What are the causes of stomach pain without any stool issues?

Doctor's Answers 1

Photo of Dr Wai Leong Quan
Dr Wai Leong Quan

Gastroenterologist

Pain is a sensation one gets if there is excessive stimulation of sensory nerve endings in any organ. This excessive signals can be due to inflammation, injury, stretching or spasms/cramps.

The stomach, being part of the digestive tract, has nerve endings which are sensitive to gastric acid and spasms. If there is excessive gastric acid production or abdominal cramps, one may experience abdominal pain. This pain may not be associated with any change in your stools.

Another common reason is abdominal pain which originates from nearby organs, not within the stomach. These organs include the gallbladder, the liver, the pancreas and small intestines. As the physical location of such pain is still in the abdomen, it is sometimes difficult to differentiate one from the other without proper evaluation.

If your pain persists or gets worse in terms of frequency, intensity or duration, or if it becomes constant at one location and especially if associated with a fever, please consider seeing your family doctor early to avoid any delay in making a proper diagnosis.

  • Dr Quan

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Could stomach pain and difficulty passing motion be a sign of cancer?

Cancer of the digestive tract is not very common in your age group (36 years). However, there can at times be exceptions, especially if you have a family history of cancer. Perhaps you may need to consult a doctor with the view to a gastroscopy and colonoscopy if the attending doctor is of the opinion that your symptoms are serious.

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What are effective antibiotics for traveler's diarrhoea, and how do doctors determine which antibiotic to prescribe?

In general, traveler's diarrhoea is self-limiting and most people will recover within 3-5 days with adequate hydration. For mild symptoms without high fever or blood in the stools, frequent oral fluid consumption is all that is required. At times, oral rehydration salt and anti-motility agent such as loperamide may be given by doctors to alleviate symptoms. Unless there is a real need, I would urge against the liberal use of antibiotics.

Photo of Dr Wai Leong Quan

Answered By

Dr Wai Leong Quan

Gastroenterologist

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