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Why Does My Stomach Hurt Every Day? 23 Possible Causes

Stomachaches can happen for many reasons, ranging from short-term illnesses to chronic diseases to dietary choices.

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Nearly everyone has had a stomachache at some point. If your stomach hurts every day, you may wonder: Is it normal to have stomach pain every day? Stomach pain may be due to factors like certain medications you're taking, gluten or lactose intolerance, irritable bowel syndrome (IBS) , or stress.

Stomach trouble can be short-lived, come and go, or show up only after you eat, all of which are clues to the cause. Here's what you need to know about stomach pain, possible causes, and when to see a healthcare provider.

Types of Stomach Pain

There are different types of stomach pain you might experience. They include:

• Colicky pain: Severe pain that starts and stops, coming in waves
• Cramping pain: Pain that may be related to gas or bloating
• Generalized pain: Belly pain that's felt in more than half of your belly
• Localized pain: Belly pain that's in one area
• Referred pain: Pain that occurs away from its source
• Somatic pain: Localized, sharp pain caused by irritation from inflammatory processes like infections
• Visceral pain: Dull, nauseating, vague pain related to bloating and muscle contraction in the abdominal area

Sudden or Severe Stomach Pain

Exposure to some things, such as medication or environmental factors, can lead to stomach pain. Temporary conditions can cause stomachaches, as well. 

1. Appendicitis

Appendicitis is an inflammation of the appendix . Most people with appendicitis have sudden severe pain that warrants a visit to the emergency room. Appendicitis usually starts with pain on the right side of the abdomen , which slowly worsens.

"A telltale sign is pain when you bend your leg because it's pulling a muscle near your appendix as you make that motion,"  Patricia L. Raymond, MD , an assistant professor of clinical internal medicine at Eastern Virginia Medical School, told  Health .

Seek immediate medical attention if you suspect appendicitis. The appendix could burst, leading to long-term hospitalization and a potentially life-threatening infection known as peritonitis. A healthcare provider might want to remove your appendix, which is a surgical procedure.

2. Constipation

Constipation happens if a blockage or change in your diet causes your small or large intestines to be unable to move waste along. Constipation is a common symptom when people have problems passing stool and less than three weekly bowel movements.

Constipation can lead to abdominal pain , bloating, nausea, and vomiting. A healthcare provider might advise changing your diet and activity if constipation does not go away. They may suggest further treatment if lifestyle changes do not help.

3. Food Poisoning

Food poisoning from viruses or bacteria can cause stomachaches, diarrhea, and vomiting. Rarely, food poisoning can be severe and cause a fever higher than 102 degrees Fahrenheit, dehydration, and blood in the stool. Generally, food poisoning is common, and there are several national outbreaks each year in the United States.

Symptoms can begin within a few minutes to a week or more after consuming spoiled food. The duration of symptoms depends on the type of bacteria or virus you consume. Symptoms often resolve on their own. Consult a healthcare provider if symptoms become severe or persist for several days.

4. Gastritis

Gastritis causes inflammation of the stomach lining, leading to nausea and vomiting. If untreated, gastritis may cause gastric ulcers and bleeding. 

There are several causes of gastritis, such as:

• Autoimmune diseases
• Helicobacter pylori

A healthcare provider can help identify the type of gastritis you have. Treatment, which often includes medication, depends on the kind of gastritis.

5. Kidney Stones

Kidney stones are crystalized mineral and salt deposits that form if your urine concentrates. Kidney stones cause pain when they move through the urinary system. Usually, the pain occurs in the lower back and can radiate to the lower abdomen or groin, Jacob Skeans, MD , a gastroenterologist at The Ohio State University Wexner Medical Center, told  Health .

Other kidney stones symptoms include:

• Blood in the urine
• Burning while urinating
• Painful urination
• Urine that smells or appears cloudy

"Many [kidney stones] can pass spontaneously with hydration. Rarely, more invasive urologic procedures are needed to break up or remove stones," said Dr. Skeans. However, lifestyle changes and medication can also help prevent or avoid kidney stones.

6. Medications

Medications are a common cause of stomach pain. Some medications can irritate the stomach or slow down how fast it empties, causing discomfort. 

Common medications that cause stomachaches include:

• Antibiotics:  Specifically, antibiotics containing azithromycin can irritate the stomach. A healthcare provider may advise that you only take antibiotics after eating to avoid discomfort.
• Narcotic and blood pressure medications:  These relax the stomach walls and allow food to sit and ferment in your stomach, which may cause nausea.
• Nonsteroidal anti-inflammatory drugs (NSAIDs):  Ibuprofen and aspirin may cause stomach lining swelling or lead to ulcers .
• Oral bisphosphonates:  These help preserve bone density and prevent osteoporosis. Oral bisphosphonates may cause swelling and pain in the lower esophagus,  Vivek Kaul, MD , a professor of medicine in the gastroenterology and hepatology division at the University of Rochester Medical Center, told  Health . 

Consult a healthcare provider if certain medications are causing stomachaches. They may advise that you take medicines with food or switch to a different one that does not upset your stomach.

7. Parasites

Parasitic worms or microbes can occasionally cause stomach pain. Common parasites that cause stomachaches include  Giardia  and  Cryptosporidium . People ingest those parasites while swimming in contaminated pools or lakes or drinking contaminated water or beverages.

Parasites attach to the stomach lining or hang out in the small intestine or colon, causing symptoms like cramps, diarrhea, and nausea. Symptoms typically begin about two to 10 days (for  Cryptosporidium ) or one to three weeks after exposure (for  Giardia ).

Symptoms usually clear up with a lot of hydration and a little help from over-the-counter (OTC) anti-diarrheal medicine. A healthcare provider may prescribe medications if your symptoms persist.

8. Pelvic Inflammatory Disease

Pelvic inflammatory disease (PID) is a bacterial infection of the fallopian tubes, uterus, or ovaries. PID may cause pain underneath the belly button, said Dr. Raymond. 

Sexually transmitted infections (STIs), such as gonorrhea and chlamydia, can cause PID. You can help prevent PID by practicing safe sex and using condoms. Other, less likely but possible, causes of PID include intrauterine devices (IUDs), which can disrupt the cervix and cause bacteria to form.

PID can cause scarring of fallopian tubes and increase the risk of infertility. Consult a healthcare provider right away if you experience symptoms like fever, vomiting, or signs of fainting. A healthcare provider can treat PID by prescribing antibiotics. However, antibiotics cannot reverse any damage.

Stress can cause stomachaches, headaches, high blood pressure, and insomnia. Stress can cause or worsen digestive problems, pain, and health conditions like irritable bowel syndrome (IBS). To reduce stress , try some of the following tips:

• Avoid addictive substances and behaviors (e.g., smoking and alcohol).
• Connect with others.
• Eat a healthy diet.
• Exercise regularly.
• Get enough sleep.
• Make time to unwind.

10. Sugarless Gum

Consuming too much sorbitol in some sugar-free products can cause pain and diarrhea . "Sorbitol goes into your GI tract. Since your body can't absorb it, it gets to the bacteria in your colon, which eat it and produce gas and fluids that contribute to diarrhea," explained Dr. Raymond.

According to a case study published in 2019, consuming more than 20 grams of sorbitol daily could lead to digestive issues. For example, chewing a pack of Trident gum with 16–18 sticks, at 1.25 grams of sorbitol per stick, would put you at or over that limit. Still, you can cut back on the amount of gum you chew to treat stomachaches due to sugar-free gum.

Peptic ulcers are sores in the stomach and duodenum, or the first part of the small intestine. NSAIDs and  Helicobacter pylori , a type of bacteria, can cause ulcers.

Peptic ulcers are a common cause of stomachaches. Peptic ulcers can cause burning pain in your mid-upper abdominal area, often striking after eating. Some peptic ulcers can be painful enough to wake you in the middle of the night.

