For sufferers of IBD and/or IBS, stomach aches and
abdominal pain are an extremely common phenomenon, and very often taken as a
given. For many, including myself, there is often a silent struggle to manage
the pain, while also not letting it take over our lives. However, not all belly
aches are the same.
This week, I would therefore like to share the
different types of belly aches I have experienced.
TYPES OF BELLY ACHES
As the below image shows, there are numerous causes of
abdominal pain. For our purposes, however, I am just going to discuss the ones
that are directly related to the digestive tract.
According to this 2012 article, there are
two main types of abdominal pain that occur with IBD: visceral, and somatic. Visceral
pain is categorised as occurring within internal organs, and the exact cause is often difficult to
identify as it is often a dull and inconsistent sensation. Somatic
pain, on the other hand, usually has musculoskeletal sources, and tends to
be a much more intense pain.
I feel, though, that these two categories are insufficient
to cover all of the types of abdominal pain I have experienced, particularly
because they are very general categories. Instead, I prefer to identify my
types of abdominal pain based on what I believe has caused them, and how they feel:
Indigestion pain – This pain often occurs if I eat foods
that contain too much fructose or fructans, and often starts very quickly after
eating. It is a quite intense pain, and is located in the area of my stomach,
directly below my ribs. Depending on what I have eaten, it can last between 30
minutes and 2 hours.
Bloating pain – This type of pain often follows indigestion,
and is localised lower down in my abdomen, in the area of my intestines. When I
am bloated, I often find that the pain quickly increases if I am wearing form-fitting
pants, due to the pressure on my belly, so I have to switch to tracksuit pants
if possible. Sometimes the bloating can be improved through passing wind, but
it can often take some time before it settles down completely, perhaps 2-3
hours on average. Additionally, the pain can ebb and flow as the gas moves
through the bowel, so it is not a constant pain.
Hunger pain (1) – This type of pain is a strange one, and
appears to be less common among those with IBD and IBS, but I have noticed happening
to me a few times over the last 2-3 months. I believe I have experienced two
different types of hunger pain: hunger pain that happens before meals, and
hunger pain that happens after meals. The first type of hunger pain seems to
happen because I have not eaten quickly enough after starting to feel hungry. This
is often because I am meeting others for a meal, and have to wait for them to
arrive and for our food to be prepared. This type of hunger pain feels similar
to indigestion, but seems to be caused by hunger instead, as my stomach was
always empty when it happened. It can sometimes last for 1-2 hours, and is not
immediately helped by eating. Therefore, I am now very careful to have a precise
eating schedule as much as possible.
Hunger pain (2) - The second type of hunger pain I have
experienced was much more intense, and occurred with other symptoms. The first (and so far, only) time I noticed this pain was late one night when returning home after dinner, and
although I had tried to be careful with what I was eating earlier that night, I
started feeling very bloated while driving, and also slightly light-headed.
Thankfully, I was able to get home safely, but by that point I was also feeling
nauseous and unsteady on my feet. I had thought that it would be fixed by
sitting on the toilet, but if anything, this made the pain and dizziness worse.
The pain was very intense, and it felt like my stomach was being squeezed and
twisted like a wet towel. I went to bed, and when I woke up 3-4 hours later, it
was as if nothing had happened! I now believe that perhaps I had not eaten
enough for dinner earlier that night, hence I quickly became very hungry again.
To avoid this, I try to have little snacks with me to eat during the day if I
start to feel hungry, and am also very conscious of eating enough at meal
times.
Diarrhea pain – This pain often happens when I feel diarrhea
coming on, and sometimes happens with nausea as well. The pain is felt lower in
the abdomen, in the area of the colon, and bowel movements can be very
uncomfortable. Depending on what has caused the diarrhea, it can last for 30
minutes or 24 hours.
Constipation pain – This type of pain occurs when
constipated, and usually happens when I am attempting to have a bowel movement.
There are usually be short, stabbing pains in the anal region as the pressure
builds, and there is also some residual pain in the area following the bowel
movement (if successful).
MANAGING AND TREATING ABDOMINAL
PAIN
There are many methods to manage and treat abdominal pain,
which mainly fall under three
categories: pharmacological, behavioural, and procedural. Firstly, pharmacological
methods include anti-inflammatory medications, such as those commonly taken by
people with IBD, and general painkillers. Behavioural methods are largely
focused on promoting relaxation and reducing stress, so as to help reduce
symptoms. Finally, procedural methods involve treatments such as acupuncture
and nerve blockers, which aims to directly treat the pain. If these methods are
insufficient, however, surgery
may be also necessary, such as a colectomy.
In my experience, my IBD medication seems to somewhat lessen
the abdominal pain, but does not completely prevent it. Therefore, I manage my
pain in two stages: prevention, and treatment. In other words, I do the best I
can to avoid being in situations that will cause abdominal pain or make it
worse, such as being careful with my diet and avoiding stressful situations. Additionally,
as previously
discussed, it is recommended that people with IBD have smaller meals and
snacks throughout the day, as this can make it easier for the body to digest
the food. If the pain still occurs, however, I then do what is necessary to
treat it, and thereby help it to alleviate quickly. This can include sitting on
the toilet, passing wind, or using a heat pack. My favourite type of heat pack
is a wheat bag, like the one in the photo below:
Do you have any tips
for managing abdominal pain? Please share below.
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