Any number of disorders can cause you to experience stomach discomfort at night. It may result from a food allergy or bowel disorders, heartburn or more serious conditions such as an abdominal aneurysm or a tumor. Stomach discomfort could originate anywhere from your mouth to your spleen. It may involve only your stomach or could be caused by irritation in your intestines, liver, appendix or kidneys.
If you are experiencing serious medical symptoms, seek emergency treatment immediately.
When stomach acid backs up, it can block your esophagus and cause discomfort in your belly region with burning sensations from the bile. Heartburn often becomes more pronounced when you lie down, especially if you've eaten shortly before going to bed. Eating foods such as:
- hot peppers
- citrus fruits
- tomatoes or greasy food at night can lead to heartburn
- stomach pain
A hiatal hernia is a condition that causes part of your stomach to push up through your diaphragm and also causes heartburn at night.
Digestion Problems in the Morning
Irritable bowel syndrome, or IBS, describes a myriad of conditions that could be affecting your stomach and cause you discomfort at the end of the day 3. IBS often is exacerbated by stress, so if you've had a difficult day, your stomach discomfort may worsen. Other indications that you may suffer from IBS include stomach bloating that continues throughout the day and seems to decrease overnight after you've slept. It also may cause constipation or diarrhea. Other symptoms include headaches, sleep disruptions, passing urine more often and nausea.
- Irritable bowel syndrome, or IBS, describes a myriad of conditions that could be affecting your stomach and cause you discomfort at the end of the day 3.
Nighttime stomach pain is common when you have a peptic ulcer, according to the University of Maryland Medical Center 4. Peptic ulcers are caused by an infection from the helicobacter pylori bacteria, also called H. pylori, or by long-term overuse of anti-inflammatory medications such as ibuprofen or aspirin. Many of the symptoms are similar to heartburn and occur after eating spicy or greasy foods. Besides stomach discomfort, you may experience belching, vomiting and unexplained weight loss. Stress also adds to the discomfort. You should avoid caffeine, alcohol and irritating foods at night to prevent symptoms, but seek immediate medical attention if you also start vomiting blood or have a sharp stabbing pain in your abdomen.
- Nighttime stomach pain is common when you have a peptic ulcer, according to the University of Maryland Medical Center 4.
Bile Reflux Gastritis Symptoms
According to MedlinePlus, if the discomfort is occasional, home remedies and changes in your diet can help. Persistent stomach pain that lasts more than a week should warrant a doctor's visit, however. Get emergency care if you lie down at night and also have difficulty breathing, chest pain or severe sudden stomach pain. If you have cancer or are pregnant, you shouldn't ignore the discomfort, but seek immediate medical care.
- According to MedlinePlus, if the discomfort is occasional, home remedies and changes in your diet can help.
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- Family Doctor.org: Abdominal Pain
- Medline Plus: Abdominal Pain
- Netdoctor: Irritable Bowel syndrome; Dr. Jeni Worden
- University of Maryland Medical Center: Peptic Ulcer
- Mayer EA, Tillisch K. The brain-gut axis in abdominal pain syndromes. Annu Rev Med. 2011;62:381-96. doi:10.1146/annurev-med-012309-103958
- Fashner J, Gitu AC. Diagnosis and treatment of peptic ulcer disease and H. pylori infection. Am Fam Physician. 2015;91(4):236-42.
- InformedHealth.org [Internet]. Cologne, Germany: Institute for Quality and Efficiency in Health Care (IQWiG); 2006-. Gastritis: Overview. Updated June 28, 2018.
- Stein B, Everhart KK, Lacy BE. Gastroparesis: A review of current diagnosis and treatment options. J Clin Gastroenterol. 2015;49(7):550-8. doi:10.1097/MCG.0000000000000320
- Antunes C, Sharma A. Esophagitis. [Updated 2020 Jan 29]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020.
- National Institute of Diabetes and Digestive and Kidney Diseases. Acid Reflux (GER & GERD) in Adults. Updated November 2014.
- Feagan BG, Kahrilas PJ, Jalan R, McDonald JWD. Evidence‐Based Gastroenterology and Hepatology. 4th ed. Hoboken, NJ: John Wiley & Sons; 2019. doi:10.1002/9781119211419
- Leonard MM, Sapone A, Catassi C, Fasano A. Celiac disease and nonceliac gluten sensitivity: A review. JAMA. 2017;318(7):647-656. doi:10.1001/jama.2017.9730
- Deng Y, Misselwitz B, Dai N, Fox M. Lactose intolerance in adults: Biological mechanism and dietary management. Nutrients. 2015;7(9):8020-35. doi:10.3390/nu7095380
- Feuerstein JD, Falchuk KR. Diverticulosis and diverticulitis. Mayo Clin Proc. 2016;91(8):1094-104. doi:10.1016/j.mayocp.2016.03.012
- Bhangu A, Søreide K, Di Saverio S, Assarsson JH, Drake FT. Acute appendicitis: modern understanding of pathogenesis, diagnosis, and management. Lancet. 2015:386(10000);1278-1287. doi:10.1016/S0140-6736(15)00275-5
- Fujii T, Watanabe M. Definition and epidemiology of inflammatory bowel disease. Nippon Rinsho. 2017;75(3):357-363.
- Cleveland Clinic. Hernia. September 2018.
- Cervellin G, Mora R, Ticinesi A, et al. Epidemiology and outcomes of acute abdominal pain in a large urban emergency department: Retrospective analysis of 5,340 cases. Ann Transl Med. 2016;4(19):362. doi:10.21037/atm.2016.09.10
- Gans SL, Pols MA, Stoker J, Boermeester MA. Guideline for the diagnostic pathway in patients with acute abdominal pain. Dig Surg. 2015;32(1):23-31. doi:10.1159/000371583
- Levine MS, Rubesin SE. History and evolution of the barium swallow for evaluation of the pharynx and esophagus. Dysphagia. 2017;32(1):55-72. doi:10.1007/s00455-016-9774-y
- Muthusamy VR, Lightdale JR, Acosta RD, et al. The role of endoscopy in the management of GERD. Gastrointest Endosc. 2015;81(6):1305-10. doi:10.1016/j.gie.2015.02.021
- Gionchetti P, Rizzello F, Annese V, et al. Use of corticosteroids and immunosuppressive drugs in inflammatory bowel disease: Clinical practice guidelines of the Italian Group for the Study of Inflammatory Bowel Disease. Dig Liver Dis. 2017;49(6):604-617. doi:10.1016/j.dld.2017.01.161
- Oor JE, Roks DJ, Broeders JA, Hazebroek EJ, Gooszen HG. Seventeen-year outcome of a randomized clinical trial comparing laparoscopic and conventional Nissen fundoplication. Ann Surg. 2017;266(1):23-28. doi:10.1097/SLA.0000000000002106
- Macaluso CR, McNamara RM. Evaluation and Management of Acute Abdominal Pain in the Emergency Department. Int J Gen Med. 2012;5:789-97. doi:10.2147/IJGM.S25936.
- Penner RM, Fishman MB. (2017). Evaluation of the adult with abdominal pain. Auerbach AD, Aronson MD, eds. UpToDate. Waltham, MA: UpToDate Inc.
Linda Ray is an award-winning journalist with more than 20 years reporting experience. She's covered business for newspapers and magazines, including the "Greenville News," "Success Magazine" and "American City Business Journals." Ray holds a journalism degree and teaches writing, career development and an FDIC course called "Money Smart."