A healthcare provider might prescribe antibiotics and acid-suppressing drugs to treat ulcers caused by bacteria. The acid-suppressing medication will help you feel better for the time it takes for the antibiotics to get rid of the bacteria.

Chronic Stomach Pain

Some chronic diseases, such as those affecting the digestive system or thyroid, may cause stomachaches. 

Though rare, certain cancers, such as stomach and colorectal cancers, can cause stomachaches. Symptoms of stomach or colorectal cancers may include:

• Blood in stool
• Recurring stomach cramps or discomfort
• Unexplained weight loss

Talk with a healthcare provider about your symptoms if any of those symptoms persist for a long time. They can order tests that help rule out cancer.

13. Cholecystitis

Cholecystitis causes inflammation of the gallbladder. A gallstone can get caught in the cystic duct, blocking drainage and causing infection, explained Dr. Skeans. Cholecystitis can cause intense symptoms like right upper abdominal pain, fever, nausea, and vomiting. Often, cholecystitis requires surgery.

Many factors up the risk of gallstones and cholecystitis, including:

• Birth control pills
• Certain medications
• Chronic liver disease
• Rapid weight loss
• Severe illness

13. Diverticulitis

Diverticulitis is an inflammation of the diverticula, or pockets in the colon's lining. Symptoms can include lower abdominal cramps, which may respond to antibiotics. In severe cases, diverticulitis can cause abscesses, bleeding, and perforations. Those symptoms may cause severe pain or require surgery and hospitalization.

Consult a healthcare provider for a diagnosis and treatment plan. In mild cases, a high-fiber diet can help.

14. Endometriosis

Endometriosis occurs when tissue that normally lines the inside of the uterus migrates outside the uterus, usually to the fallopian tubes and ovaries. Endometriosis causes severe pelvic pain , abnormal menstrual bleeding, and infertility. 

Endometriosis can be difficult to diagnose and requires laparoscopic surgery to confirm. Often, healthcare providers recommend medications, like NSAIDs, or birth control pills, to alleviate painful symptoms.

15. Gallstones

Gallstones form in the gallbladder, a tiny sac hanging out under the liver, expelling bile as needed to digest fats. Gallstones are hard, pebble-like materials that develop in your gallbladder, typically made of cholesterol or bilirubin. 

Gallstones can cause swelling and block the duct into the intestine, causing stomachaches. Typically, pain strikes the right side of the upper abdomen, particularly after eating high-fat foods. Those foods can trigger the gallbladder to contract. "If the gallbladder is inflamed, any contraction of that nature will be amplified and typically will cause pain to the patient," explained Dr. Kaul.

16. Gastroesophageal Reflux Disease

Gastroesophageal reflux disease (GERD) can cause pain in the upper stomach and lower chest, known as heartburn. A weak valve separating the stomach from the esophagus typically causes GERD. A weak valve allows food and acid from the stomach to splash upward.

Overeating or consuming the wrong type of food (e.g., fatty or spicy foods) can worsen GERD. Instead, to treat GERD, a healthcare provider may advise treatments, like:

• Losing weight if you have excess weight or obesity
• Taking medications, such as antacids, H2 blockers, and proton pump inhibitors
• Watching what you eat

17. Gluten Intolerance

Some people react poorly to gluten, a protein found in wheat, barley, and rye. Celiac disease, an autoimmune disease, is a severe form of gluten intolerance.

Gluten intolerance and celiac disease can cause gas, bloating, mild-to-severe pain, and fatigue. The small intestine's inability to absorb nutrients may lead to chronic diarrhea, weight loss, and malnutrition, too. 

See a healthcare provider for diagnosis and treatment. Commonly, treatment includes dietary changes.

A hernia happens when an internal organ or fatty tissue pokes through a muscle or connective tissue. There are many different types, all of which often cause stomachaches, explained Dr. Skeans.

For example, an external hernia usually feels like a constant dull, aching pain . In contrast, a hiatal hernia may cause heartburn, indigestion, regurgitation, and upper abdominal or chest pains.

Talk with a healthcare provider if you suspect you have a hernia. Usually, hernias require surgery to treat.

19. Inflammatory Bowel Disease

Inflammatory bowel disease (IBD) causes small or large intestine inflammation, leading to painful gastrointestinal (GI) symptoms. IBD includes Crohn's disease and ulcerative colitis.

IBD can cause scarring and blockage, which may cause stomachaches, diarrhea, and rectal bleeding. Symptoms are long-lasting but can flare up and subside in cycles.

People with IBD must monitor their condition closely, as it can lead to severe complications. Consult a healthcare provider about managing IBD and its symptoms, including stomachaches.

20. Irritable Bowel Syndrome

Irritable bowel syndrome (IBS) symptoms often include stomachaches. IBS also causes changes in bowel movements, such as diarrhea and constipation.

A healthcare provider can diagnose IBS by examining your personal and family health history and ordering tests. They can help you manage IBS by suggesting lifestyle changes, such as dietary changes. Sometimes, relaxation techniques like medication.

21. Lactose Intolerance

About 65% of people worldwide cannot digest lactose properly. Lactose intolerance causes mild to severe abdominal pain.

Other lactose intolerance symptoms include:

• Indigestion

Symptoms usually occur within 30 minutes to two hours of consuming lactose.

A healthcare provider can order a test if you are unsure if you have lactose intolerance. If so, they will likely advise skipping dairy products and being wary of packaged foods with hidden milk products. You might also try Lactaid milk or OTC remedies.

22. Pancreatitis

Pancreatitis is a severe condition that causes burning pain in the upper or middle abdomen. The pancreas is a large gland behind your stomach that releases digestive acids into your intestines. Pancreatitis happens if those digestive enzymes start digesting the pancreas.

Some people even have shooting pain that drives right through to their back, said Dr. Kaul. Other symptoms include nausea and vomiting.

Too much alcohol can be a culprit, noted Dr. Kaul. Gallstones that block the duct that the pancreas sends its enzymes through can also cause pancreatitis. 

Pancreatitis can lead to hospitalization. A healthcare provider treats pancreatitis with intravenous (IV) fluids, antibiotics, and pain medications.

23. Thyroid Problems

The thyroid, a butterfly-shaped gland in the middle of the neck, can cause stomachaches. The thyroid is responsible for regulating bodily functions, including digestion.

For example, hyperthyroidism (an overactive thyroid) can speed up the digestive system, causing frequent bowel movements and stomachaches. In contrast, hypothyroidism (an underactive thyroid) slows down the digestive tract, leading to constipation and gas that causes stomach cramps. In either case, a healthcare provider can help find the cause of stomach pain or order testing if needed.

Other Causes

You might also experience stomach pain for other reasons, such as:

• Bowel blockages or obstructions
• Decreased intestinal blood supply
• Ectopic pregnancy
• Muscle strains
• Ruptured ovarian cysts
• Severe menstrual cramps
• Urinary tract infections (UTIs)

When to Seek Immediate Medical Attention

You'll need to seek medical care as soon as possible if you have sudden, sharp stomach pain. Stomach pain is also serious if you have the pain and:

• Are pregnant or could be pregnant
• Are undergoing cancer treatment
• Bloody vomit or stool
• Chest, neck, or shoulder pain
• Difficulty breathing
• Inability to pass stool but also vomiting
• Nausea accompanied by pain in or between your shoulder blades
• A recent abdominal injury

To find out more about your pain, a healthcare provider will ask you questions like:

• What's the type of pain you have? How intense is it?
• Have you had similar pain before? How long did it last?
• What helps or worsens your pain?
• When does the pain occur (e.g., after eating, during your period)?
• Where your pain is located?

A Quick Review

Various health conditions can cause stomach pain, ranging from short-term illnesses to chronic diseases like IBS and certain cancers. Certain foods can cause stomachaches as well. Consult a healthcare provider for help and treatment options if you are unsure about the cause of your stomach pains.

