您可能已经听到了“相信自己的肠子”或“听你的直觉”的话，这是有原因的。我们的胃是我们的second brains。When something is up, just like your brain, your stomach is going to let you know.
当您饥饿时，它会咆哮。当您装满时，它会发疯。当您紧张时，它会翻转。但是，如果您的肚子清楚地说：“哎呀，帮助！”，您该怎么办？
“The causes of stomach pain can be difficult to pinpoint because there are so many conditions that can contribute, from the very common to the very rare and everything in between,” saidJoel Cooper, DO, a family medicine physician at横幅紧急护理。“大多数情况下胃疼不严重,但是a few can be, so it’s always good to get checked out by your doctor.”
Let’s face it, there’s a lot going on in the world today that can wreak havoc on our gut—and our brain. Dr. Cooper shared some of the most common causes for stomach aches and how to take care of them.
1.食物中毒
Are you regretting eating Aunt Sarah’s famous potato salad at the summer picnic? Food poisoning is a common, yet painful problem. According to the Centers for Disease Control and Prevention (CDC), nearly4800万美国人get sick each year from food poisoning.
你可以得到食物中毒after eating spoiled food (like Aunt Sarah’s sun-soaked potato salad) or drinking something that has beencontaminated通过细菌，寄生虫或病毒。您可能会遇到胃痉挛，腹泻和呕吐。但是食物中毒通常是短暂的，这意味着它通常在24小时或更短的时间内清除。
如何治疗
“The most important thing is to stay hydrated,” Dr. Cooper said. “And you’ll also want to get plenty of rest as you ride it out. If things don’t get better, call your doctor.”
[Check out "腹泻和呕吐时防止脱水的5个技巧。"]
2. Indigestion
There’s not always an obvious reason for indigestion, but for most people it’s a result of eating or drinking too much too soon, eating spicy or high-fat foods and eating during stressful situations. Beingtired or stressed,抽烟和喝咖啡因or carbonated beverages can also contribute or make it worse.
如何治疗
We all have indigestion at times, but usually it isn’t serious. Time and giving your poor stomach a rest usually heals it. If you’re having persistent indigestion, however, you’ll want to check in with your doctor.
3. Constipation
What happens (or doesn’t) happen in the bathroom is your business. But when “business is slow” down below, it can be uncomfortable and even a bit painful. If you’reconstipated，您可能有肿和饱的感觉，腹部甚至可能明显肿胀。它通常是由于您的饮食或常规，某些药物或压力的变化而发生的。
如何治疗
“Constipation can range from intermittent and non-serious to severe,” Dr. Cooper said. “There are some things you can do at home to remedy it, but if you’re experiencing pain or rectal bleeding, you’ll want to see your doctor.”
[To help get things moving, read “Is Squatting the Answer: How to Deal with Constipation。”]]
4. GERD
偶尔心痛是我rry about, but chronic heartburn, known as acid reflux orgastroesophageal reflux disease（gerd）真的可以燃烧。胃中过多的酸会导致许多问题，包括在胸部燃烧，口中有酸味，喉咙痛和干咳嗽。
如何治疗
For minor issues, antacids and proton pump inhibitors like Prilosec can be helpful, but if you’re still having symptoms for a couple weeks, you’ll want to see your doctor. “It’s important to see your doctor because too much acid that refluxes upward can set the stage forBarrett’s esophagus, which can increase your risk for developing esophageal cancer,” Dr. Cooper said.
[To fight the burn, check out "A Fire in Your Belly: How to Extinguish GERD。"]
5. Lactose intolerance
有些人无法忍受牛奶。当他们这样做时，他们可能患有气体，腹胀，疼痛和腹泻。症状可能会根据您的乳糖量和身体产生的乳糖酶量而变化。
如何治疗
今天幸运的是，今天有整个乳制品过道，专门用于替代牛奶，使那些人与lactose intolerance这些天有很多欢呼。您可能还想与您的医生一起去看确认并排除任何其他消化问题。
[For healthy alternatives that still pack a protein punch, check out “Decoding Six Milks and Milk Alternatives。”]]
6.阑尾炎
If you’re experiencing sharp pain in your lower right abdomen that may have started at your belly button and has migrated down and to the right over several hours, you may have appendicitis. Appendicitis happens when the appendix gets inflamed and filled with pus, often from an infection.
库珀博士说：“阑尾炎的一个普遍发现是'汉堡症状'或食欲不振，特别是对于通常会喜欢和美味的食物。”“当汽车上的颠簸和坑洼旅行时，您还可能会在右下腹部发烧，呕吐和明显的疼痛。”
如何治疗
阑尾炎通常需要在阑尾破裂之前进行手术。如果您的疼痛持续存在并突然出现，您应该立即去看医生。
7.妇科
Females may suffer unique types of stomach pain, although typically pain is in the lower abdomen or the pelvis. Sometimes the pain may be due to menstruation or ovulation while other times it may signal something more serious like aurinary tract infection，破裂的卵巢囊肿或异位妊娠。
如何治疗
尽管OTC药物和温暖的压缩可以帮助缓解一些轻微的月经痉挛，但如果您遇到持续的胃痛或疼痛，或者在您期间之前或期间疼痛，请咨询您的OBGYN或初级保健医生。
8. IBS
If肠易激综合症（IBS）是您胃痛的原因，进食后可能会变得更糟。IBS的症状可能包括腹泻或便秘，腹胀和痉挛，但不会引起出血或体重减轻。您可能会在下腹部体验到它，但有时腹部遍布腹部。
如何治疗
通常可以通过管理您的饮食，压力水平和生活方式来控制症状。如果您正在体重减轻，疲劳和注意到凳子上的血液，则需要去看医生。这可能是inflammatory bowel disease，例如克罗恩病或溃疡性结肠炎。
9. Gall bladder
如果您在吃脂肪饭后发现自己在痛苦中翻了一番，您可能会经历胆囊攻击。库珀博士说：“虽然胆囊的问题通常存在于腹部右上部分，但许多人会遭受胃痛。”进食后的疼痛变得更糟，可能会来来去去，随着时间的流逝，疼痛变得更加恒定和严重。
如何治疗
If you’re experiencing symptoms of a gallbladder attack, schedule an appointment with your doctor to get evaluated.
最后一个收获
“记住你的肚子是你的第二个大脑；尊重它。”库珀博士说。“对您的胃保持友善，至少在大多数情况下，这对您来说是友善的。”
While tummy troubles are normal from time to time, certain symptoms shouldn’t be ignored. If there’s been significant changes or worsening of your symptoms or you have pain accompanied with black, tarry stools or vomiting of blood, contact your doctor right away. To find a Banner Health specialist near you, visitbannerhealth.com。
