1-Gallstone pain:
It is also known as biliary colic. It happens when gallstones or sludge cause blockage of the gallbladder duct during a gallbladder contraction - the duct is a thin tube-like structure through which the bile exists the gallbladder. In most cases, the pain resolves within 30 to 90 minutes as the gallbladder relaxes and the obstruction (blockage) is relieved.
Episodes of biliary colic happen haphazardly and tend to be unpredictable. The pain usually localized to the epigastrium (the very top of the stomach) or right upper quadrant and may radiate to the tip of the right shoulder in the back. The pain typically begins within an hour after a fatty meal. Patients often describe the pain as intense and dull, and may last from 1-5 hours. The intensity of the pain increases steadily over about 10 to 20 minutes and then gradually wanes when the gallbladder stops contracting and the stone falls back into the gallbladder. The pain is constant in nature and is not relieved by vomiting, antacids, passing a bowel movement or gas, or positional changes. It may be accompanied by diffuse sweating, nausea, and vomiting.
Most patients develop symptoms shortly before complications.
2- Peptic ulcer pain:
This is the pain that results from an ulcer either in the stomach itself or in the duodenum, the 1st segment of the small intestines.
Epigastric pain is the most common symptom of both gastric and duodenal ulcers. Typically, this type of pain is characterized by a gnawing or burning sensation and occurs after meals. Food or antacids can relieve the pain of duodenal ulcers but not of gastric ulcer pain.
Duodenal ulcer pain can be severe enough to awaken the patient at night.
Other possible associated include the following:
- Belching, bloating, and fatty food intolerance
- Heartburn
- Chest discomfort
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