Frequently Asked Questions

You might experience stomach pain in the morning because of conditions like IBS or IBD or if you've eaten a lot before bed.

Serious stomach pain is sudden and sharp. Additionally, if your stomach pain accompanies other symptoms such as vomiting or bloody stools, you'll need to seek medical attention as soon as possible.

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Tai FWD, McAlindon ME. Non-steroidal anti-inflammatory drugs and the gastrointestinal tract .  Clin Med (Lond) . 2021;21(2):131-134. doi:10.7861/clinmed.2021-0039

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Related Articles

• EXPLORE Random Article

How to Stop Abdominal Pain

Last Updated: April 19, 2022 Fact Checked

This article was medically reviewed by Luba Lee, FNP-BC, MS and by wikiHow staff writer, Megaera Lorenz, PhD . Luba Lee, FNP-BC is a Board-Certified Family Nurse Practitioner (FNP) and educator in Tennessee with over a decade of clinical experience. Luba has certifications in Pediatric Advanced Life Support (PALS), Emergency Medicine, Advanced Cardiac Life Support (ACLS), Team Building, and Critical Care Nursing. She received her Master of Science in Nursing (MSN) from the University of Tennessee in 2006. There are 17 references cited in this article, which can be found at the bottom of the page. This article has been fact-checked, ensuring the accuracy of any cited facts and confirming the authority of its sources. This article has been viewed 35,050 times.

Abdominal pain can be agonizingly uncomfortable and it has many potential causes. If you’re dealing with this unpleasant condition, you can get some relief by applying heat, staying hydrated, and sticking to mild foods until your symptoms start to ease up. If your abdominal pain is severe, sudden, or persistent, see your doctor to diagnose and treat the underlying cause. While not all types of abdominal pain can be easily prevented, there are measures you can take to protect yourself from some of the most common causes.

Managing Abdominal Pain at Home

• You can also use an electric heating pad to get relief, but take care not to lie down on top of the pad or fall asleep with it on your body. To reduce the risk of fires, don’t leave a turned-on heating pad unattended.

• If you wish, you can add some Epsom salt to the bath. This ingredient may help soothe pain and relieve inflammation.

• If you’re feeling nauseated and having trouble keeping fluids down, try eating ice chips or a popsicle. If you can’t keep any fluids down, go to the emergency room.
• Avoid drinking ice-cold water as this may worsen your abdominal pain.

• If your abdominal pain is caused by indigestion, herbal teas made with ginger or mint may be helpful. Reach for one of these as an alternative to black tea.

• If you’re vomiting, it may be best to avoid solid foods altogether until you can consistently keep fluids down. Once you feel like you’re ready, try eating some saltine crackers or a little plain toast.

Did you know? Bananas are a key part of the BRAT diet. Not only are they easy to digest, but they also contain potassium, which tends to become depleted easily if you are vomiting or having diarrhea. [7] X Trustworthy Source FamilyDoctor.org Family-focused medical advice site run by the American Academy of Family Doctors Go to source

• Keep in mind that some forms of antacid, such as those containing magnesium, can cause diarrhea.

• If you’re not sure what’s causing your abdominal pain, talk to your doctor before trying any pain killers.
• Using the wrong medication could make your pain worse. For example, if the pain is coming from your stomach, aspirin or ibuprofen could cause further irritation.
• Be aware that NSAIDS, such as ibuprofen, can also cause abdominal pain.

Getting Medical Treatment

• Blood in your stools
• Nausea and vomiting that doesn’t let up or prevents you from keeping down fluids
• A yellowish tint to your skin, eyes, or gums
• Rapid weight loss
• Swelling or tenderness in your abdomen

• Tell your doctor if the pain is accompanied by other symptoms, such as fever, nausea, or vomiting.
• Explain where the pain is located (for example, on the right side of your lower abdomen or just above your belly button) and what it feels like (e.g., a dull ache or sharp, stabbing pains).
• Tell them if you have recently been around anyone else with similar symptoms.
• Discuss any other health conditions you may have and how you are managing them.

Abdominal pain can have many causes. Some of the most common reasons for stomach pain include indigestion, gas, acid reflux, constipation, the stomach flu, irritable bowel syndrome (IBS), gastritis (inflammation of the stomach lining), menstrual cramps, a pulled abdominal muscle, or a urinary tract infection. [11] X Research source

• A blood test to check for signs of infection or enzyme imbalances
• X-rays, an ultrasound, or other imaging tests to look for visual evidence of the problem
• A pelvic or rectal exam
• Urine tests to check for a urinary tract infection or kidney stones

• Take any medications exactly as prescribed by your doctor. Don’t hesitate to contact your doctor’s office if you have any concerns or questions.

Preventing Abdominal Pain

• Acidic foods, such as fruit juices, tomato products, chocolate, and coffee
• Spicy foods, such as hot sauce or chili peppers
• Fatty or greasy foods
• Gluten-containing foods
• Sugary drinks
• Vegetables that cause gas, such as beans, onions, or cabbage
• Dairy products, especially if you are lactose intolerant

Tip: If certain foods trigger abdominal pain or other uncomfortable symptoms, it’s possible that you have a dietary intolerance or sensitivity. If you think this is the case, talk to your doctor. They may recommend eliminating different foods from your diet until you identify the culprit(s). [14] X Trustworthy Source Cleveland Clinic Educational website from one of the world's leading hospitals Go to source

• Lots of dietary fiber
• A variety of fruits and vegetables
• Lean proteins, such as fish, poultry breast, or legumes
• Healthy fats, like those found in nuts, seeds, fish, and vegetable oils
• Whole grains
• Dairy products, such as milk, yogurt, or cheese

• If you’re not sure what portion sizes are healthiest for you, talk to your doctor or a dietitian to get some guidelines.

• If you are dependent on alcohol, talk to your doctor about the best way to quit.

• Gradually incorporating more fiber-rich foods, such as fruits, vegetables, and whole grains, into your diet
• Exercising regularly
• Drinking at least 8 glasses of water every day

• Practicing relaxation techniques like yoga, meditation, or deep breathing
• Getting exercise
• Spending time with friends and family
• Doing relaxing and enjoyable activities like reading, playing games, or doing arts and crafts

• Turning off all bright screens at least half an hour before bed
• Establishing a relaxing bedtime routine, such as taking a warm shower, doing some light stretches, or reading a chapter from a book
• Keeping your room comfortable, dark, and quiet

• Washing fresh produce before you eat it can not only remove harmful pesticides, but may also reduce your risk of ingesting dangerous bacteria that can cause abdominal infections. [20] X Research source

• Washing your hands frequently with soap and warm water
• Not sharing eating utensils or other personal items (such as towels) with the sick person
• Cleaning any surfaces that the sick person has touched (such as doorknobs, faucets, and counters)

Expert Q&A

You might also like.

