Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

136 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

What causes stomach pain when i miss a meal?

Answered by
Dr.
Dr. Grzegorz Stanko

General Surgeon

Practicing since :2008

Answered : 5770 Questions

default
Posted on Fri, 8 Aug 2014 in Abdominal Pain
Question: Hello,

I seem to have a problem with my stomach hurting quite badly when I miss a meal, and then eat again. For example with a busy life I can sometimes miss lunch, then when I get to dinner my stomach starts cramping over after eating. I do get gassy as well but the only way it goes away is once I sleep and wake in the morning feeling more normal again.

I also get this effect in my stomach when I eat oily foods, particularly fried foods which I don't eat very often, but when I do it feels just awful afterwards.

Thank you for your help.
doctor
Answered by Dr. Grzegorz Stanko 30 minutes later
Brief Answer:
Peptic ulcer.

Detailed Answer:
Hello!

Thank you for the query.

Your symptoms are quite characteristic for peptic ulcer. Depending of the ulcer location (duodenum or stomach) the pain appears after a meal or when the stomach is empty. You may have nausea with the pain and lack of appetite. The pain is usually localized on the upper middle abdomen.
If your pain radiates to the back, gallstones should be also considered.

I suggest you to have proper diagnostic. Abdominal ultrasound and blood work should be done at first. If nothing will be found (what is also characteristic for an ulcer), gastroscopy should be next.

In a meanwhile please avoid fatty foods, spicy foods, coffee (very important), chocolate, orange juices.

Hope this will help. Feel free to ask further questions.
Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,  
Medical Topics

Recent questions on  Duodenum

doctor1 MD

Hi, may I answer your health queries right now ? Please type your query here...
Hi, I got an esophagogastrduodenoscopy and the conclusion was Mild scalloping of the folds in the descending duodenum.
Doctor taken multiple biopsies but i would like to know how means.

doctor1 MD

My girlfriend is having problem with what we belive is her duodenum but has been unsuccessfull in getting any medical direction on how to best address or help her issue. She has progressively become very underweight over the past 10 years. Despite being very hungry she has trouble eating and frequently finds herself with a "full" sick feeling. She has has had an increasing problem over the years with reflux and vomitting --- she sometimes gets lucky and can have a stretch of a day or two without getting sick (but even then she is not able to eat anyore than usual). Her vomitting is frequently fully digested food/liquid. She has had repeated tests - endoscopy, colonoscopy, emptying test etc and the only explanation that has been potentially provided is that radiation treatments she had 40 years ago as a teen-ager may have damaged her duodenum. A while back she had been led to believe that her gall bladder was pressing on duodenum so she took the steps to have it removed, but unfortunately that didn't seem to correct the issue.

So at this point she is concerned as her weight keeps dropping and has not been given much in terms of thoughts of what she can do to help her situation. Any thoughts or suggestions? Thanks

doctor1 MD

Hello Doctor, In October last year i had to have Gastric Bypass surgery due to a large duodenal ulcer which the surgeon was unable to remove because it had attcached itself to the liver. The surgeon cut off blood supply to the ulcer so it could die off. My last GGT reading done yesterday is 207 Alka Phos is 162. I have a lump at the site of the liver whichmostly just causes discomfort and only hurts when I strain my seld like bending down and twisting my torso I get a stitch like pain, when running I feel the discomfort more severly, should I be worried?

doctor1 MD

my husband had an endoscopy done today. They found Congestion in the duodenal bulb and took a biopsy. He had another endo over a year ago and they said he had celiac disease. DOes this mean the celiac disease is not under control with the diet he has been on?

doctor1 MD

Hi, my father at 51 was diagnosed with cancer in his duodenum from an endoscope he died 3 years later. I'm now 50 and was wondering if I should have that procedure. I've had them in the past because of upper right quadrant problems and was told I...

doctor1 MD

I'm curious if starting probiotics can cause stool color to change. my husband started them a week ago and immediately his stool turned a very dark brown. not black and tarry but very dark brown. normal movement, no changes in that, just the...

doctor1 MD

I have a diarreha condition and the stool is dark purple to black. I have had diverticulitus in the past. I am 73 male I have no pain or fever . I have been self treating for 5 days with clear ddiet and clear liquids.