, nose flares up and breathe is very abnormally hot.

#

Hello,

Welcome to icliniq.com.

  • In this condition, junction of esophagus and stomach become weak and therefore, stomach acid move up into the esophagus.
  • The most common cause for this is hiatus hernia in which there will be an opening in the diaphragm. The esophagus becomes loose, which allow the upper portion of the stomach to move into the chest.

The Probable causes:

Hiatus hernia.

Investigations to be done:

Upper GI endoscopy.

Differential diagnosis:

Helicobacter pylori infection.

Probable diagnosis:

GERD.

Treatment plan:

Treatment for acidity.

Regarding follow up:

Revert back with the reports to a medical gastroenterologist online.---> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist


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