• ↑ https://www.livescience.com/890-study-heating-pads-relieve-internal-pain.html
• ↑ https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/abdominal-pain-in-adults
• ↑ https://www.ncbi.nlm.nih.gov/pubmed/14764254
• ↑ https://www.ncbi.nlm.nih.gov/pubmed/2072799
• ↑ https://familydoctor.org/brat-diet-recovering-from-an-upset-stomach/
• ↑ https://medlineplus.gov/ency/patientinstructions/000198.htm
• ↑ https://www.nhs.uk/conditions/period-pain/
• ↑ https://www.mountsinai.org/health-library/symptoms/abdominal-pain
• ↑ https://www.nhsinform.scot/illnesses-and-conditions/stomach-liver-and-gastrointestinal-tract/stomach-ache-and-abdominal-pain
• ↑ https://my.clevelandclinic.org/health/diseases/10009-food-problems-is-it-an-allergy-or-intolerance
• ↑ https://www.myplate.gov
• ↑ https://www.ncbi.nlm.nih.gov/books/NBK65575/
• ↑ https://www.hopkinsmedicine.org/health/articles-and-answers/wellbeing/5-reasons-your-stomach-may-hurt
• ↑ https://www.hopkinsmedicine.org/health/healthy-woman/conditions/constipation-causes-and-prevention-tips
• ↑ https://www.nhs.uk/live-well/eat-well/10-ways-to-prevent-food-poisoning/
• ↑ https://extension.umaine.edu/publications/4336e/
• ↑ https://www.cdc.gov/norovirus/about/transmission.html

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Stomach and pyloric valve

Your stomach is a muscular sac about the size of a small melon that expands when you eat or drink. It holds as much as a gallon (3.8 liters) of food or liquid. Once your stomach breaks down the food, strong muscular contractions known as peristaltic waves push the food toward the pyloric valve. This valve leads to the upper portion of your small intestine, a segment known as the duodenum.

Gastritis is a general term for a group of conditions with one thing in common: Inflammation of the lining of the stomach. The inflammation of gastritis is most often the result of infection with the same bacterium that causes most stomach ulcers or the regular use of certain pain relievers. Drinking too much alcohol also can contribute to gastritis.

Gastritis may occur suddenly (acute gastritis) or appear slowly over time (chronic gastritis). In some cases, gastritis can lead to ulcers and an increased risk of stomach cancer. For most people, however, gastritis isn't serious and improves quickly with treatment.

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Gastritis doesn't always cause symptoms. When it does, the symptoms of gastritis may include:

• Gnawing or burning ache or pain, called indigestion, in your upper belly. This feeling may become either worse or better after eating.
• A feeling of fullness in your upper abdomen after eating.

When to see a doctor

Nearly everyone has had indigestion and stomach irritation at some point. Usually, indigestion doesn't last long and doesn't require medical care. See your healthcare professional if you have symptoms of gastritis for a week or longer.

Seek medical attention right away if you have severe pain or if you have vomiting where you cannot hold any food down. Also seek attention right away if you feel lightheaded or dizzy. Tell your healthcare professional if your stomach discomfort happens after taking medicines, especially aspirin or other pain relievers.

If you are vomiting blood, have blood in your stools or have stools that appear black, see your healthcare professional right away to find the cause.

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Gastritis is an inflammation of the stomach lining. The stomach lining is a mucus-lined barrier that protects the stomach wall. Weaknesses or injury to the barrier allows digestive juices to damage and inflame the stomach lining. Several diseases and conditions can increase the risk of gastritis. These include inflammatory conditions, such as Crohn's disease.

Risk factors

Factors that increase your risk of gastritis include:

• Bacterial infection. A bacterial infection called Helicobacter pylori, also known as H. pylori, is one of the most common worldwide human infections. However, only some people with the infection develop gastritis or other upper gastrointestinal disorders. Healthcare professionals believe sensitivity to the germs could be inherited. Sensitivity also may be caused by lifestyle choices, such as smoking and diet.
• Regular use of pain relievers. Pain relievers known as nonsteroidal anti-inflammatory drugs, also called NSAIDs, can cause both acute gastritis and chronic gastritis. NSAIDs include ibuprofen (Advil, Motrin IB, others) and naproxen sodium (Aleve, Anaprox DS). Using these pain relievers regularly or taking too much of these medicines may damage the stomach lining.
• Older age. Older adults have an increased risk of gastritis because the stomach lining tends to thin with age. Older adults also have an increased risk because they are more likely to have H. pylori infection or autoimmune disorders than younger people are.
• Excessive alcohol use. Alcohol can irritate and break down your stomach lining. This makes your stomach more vulnerable to digestive juices. Excessive alcohol use is more likely to cause acute gastritis.
• Stress. Severe stress due to major surgery, injury, burns or severe infections can cause acute gastritis.
• Cancer treatment. Chemotherapy medicines or radiation treatment can increase your risk of gastritis.

Your own body attacking cells in your stomach. Called autoimmune gastritis, this type of gastritis occurs when your body attacks the cells that make up your stomach lining. This reaction can wear away at your stomach's protective barrier.

Autoimmune gastritis is more common in people with other autoimmune disorders. These include Hashimoto's disease and type 1 diabetes. Autoimmune gastritis also can be associated with vitamin B-12 deficiency.

• Other diseases and conditions . Gastritis may be associated with other medical conditions. These may include HIV/AIDS, Crohn's disease, celiac disease, sarcoidosis and parasitic infections.

Complications

Left untreated, gastritis may lead to stomach ulcers and stomach bleeding. Rarely, some forms of chronic gastritis may increase your risk of stomach cancer. This risk is increased if you have extensive thinning of the stomach lining and changes in the lining's cells.

Tell your healthcare professional if your symptoms aren't improving despite treatment for gastritis.

• Feldman M, et al., eds. Gastritis and gastropathy. In: Sleisenger and Fordtran's Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, Management. 11th ed. Elsevier; 2021. https://www.clinicalkey.com. Accessed Dec. 3, 2021.
• Ferri FF. Gastritis. In: Ferri's Clinical Advisor 2022. Elsevier; 2022. https://www.clinicalkey.com. Accessed Dec. 3, 2021.
• Gastritis and gastropathy. National Institute of Diabetes and Digestive and Kidney Diseases. https://www.niddk.nih.gov/health-information/digestive-diseases/gastritis-gastropathy. Accessed Dec. 3, 2021.
• Overview of gastritis. Merck Manual Professional Version. https://www.merckmanuals.com/professional/gastrointestinal-disorders/gastritis-and-peptic-ulcer-disease/overview-of-gastritis#. Accessed Dec. 3, 2021.
• Kellerman RD, et al. Gastritis and peptic ulcer disease. In: Conn's Current Therapy 2021. Elsevier; 2021. https://www.clinicalkey.com. Accessed Dec. 3, 2021.
• FDA drug safety communication: Possible increased risk of fractures of the hip, wrist and spine with the use of proton pump inhibitors. U.S. Food and Drug Administration. https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/fda-drug-safety-communication-possible-increased-risk-fractures-hip-wrist-and-spine-use-proton-pump. Accessed Dec. 14, 2021.
• Picco MF (expert opinion). Mayo Clinic. Jan. 9, 2022.

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Waking Up With Stomach Pain? Here's What Your Body's Trying to Tell You

Waking up with stomach pain is not only uncomfortable, but possibly anxiety-inducing. You may find yourself spiraling as you try to determine whether the cause is merely something you ate or a sign that something is seriously wrong.

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If you've ruled out the usual causes — an urge to relieve yourself, an empty stomach signaling it's time for breakfast, gas and ordinary heartburn — another condition may be at play.

Video of the Day

Here, Ronald Omino, MD , a gastroenterologist at UCLA Health Services, explains why you might wake up with abdominal pain, and what to do when it happens.

Talk to a doctor right away if your morning stomach pain is accompanied by other symptoms like fever, nausea, vomiting, severe pain or rigidity or the inability to pass gas or a bowel movement. These can be signs of life-threatening GI conditions, Dr. Omino says.

1. You Have GERD

If you wake up often with heartburn, the taste of acid in your mouth or gnawing, sharp abdominal pain, you may have gastroesophageal reflux disease (GERD) , or chronic, severe acid reflux. GERD occurs when your lower esophageal sphincter (the flap between the bottom of your esophagus and the top of your stomach that prevents digestive juices from flowing upward) becomes weak or relaxes when it shouldn't. (GERD could also be to blame if you have lower abdominal pain when lying down .)

A healthy esophageal sphincter will keep digestive acids in your stomach when you lie down. But when you have GERD, digestive acids flow in the wrong direction, resulting in gastric distress, according to the Mayo Clinic .

