What medicine is good for upper abdominal distension and pain?
Upper abdominal distension and pain is a common digestive system symptom, which may be caused by improper diet, indigestion, gastritis, gastric ulcer and other reasons. Choosing the right drug for different causes is crucial. The following is a summary of hot topics and hot content on the Internet about upper abdominal distension and pain in the past 10 days, combined with medical advice to provide you with structured solutions.
1. Common causes and corresponding drug recommendations

| Cause | Typical symptoms | Recommended medicine | Things to note |
|---|---|---|---|
| indigestion | Distended pain and belching after meals | Domperidone, Jianweixiaoshi tablets | avoid greasy food |
| gastritis | Dull pain, acid reflux | Omeprazole, aluminum magnesium carbonate | Need to check for Helicobacter pylori |
| gastric ulcer | Regular pain (worse on an empty stomach) | Rabeprazole, colloidal bismuth pectin | No smoking and alcohol |
| irritable bowel syndrome | Bloating and pain accompanied by changes in bowel movements | Pinaverium bromide, probiotics | Regulate emotional stress |
2. Five hotly discussed issues on the Internet
1.Which one is more effective, Chinese medicine VS Western medicine?
Recent discussions show that for acute symptoms, it is recommended to use Western medicine for rapid relief (such as proton pump inhibitors), and for chronic conditions, traditional Chinese medicine (such as Xiangsha Yangwei Pills) can be combined.
2.Are internet celebrity stomach medicines safe?
Purchasing drugs such as Japan's "Ota Weisan" and South Korea's "Weixian U" are very popular, but doctors remind you to pay attention to the differences in ingredient dosages and recommend giving priority to national medicine approved brands.
3.Do probiotics really work?
The latest research confirms that specific strains (such as Bifidobacterium BB-12) can improve functional bloating, but it needs to be taken continuously for 2-4 weeks to be effective.
4.Can I take omeprazole for a long time?
Experts warn: long-term use may increase the risk of fractures, and it is recommended to gradually reduce the dosage after symptoms are controlled.
5.Emergency pain relief tips
Natural remedies such as applying hot compresses to the upper abdomen and drinking ginger tea have received millions of likes, but if the pain persists for more than 3 days, you need to seek medical attention.
3. Medication contraindications comparison table
| drug type | Taboo groups | Potential risks |
|---|---|---|
| proton pump inhibitor | Pregnant women and osteoporosis patients | Risk of hypomagnesemia |
| Gastrointestinal motility drugs | Gastrointestinal bleeding | May worsen bleeding |
| H2 receptor blockers | People with renal insufficiency | Need to adjust dosage |
| Aluminum-containing antacids | People with Alzheimer's disease | Aluminum accumulation risk |
4. Professional doctor’s advice
1.Diagnosis priority principle:It is recommended to do a gastroscopy or breath test first to determine the cause. Blind use of medication may mask the condition.
2.Medication schedule:
-Acid-suppressing drugs (such as omeprazole): 30 minutes before breakfast
- Gastric mucosal protectant (such as sucralfate): 1 hour before meals
- Prokinetic drugs (e.g. Mosapride): 15 minutes before meals
3.Lifestyle fit:Records show that patients who follow a low-FODMAP diet increase their symptom relief rate by 40%.
5. Emergency Identification
You should seek medical attention immediately if you develop the following symptoms:
• Severe pain with vomiting of coffee-like substance
• Significant weight loss in a short period of time
• Waking up at night affects sleep
• Stool that is tarry and black
Final reminder: This article is for reference only. Please follow your doctor’s advice for specific medication. Folk remedies such as "ginger + cola" that have recently been circulated on the Internet lack scientific verification, so it is recommended to try them with caution. Maintaining a regular diet and exercising moderately are the fundamental ways to prevent upper abdominal distension and pain.
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