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Why Do I Get Sharp Pain Spasms In The Stomach An Hour After Having Lunch?

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Posted on Wed, 7 Apr 2021
Question: Hi,

I am suffering from stomach pain since 2 days. Pain starts after having lunch (after 1 hour of lunch) and it lasts for 4 to 5 hours .it is like sharp pain.

please suggest.
doctor
Answered by Dr. Ramesh Kumar (2 hours later)
Brief Answer:
Possible gastric ulcer.

Detailed Answer:
Hi,
You have tell tail sign of gastric ulcer.A gastric ulcer is a sore that develops on the lining of the oesophagus, stomach or small intestine.Peptic ulcers are open sores that develop on the inside lining of your stomach and the upper portion of your small intestine. The most common symptom of a peptic ulcer is stomach pain. Peptic ulcers include: Gastric ulcers that occur on the inside of the stomach.Stomach ulcers are almost always caused by one of the following: an infection with the bacterium Helicobacter pylori (H. pylori) long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs), such as aspirin, ibuprofen, or naproxen.The causes and symptoms of gastritis and ulcers are very similar.Treatment to get rid of H. pylori usually takes about 2 to 3 weeks. Your doctor may want you to take medicine that lowers the stomach acid for up to 8 weeks. Most ulcers heal within this time.
The only way your doctor can tell for sure if you have an ulcer is to look. She may use a test called an endoscopy. This test allows her to pass a thin, bendy tube down your throat and into your stomach and small intestine. The tube has a camera at the end so she can check the lining for ulcers.
So get a endoscopy done and follow with reports.
I recommend the following:

1. Zantac (ranitidine) 150 mg twice a day. Zantac is an acid reducer that decreases acid production by 70%, allowing the tissues to heal. You may need to take this for a month or longer. I prefer Zantac to the proton pump inhibitors (Nexium, Prilosec, etc) because it is safer and does not have the risk of discontinuation rebound hyperacidity when it is stopped.

2. Do not lie down for 2-3 hrs after eating.

3. Avoid acidic foods - citrus, tomatoes, juices

4. Decrease caffeine (colas, coffee) and sodas in general.

5. Decrease alcohol or completely stop it.

6. If you smoke cigarettes, now is the time to stop. They increase acid production and delay healing.

7. If you are overweight through the middle, that increases the risk of reflux. Try to decrease your weight (if overweight) slowly over time.

8. Eat smaller amounts at a time so there is less pressure in the stomach which can reflux acid into the stomach.

9. Avoid eating/drinking mint (it relaxes the lower esophageal sphincter which can allow more acid up).

If these changes don't help enough, it is time to see your doctor. Your dr. may want you to have an endoscopy (visualizes the esophagus, stomach, with a fiberoptic tube), or manometry (pressure testing of the esophagus).
Thanks
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2906 Questions

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Why Do I Get Sharp Pain Spasms In The Stomach An Hour After Having Lunch?

Brief Answer: Possible gastric ulcer. Detailed Answer: Hi, You have tell tail sign of gastric ulcer.A gastric ulcer is a sore that develops on the lining of the oesophagus, stomach or small intestine.Peptic ulcers are open sores that develop on the inside lining of your stomach and the upper portion of your small intestine. The most common symptom of a peptic ulcer is stomach pain. Peptic ulcers include: Gastric ulcers that occur on the inside of the stomach.Stomach ulcers are almost always caused by one of the following: an infection with the bacterium Helicobacter pylori (H. pylori) long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs), such as aspirin, ibuprofen, or naproxen.The causes and symptoms of gastritis and ulcers are very similar.Treatment to get rid of H. pylori usually takes about 2 to 3 weeks. Your doctor may want you to take medicine that lowers the stomach acid for up to 8 weeks. Most ulcers heal within this time. The only way your doctor can tell for sure if you have an ulcer is to look. She may use a test called an endoscopy. This test allows her to pass a thin, bendy tube down your throat and into your stomach and small intestine. The tube has a camera at the end so she can check the lining for ulcers. So get a endoscopy done and follow with reports. I recommend the following: 1. Zantac (ranitidine) 150 mg twice a day. Zantac is an acid reducer that decreases acid production by 70%, allowing the tissues to heal. You may need to take this for a month or longer. I prefer Zantac to the proton pump inhibitors (Nexium, Prilosec, etc) because it is safer and does not have the risk of discontinuation rebound hyperacidity when it is stopped. 2. Do not lie down for 2-3 hrs after eating. 3. Avoid acidic foods - citrus, tomatoes, juices 4. Decrease caffeine (colas, coffee) and sodas in general. 5. Decrease alcohol or completely stop it. 6. If you smoke cigarettes, now is the time to stop. They increase acid production and delay healing. 7. If you are overweight through the middle, that increases the risk of reflux. Try to decrease your weight (if overweight) slowly over time. 8. Eat smaller amounts at a time so there is less pressure in the stomach which can reflux acid into the stomach. 9. Avoid eating/drinking mint (it relaxes the lower esophageal sphincter which can allow more acid up). If these changes don't help enough, it is time to see your doctor. Your dr. may want you to have an endoscopy (visualizes the esophagus, stomach, with a fiberoptic tube), or manometry (pressure testing of the esophagus). Thanks