Signs that GERD is causing your morning stomach pain, according to Dr. Omino, include:

• Heartburn and burning in the chest or upper abdomen
• Regurgitation, or the feeling of bringing up food, liquid or other contents of your stomach into your mouth or throat
• Difficulty swallowing

“If you experience any of these symptoms, try taking an acid-reducing medication, such as a histamine type 2 receptor antagonist (or H2 blockers) like famotidine or antacids like Tums,” Dr. Omino says. Consult with a primary care doctor or gastroenterologist if symptoms persist or worsen.

To prevent waking up with reflux, Dr. Omino recommends these lifestyle changes:

• Maintain a weight recommended by doctors
• Avoid trigger foods (e.g., acidic foods, spicy foods, citrus fruits, chocolate, coffee, onions, mint and carbonated beverages)
• Avoid eating at least two to three hours before going to sleep
• Elevate your head at night with an extra pillow to let gravity help keep digestive juices down
• Eat small, frequent meals throughout the day
• Avoid alcohol and tobacco, especially before bed

2. You're Constipated

If you wake up in the morning with lower abdominal pain (or generalized abdominal pain or discomfort), think back to the last time you had a regular bowel movement. You might be constipated.

Constipation is more than going a few days without pooping: Other symptoms of constipation include, per the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK):

• Fewer than three bowel movements a week
• Stools that are hard, dry or lumpy
• Stools that are difficult or painful to pass
• Feeling that not all stool has passed

Dr. Omino suggests eating a nutritious diet, drinking plenty of fluids and exercising regularly. “Treatment can be as simple as making nutritious lifestyle changes, such as increasing fiber and fluid intake."

While constipation medication can also be used if needed, it’s best to consult with your primary care doctor or gastroenterologist before taking an over-the-counter remedy for constipation .

Related Reading

Constipated? These 6 Teas Can Help You Poop

3. You Have a Stomach Ulcer

"Peptic ulcer disease, also known as a stomach ulcer, can present as acute or chronic abdominal pain generally in the upper abdomen," Dr. Omino says.

Peptic ulcers are open sores that develop on the inner lining of your stomach and upper portion of your small intestine, per the Mayo Clinic . Ulcer pain can occur a few hours after eating (when the body is producing more acid), or on an empty stomach, leading to burning abdominal pain in the morning.

The most common causes of peptic ulcers include, per Dr. Omino:

• Nonsteroidal anti-inflammatory drug (NSAIDs) overuse
• Infection from Helicobacter pylori (H. pylori) bacteria

Left untreated, a peptic ulcer can lead to upper gastrointestinal (GI) bleeding. See a doctor right away if you see bright red blood in the stool or black stool, Dr. Omino says. A doctor will evaluate your upper GI tract with an upper endoscopy procedure to confirm a diagnosis.

Peptic ulcers are treated based on their cause. If the cause is NSAID overuse, discontinue use immediately, Dr. Omino says. If the cause is bacterial (H. pylori or others), antibiotics may be prescribed, along with medications to minimize acid production and protect the lining of the stomach.

Try eating foods that do not cause peptic ulcer flare-ups . Avoid tobacco and alcohol while treating ulcers, according to the Mayo Clinic.

4. You Have IBS

If you often wake up with nausea and a sudden urge to poop , you may have irritable bowel syndrome, or IBS.

When it comes to IBS, the doctor's old saying, "it's not ‌ what ‌ you're eating, but ‌ what's eating you ‌," can apply. In other words, IBS is a functional gastrointestinal disorder — meaning it's related to problems with your gut-brain connection , or how the gut and brain work together, per the NIDDK . A malfunction in this connection can cause your gut to feel sensitive, altering how the muscles in your bowel contract.

Research suggests a link between IBS and mental health conditions like anxiety and depression. In one December 2021 review in ‌ General Psychiatry ‌ , people with IBS were more likely to have moderate and severe depression and anxiety than people without IBS.

Symptoms of IBS can include abdominal pain and bloating, as well as changes in your bowel movements, including diarrhea and/or constipation.

Doctors may treat IBS by recommending diet changes (such as following a low-FODMAP diet , which involves avoiding foods with dairy, wheat, artificial sweeteners and certain fruits and vegetables) and lifestyle changes including medication, probiotics and mental health treatment, per the NIDDK.

When to See a Doctor

If your morning stomach pain is severe or accompanied by fever, nausea, vomiting, jaundice or inability to pass gas or poop, talk to your doctor as soon as you can, Dr. Omino says. And that goes for any time of day, not just after waking up.

These symptoms could be signs of serious GI conditions like appendicitis, diverticulitis or pancreatitis, according to Dr. Omino, or other non-GI concerns. Your doctor can help you narrow down the causes and evaluate your treatment options.

• Mayo Clinic: "Peptic Ulcer Symptoms and Causes"
• NIDDK: "Definition and Facts for Irritable Bowel Syndrome"
• General Psychiatry: "Association of anxiety-depressive disorders with irritable bowel syndrome among patients attending a rural family practice center: a comparative cross-sectional study"
• Mayo Clinic: "Gastroesophageal Reflux Disease (GERD)"
• NIDDK: "Constipation"

Is this an emergency? If you are experiencing serious medical symptoms, please see the National Library of Medicine’s list of signs you need emergency medical attention or call 911.

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Stomach ache

Most stomach aches are not anything serious and will go away after a few days.

Common causes of stomach ache

These are some common types of stomach ache and what may be causing them. But see a GP if you're unsure and worried.

A pharmacist can help with stomach ache

Speak to a pharmacist about:

• what might be causing your stomach ache
• treatments that might help
• medicines for constipation and indigestion

Non-urgent advice: See a GP if:

• a stomach ache gets much worse quickly
• stomach pain or bloating will not go away or keeps coming back
• you have stomach pain and problems with swallowing food
• you're losing weight without trying to
• you suddenly pee more often or less often
• peeing is suddenly painful
• you bleed from your bottom or vagina, or have abnormal discharge from your vagina
• you have diarrhoea that does not go away after a few days

Immediate action required: Call 999 or go to A&E if:

• a stomach ache came on very suddenly or is severe
• it hurts when you touch your stomach
• you're vomiting blood or your vomit looks like ground coffee
• your poo is bloody or black and sticky and extremely smelly
• you cannot pee
• you cannot poo or fart
• you cannot breathe
• you have chest pain
• you have diabetes and you're vomiting
• someone has collapsed
• always there and so bad it's hard to think or talk
• you cannot sleep
• it's very hard to move, get out of bed, go to the bathroom, wash or dress
• always there
• makes it hard to concentrate or sleep
• you can manage to get up, wash or dress
• comes and goes
• is annoying but does not stop you doing daily activities

Other causes of stomach ache

Do not self-diagnose. See a GP if you're worried.

Page last reviewed: 26 May 2023 Next review due: 26 May 2026

How to Relieve IBS Pain Instantly, According to Gastroenterologists

You don’t need to suffer through it.

What does IBS pain feel like?

How to relieve ibs pain quickly, when to see a doctor about your ibs pain.

Having irritable bowel syndrome (also known as IBS) can be a regular reminder that some things in life are unpredictable. Unfortunately, that can include unexpected dashes to the bathroom and pain. If your condition is causing gas, bloating, and discomfort, it’s only natural to wonder how to relieve IBS pain instantly.

IBS is a complicated condition and effective pain relief for it can come in several forms. Because no two patients are alike, you may need to try several options before finding a consistent method that works for you.

While your doctor may recommend certain medications to help treat your condition, gastroenterologists say there are other things you can do to get relief at home. Try one or several of these pain-relieving options the next time IBS pain strikes.

Meet the experts: Babak Firoozi, M.D ., a gastroenterologist at MemorialCare Orange Coast Medical Center in Fountain Valley, CA; Ellen Stein, M.D. , a gastroenterologist and associate professor at Rutgers Robert Wood Johnson Medical School.

What causes IBS pain?

IBS is a group of symptoms that happen together and can include things like pain in your abdomen along with changes in your bowel movements, according to the National Institute for Diabetes and Digestive and Kidney Diseases (NIDDK). Those bowel changes may include diarrhea, constipation, or a mix of both.

IBS is what’s known as a functional gastrointestinal (GI) disorder, which means it’s related to problems with how your brain and your gut work together. This can cause your gut to be more sensitive and change how the muscles in your bowel contract, leading to bowel issues, bloating, and—again—pain.

“There are lots of reasons why someone with IBS will have pain, but a very common thing we see is that they have visceral hypersensitivity, which means that their intestines are super sensitive to normal stimuli,” says Babak Firoozi, M.D ., a gastroenterologist at MemorialCare Orange Coast Medical Center in Fountain Valley, CA. “They will feel something more acutely than others.”

It’s not entirely clear what causes IBS but the NIDDK says doctors have noted that people with IBS have some common issues, including:

• Stressful or hard early life events
• Certain mental health disorders like anxiety or depression
• Bacterial infections in the digestive tract
• Small intestinal bacterial overgrowth
• Food intolerances or sensitivities

There may also be a genetic link with IBS, Dr. Firoozi says.

While pain is a common IBS symptom, it’s a little unique. “Typically people with IBS have more cramping pain, but some will have bloating and pressure as a sensation,” Dr. Firoozi says.

Some people also describe their IBS pain as spasms, says Ellen Stein, M.D. , a gastroenterologist and associate professor at Rutgers Robert Wood Johnson Medical School.

There are a few things you can do to get relief from IBS pain, and Dr. Firoozi says you can try several of these at once.

Apply heat to your belly

IBS can involve a lot of spasms and cramps in your belly, and using heat on your stomach can help relief them, Dr. Firoozi says. “IBS is linked to stress and heat is one way to calm your body and destress,” he says.

There are a few things you can do to use heat therapy, including placing a heating pad on your stomach, using a hot water bottle, and applying sports creams that create a warming sensation, Dr. Firoozi says. A warm bath can also be soothing, he says.

Sip warm tea or warm water

Warm tea or warm water can be soothing to your gut, similar to using heat therapy on the outside of your body. “This can be very helpful to some people,” Dr. Firoozi says.

The exact reason why this may work isn’t entirely known, but it could be the warmth itself or the calming feeling of sipping something warm, which can help ease stress, Dr. Firoozi says.

Have something peppermint- or ginger-flavored

Peppermint in particular has a reputation for calming the muscles of the stomach, as well as allowing them to relax enough for gas to pass, Mount Sinai says. But ginger also has a reputation for settling stomachs.

“A cup of peppermint tea or ginger tea can help calm the gut,” Dr. Stein says. You can also suck on peppermint or ginger-flavored lozenges.

Eat light and healthy foods

Every IBS patient’s triggers are different, but the disease is centered around the gut. With that, doctors say it’s important to focus on having light foods when you’re going through a flare.

Dr. Firoozi suggests focusing on foods that are low in fermentable oligosaccharides, disaccharides, monosaccharides and polyols (aka FODMAPS), which are short-chain carbohydrates that the small intestine has trouble absorbing. Low FODMAP foods include things like eggs, almond milk, rice, quinoa, oats, eggplant, tomatoes, zucchini, and strawberries. If your flare is particularly bad, he recommends reaching for gentle foods like broths and lean protein. While you’re at it, take a pass on heavy foods, as well as dairy. “Dairy is the one food group that tends to exacerbate the majority of people with IBS,” Dr. Firoozi says.

Try yoga and meditation

This treatment stems from the link between IBS and stress which, unfortunately, can be a vicious cycle. That’s why doing calming exercises like yoga and meditation may help your pain. “ Studies show that mindfulness meditation in particular is very helpful,” Dr. Firoozi says.

Listen to hypnotherapy

In case you’re not familiar with it, hypnotherapy involves reaching a heightened state of concentration and focused attention. People usually achieve it with the help of a trained hypnotherapist, although you can listen to hypnosis recordings, too. There are several studies that link hypnotherapy with lowered IBS symptoms. “Overall, studies find that hypnosis is very helpful for IBS,” Dr. Firoozi says. “It can help you to relax and not aggravate your symptoms.”

Take OTC medication

You have a few options when it comes to OTC medication. If your pain is really bothering you, Dr. Firoozi recommends taking acetaminophen for relief. “Typically, this will relax and relieve the spasms,” he says. And, if your IBS pain is accompanied by diarrhea, Dr. Stein says taking loperamide can help slow the gut down and ease your pain.

However, if you find that your need to reach for OTC medications a lot, it’s time to check in with your healthcare provider about other options.

While pain is a common symptom of IBS, that doesn’t mean you should just have to live with it. “If the pain is something that you feel like you’re not able to control well, and if it’s affecting your daily life, it’s something you should see a doctor about,” Dr. Firoozi says. Your healthcare provider can help give you personalized advice to better manage your symptoms and also dig a little deeper into what could be behind your pain. “It could be more than IBS,” Dr. Firoozi says. “But you won’t know until you get checked out.”

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How to relieve a stomach ache

Posted: November 24, 2023 | Last updated: November 24, 2023

Take a painkiller

If you have a stomach ache, you can take a paracetamol (acetaminophen) based painkiller. This will help reduce pain and bring down a fever, if you have one. That said, it’s recommended to avoid ibuprofen-based painkillers , which can cause stomach ulcers.

Take an antispasmodic for cramps

Have stomach cramps? Try an antispasmodic . Cramps often present as sporadic pain that starts and stops abruptly,and can originate in the bowel, the uterus, or the urinary or biliary tract. An antispasmodic will help regulate these sudden cramps and relieve any associated pain.

Take an antidiarrheal

If your stomach ache is caused by diarrhea, as in case of gastroenteritis, opt for an antidiarrheal . This medication helps regulate digestion and shorten episodes of diarrhea. If you are also experiencing cramping, you can safely combine it with an antispasmodic. Remember to drink plenty of liquids to replenish the water and salts that your body loses due to the diarrhea.

Take antacids or proton pump inhibitors (PPIs) for heartburn

Antacids and proton pump inhibitors (PPIs) help relieve stomach pain caused by heartburn. They work by neutralizing excess acid in the stomach. However, the effect of antacids is short-lived. If your symptoms persist, your doctor may prescribe a PPI , a stronger type of medication that helps reduce the amount of acid that your stomach produces.

Drink water

Drinking water is always a good idea, whether you have a stomach ache or not. Hydration helps your organs function properly and flushes toxins from your body. By drinking water, you can prevent stomach issues such as acid reflux, ulcers, constipation, and dehydration caused by diarrhea. There’s a good reason that experts recommend that we drink at least 1.5 litres of water every day !

Eat foods that are gentle on the stomach

If you have a stomach ache, it’s important to take care of your stomach by eating foods that are easy to digest . Avoid heavy meals with lots of fat, spices, or sugar; focus instead on soups, starches, and cooked vegetables. Be sure to reduce your portions, and chew well to make it easier for your stomach to do its job.

Avoid fibre if you have diarrhea

Fibre is essential to a good dietand is readily found in grains, legumes, fruits, and vegetables. But if you are experiencing diarrhea, fibre may make your symptoms worse by speeding up bowel transit time. In this case, it’s better to prioritize foods like white rice and bananas , which help restore intestinal balance.

Eat more fibre if you’re constipated

On the other hand, if you’re constipated, you should prioritize fibre-rich foods such as chickpeas, celery, and whole-grains. These foods help accelerate bowel transit times and relieve constipation. Fibre also plays an important role in the prevention of diseases such as stroke, diabetes, colon cancer, and heart disease, which is why it’s important to include plenty of fibre in your diet.

Avoid certain foods if you have acid reflux

Acid reflux occurs when stomach contents rise into the esophagus, causing unpleasant burning sensations in the stomach, chest, and/or throat. You can help prevent acid reflux by avoiding certain foods that are high in fat, sugar, and spices, as well as coffee, carbonated drinks, and alcohol.

Exercise is good for both your mental and physical health. Regular, moderate physical activity is effective at regulating symptoms of constipation and diarrhea. Exercise stimulates bowel movements and strengthens the abdominal muscles, thus supporting healthy digestion.

The expression that your “stomach is in knots” is rooted in reality. Stress can actually have a negative effect on the stomach because of the high levels of cortisol that it helps generate. This can cause stomach aches, which is why it’s important to regulate your stress and take care of your mental health. Yoga, mindfulness meditation, music, and breathing are excellent ways to learn how to relax and manage your stress-related stomach pain.

Place a hot water bottle on your belly

Your grandma was absolutely right: it’s scientifically proven that placing a hot water bottle on your stomach can relive pain. The heat from the hot water bottle acts on certain receptors in your body, which helps reduce pain, just like painkillers do. At 40°C and hotter, heat receptors block the messages sent to pain receptors, thus reducing pain at the molecular level.

Make yourself a cup of herbal tea

Some herbal teas can help reduce stomach discomfort. Herbal teas that contain anise, cardamom, lemon balm, valerian, or chamomile are all great bets. Infusions of these plants boast multiple health benefits , notably by reducing anxiety and irritability, and promoting sleep. Mint tea is also known to aid digestion and relieve stomach aches .

Try homeopathy and essential oils

Aromatherapy specialists recommend bay laurel leaf essential oil to alleviate digestive discomfort. Try diluting it in a vegetable oil and massaging it into your skin. Kalium carbonicum pellets can help reduce bloating after meals, and nux vomica pellets can help with digestion. Before taking these remedies, be sure to speak directly with a professional for recommendations tailored to your situation.

See a doctor

If home remedies and medications aren’t resolving your stomach pain, it may be time to see a doctor . This is especially important if you are experiencing other symptoms, such as fever, bloody stools, weight loss, or vomiting. Although stomach aches are generally harmless, they can sometimes hide more serious illnesses. That is why it’s important to see a doctor when in doubt. Your doctor will ask you about the type of pain you’re experiencing and its exact location to make a diagnosis.

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5 Causes of Stomach Pain in the Morning

When to see a healthcare provider, frequently asked questions.

Stomach pain can be a pain anywhere from beneath the ribs to the pelvis. Like most other kinds of abdominal pain, stomach pain that occurs in the morning will typically get better on its own in the majority of cases without the need for any kind of special treatment.

In some cases, however, stomach pain in the morning may require medical attention. For instance, you should never ignore pain that wakes you from sleep. If your stomach pain wakes you up, you should speak with your healthcare provider.

There are numerous potential causes of stomach pain. And they may occur at any time of day, including the morning.

This article will explain more about potential causes for stomach pain in the morning, prevention, treatment, and when to see a healthcare provider.

Westend61 / Getty Images

Causes of Stomach Pain In the Morning

In most cases, stomach aches aren't serious and will clear up after a few hours or days without the need for treatment.

Pain in the stomach may feel like:

There are many potential causes for stomach pain, and some are more serious than others.

Severity of Stomach Pain

Stomach pain can range from mild to severe. It is important to remember that severity of pain does not necessarily relate to how serious the underlying cause of pain is.

It is possible to have horrible stomach pain from gas or gastroenteritis ( stomach flu ). This may not be serious, but can still be very painful.

Conversely, potentially fatal conditions like colon cancer or even the early stages of appendicitis may cause no pain or only very mild pain. If you are in doubt about the cause or severity of your pain, you should consult your healthcare provider.

Indigestion

Also called dyspepsia , indigestion can cause pain in the stomach area at any time of day, including the morning.

Along with stomach pain, indigestion may cause other symptoms including:

• Loud noises from the stomach
• Feeling full too soon

Indigestion can occur due to lifestyle factors, underlying health issues or medications.

Lifestyle factors include:

• Too much alcohol
• Too much caffeine
• Eating too quickly
• Eating spicy, greasy, or fatty foods

Underlying health issues may include:

• Pancreatitis (inflammation of the pancreas)
• Bacterial infection in the stomach
• Gastroesophogeal reflux disease (GERD)

Some medications may also cause indigestion. These include:

• Antibiotics
• Nonsteroidal anti-inflammatory drugs (NSAIDs)

Irritable Bowel Syndrome (IBS)

Irritable bowel syndrome (IBS) is an umbrella term for a group of symptoms that can occur together.

The condition is characterized by recurring pain in the abdomen. Those with IBS may experience diarrhea, constipation , or both.

Roughly 12 percent of the population in the United States have IBS.

Symptoms of IBS may include:

• Pain in the stomach area
• Changes in bowel movements

Constipation

• Whitish colored mucus in the stool
• Feelings of an incomplete bowel movement

For people who menstruate, symptoms may worsen during the time of their period.

Inflammatory Bowel Disease (IBD)

Inflammatory bowel disease (IBD) refers to ongoing inflammation of the gastrointestinal tract, due to one of three conditions— Crohn's disease ,  ulcerative colitis , and  indeterminate colitis .

IBD can cause abdominal pain at any time of day.

Other symptoms of IBD may include:

• Weight loss
• Blood in the stools
• Persistent diarrhea
• Bleeding from the rectum

A person is considered constipated if they pass less than three bowel movements a week. Constipation may cause stomach pain, along with other symptoms.

These include:

• Difficulty passing stools
• Lumpy stools
• Pain when passing stools

Peptic Ulcer

A peptic ulcer is a type of sore found on the lining of the stomach or in the duodenum , the first part of the small intestine . Ulcers can be common.

Ulcers found in the stomach are referred to as gastric ulcers and ulcers in the duodenum are referred to as a duodenal ulcer.

Ulcers may be caused by the over-use of nonsteroidal anti-inflammatory drugs (NSAIDs) or from an infection from a bacteria called helicobacter pylori .

Not everyone who has an ulcer will experience symptoms.

Most commonly, an ulcer causes a burning or dull pain somewhere in the abdomen between the breast bone and navel (belly button). This pain may happen around meal times and the pain may cause a person to wake from sleep.

Other symptoms of ulcers may include:

• Bloody stool
• Black stool
• Vomiting blood
• No appetite
• Unintentional weight loss

In the majority of cases, pain in the stomach is nothing to worry about and will often resolve on its own.

However, if you have severe stomach pain that wakes you from sleep, you should speak with your healthcare provider.

You should also call 911 or seek immediate medical help if you have morning stomach pain and you also experience any of the following:

• Are in treatment for cancer
• Have pain in the chest, neck, or shoulders
• Can't pass stools and are vomiting
• Have blood in your stool
• Are vomiting blood
• Have sharp and sudden pain in the abdomen
• Have trouble breathing
• Have pain between your shoulder blades and also feel nauseous
• Have a stomach that is hard or rigid to the touch
• Have a tender stomach
• Are pregnant or might be pregnant
• Have had recent trauma to the abdomen through an injury

You should also contact your healthcare provider if you have stomach pain and:

• You have diarrhea that lasts longer than five days
• Your pain in your stomach lasts a week or more
• You have bloating that continues for more than two days
• You have pain that doesn't improve in 24 to 48 hours or it becomes worse or more frequent
• You have a burning feeling when urinating
• You urinate frequently
• You have a fever over 100°F for adults or 100.4°F for children
• You have lost your appetite
• You have bleeding from the vagina that persists
• You have unintentional weight loss

Treating pain in the stomach area depends on the underlying cause of the pain. Mild pain may be treated with over-the-counter medications.

Pain from underlying causes like IBD and IBS will require specialized treatment and medications.

It is important to not use aspirin or anti-inflammatory medications like ibuprofen to treat any kind of abdominal pain except period pain. Doing so may cause further irritation to the stomach or bowel.

At home treatments that might help ease pain in the stomach area include:

• Staying hydrated
• Limiting intake of caffeine or alcohol
• Eating bland foods
• Using a heating blanket or hot water bottle on the area that is sore

It is possible to reduce the chances of some causes of abdominal pain through lifestyle choices.

• Drinking lots of water every day
• Limiting foods that might cause gas
• Eating smaller meals more frequently
• Eating a diet high in fiber
• Eating lots of fruits and vegetables
• Eating well-balanced meals

Morning stomach pain is usually not anything to worry about. Some common causes of stomach pain in the morning include indigestion, IBS, IBD, constipation, and peptic ulcer.

If your stomach pain persists or worsens, or if you are experiencing additional worrisome symptoms, seek medical attention. A healthcare provider will identify the underlying cause of your pain and come up with a treatment plan that can relieve your symptoms.

If you have stomach pain that wakes you from sleep, speak to your healthcare provider. They will be able to help identify what is causing your pain and help find the best treatment for you.

At-home remedies like staying hydrated and using a hot water bottle may also help when you have stomach pain.

Some people find that drinking peppermint tea is helpful for calming their stomach and easing their stomach pain. It can also help with digestion and cramping, which may help with conditions like irritable bowel syndrome.

• Health Direct. Abdominal pain.
• Nemours Teens Health. Stomachaches.
• Medline Plus. Abdominal pain.
• NHS. Stomach ache.
• Mount Sinai. Abdominal pain.

Johns Hopkins Medicine. Indigestion.

• National Institute of Diabetes and Digestive and Kidney Diseases. Definition & Facts for Irritable Bowel Syndrome.
• National Institute of Diabetes and Digestive and Kidney Diseases. Symptoms & Causes of Irritable Bowel Syndrome.
• CDC. What is inflammatory bowel disease (IBD)?

National Institute of Diabetes and Digestive and Kidney Diseases. Symptoms & causes of constipation.

Johns Hopkins. Stomach and duodenal ulcers (peptic ulcers).

• Mount Sinai. Peppermint.

Dicyclomine: 7 things you should know

Medically reviewed by Carmen Pope, BPharm . Last updated on March 31, 2023.

1. How it works

• Dicyclomine may be used to treat muscle spasms in the stomach or bowel.
• Dicyclomine relaxes muscle spasms by directly acting on smooth muscle, and also by indirectly blocking the actions of acetylcholine, a neurotransmitter. Acetylcholine has muscle-activating effects.
• Dicyclomine belongs to the class of drugs known as anticholinergics. It may also be called an antispasmodic.
• Used for the relief of colicky-type pain due to muscle spasms associated with functional bowel/irritable bowel syndrome (IBS). Dicyclomine decreases gastric secretions and the movement of the gastrointestinal tract.
• Available as a capsule and an oral solution. Also available in an injectable form that may be administered by a healthcare provider.
• Generic dicyclomine is available.

3. Downsides

If you are between the ages of 18 and 60, take no other medication or have no other medical conditions, side effects you are more likely to experience include:

• Dry mouth, dizziness, blurred vision, inability to sweat, nausea, light-headedness, drowsiness, weakness, and nervousness are the most common side effects.
• May cause sedation which may affect a person's ability to drive, operate machinery, or perform other hazardous tasks. Alcohol should be avoided because it can enhance this effect.
• May not be suitable for some people including those with certain gastrointestinal conditions (such as severe ulcerative colitis, reflux esophagitis, an obstruction), glaucoma, myasthenia gravis, liver or kidney disease, heart disease, prostate, or urinary problems.
• May cause heat exhaustion, particularly in hot climates (dicyclomine decreases the ability to sweat).
• May cause psychosis in some people; symptoms include confusion, disorientation, short-term memory loss, hallucinations, insomnia, and agitation. Symptoms usually resolve within 12-24 hours of drug discontinuation.
• May cause breathing difficulties or other serious effects (such as seizures or pulse fluctuations) in infants. Do not use in children less than six months old.
• May interact with several other drugs including antacids, antiglaucoma agents, other anticholinergics, and drugs that also affect gastric motility (such as metoclopramide), and it may affect the absorption of other drugs because of its effects on gastric motility.

Note: In general, seniors or children, people with certain medical conditions (such as liver or kidney problems, heart disease, diabetes, seizures) or people who take other medications are more at risk of developing a wider range of side effects. View complete list of side effects

4. Bottom Line

• Dicyclomine is used for the relief of colicky pain caused by intestinal muscle spasms in functional bowel/irritable bowel syndrome. Side effects include dry mouth, a decreased ability to sweat, nausea, and sedation.
• Side effects are usually transient and eventually resolve although some people may require dosage reduction. 9% of people discontinue dicyclomine because of side effects.
• May cause drowsiness or blurred vision and affect your ability to drive or operate machinery. Avoid alcohol.
• Dicyclomine may increase your risk of developing heatstroke in hot weather because it decreases your ability to sweat. If symptoms of heatstroke occur (symptoms include fever, nausea, and dizziness after sun exposure), discontinue dicyclomine and seek urgent medical attention.
• May affect the absorption of other medications. Take other medications at least an hour or two before taking dicyclomine. Talk to your doctor or pharmacist before taking any other medications, including those bought over the counter, to check if they are compatible with dicyclomine.
• Talk to your doctor if you experience any unexplained diarrhea, severe constipation, hallucinations, loss of muscle control, or other worrisome side effects.

6. Response and effectiveness

• Peak levels of dicyclomine are reached within 60 to 90 minutes and a reduction in colicky symptoms and muscle spasms should be seen within that time.
• Effects are relatively short-lived which means dicyclomine needs to be taken up to four times daily.

7. Interactions

Medicines that interact with dicyclomine may either decrease its effect, affect how long it works, increase side effects, or have less of an effect when taken with dicyclomine. An interaction between two medications does not always mean that you must stop taking one of the medications; however, sometimes it does. Speak to your doctor about how drug interactions should be managed.

Common medications that may interact with dicyclomine include:

• antihistamines such as diphenhydramine or doxylamine
• botulinum toxin
• medications that cause sedation, such as benzodiazepines, muscle relaxants, some seizure medications
• nitroglycerin
• opioids, such as oxycodone or morphine
• other medications that have anticholinergic properties
• some medications used to treat mental illness, such as clozapine and chlorpromazine
• tiotropium and ipratropium
• thiazide diuretics.

Alcohol may enhance the sedative properties of dicyclomine.

Note that this list is not all-inclusive and includes only common medications that may interact with dicyclomine. You should refer to the prescribing information for dicyclomine for a complete list of interactions.

More about dicyclomine

• Check interactions
• Compare alternatives
• Pricing & coupons
• Reviews (293)
• Drug images
• Side effects
• Dosage information
• During pregnancy
• Support group
• Drug class: anticholinergics/antispasmodics
• Breastfeeding
• En español

Patient resources

• Dicyclomine drug information
• Dicyclomine Capsules and Tablets
• Dicyclomine Injection
• Dicyclomine Syrup and Oral Solution

Other brands

Professional resources.

• Dicyclomine monograph
• Dicyclomine (FDA)
• Dicyclomine Capsules (FDA)
• Dicyclomine Injection (FDA)
• Dicyclomine Tablets (FDA)

Related treatment guides

• Irritable Bowel Syndrome
• Dicyclomine. Revised 04/2021. Novitium Pharma LLC. https://www.drugs.com/pro/dicyclomine.html

Further information

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use dicyclomine only for the indication prescribed.

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

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