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GUT FEELING

From stomach ulcers to IBS – 6 signs your tummy ache isn’t normal

IT is often dismissed as a harmless problem - caused by overeating or gorging on something that doesn't agree with you.

However, stomach ache can occasionally be a sign of something much more serious.

 Stomach pain can occasionally be a sign of something much more serious, including stomach ulcers and even bowel cancer
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Stomach pain can occasionally be a sign of something much more serious, including stomach ulcers and even bowel cancerCredit: Alamy

In most cases it's just a side-effect of overindulging or guzzling too many fizzy drinks, but if you suffer long-term tummy pain or if you only get it when you eat specific foods, it could be a sign of illnesses including irritable bowel syndrome, stomach ulcers or even cancer.

Here, Dr Sarah Jarvis, GP and Clinical Director of  talks The Sun Online through the six types of stomach aches that you should never ignore.

1. Pain accompanied by blood in your poo - bowel cancer

 Blood in your poo is a serious sign that something's wrong
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Blood in your poo is a serious sign that something's wrongCredit: Getty - Contributor

Without doubt, one of the most serious causes of blood in your poo is bowel cancer.

It's one of the red-flag signs that you could have the disease - so if you spot any, book a GP appointment straight away.

Bowel cancer is the fourth most common form of the disease in the UK, after breast, prostate and lung cancers.

More than 41,000 people in the UK are diagnosed with the disease each year, according to .

 Bowel cancer is the UK's forth most common cancer
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Bowel cancer is the UK's forth most common cancerCredit: Getty - Contributor

Symptoms include pain in the abdomen, a change in your normal toilet habits, a lump in your back passage, needing to strain to do a number two and blood in your poo.

Blood can also be a sign of:

  • a stomach ulcer
  • gastroenteritis
  • Ulcerative Colitis

But before you freak out, just make sure that it really is blood.

If you eat things like beetroot, liquorice or blackberries, that can turn your stools a red-ish colour which can often look like blood.

Certain medicines like Pepto-Bismol can also do funny things to the colour of your poo.

If you've not been chowing down on any of those, however, then definitely get yourself to a doctor ASAP. Remember, there's absolutely no need to be embarrassed - they've heard it all before!

2. Sharp pain - appendicitis or stomach ulcer

 Sharp pain can be an indication of a number of different conditions, from kidney stones to appendicitis
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Sharp pain can be an indication of a number of different conditions, from kidney stones to appendicitisCredit: Getty - Contributor

Dr Jarvis said that sudden, sharp pain could be a symptom of a number of unpleasant conditions.

"A sudden, very severe pain is much more likely to signify something serious going on, so it’s worth getting it checked out quickly.

Possible causes include:

  • kidney stones
  • appendicitis
  • perforated ulcer
  • ectopic pregnancy (pregnancy outside the womb) in women
  • obstruction of the bowel

3. Pain accompanied by feeling sick - tummy bug

Feeling sick could be food poisoning or it could be something more chronic
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Feeling sick could be food poisoning or it could be something more chronicCredit: Getty - Contributor

"Feeling sick with stomach pain can be an indication of a tummy bug or food poisoning (pain is often all over the tummy and colicky, and often accompanied by diarrhoea)," Dr Jarvis said.

She also said that it could be:

  • gall bladder problems (pain over the top right of the tummy, which can be colicky)
  • irritable bowel (bloating that tends to get better and worse over the day)
  • wind
  • indigestion (pain tends to be at the top of the tummy and burning)
  • constipation
  • diarrhoea.

Again, appendicitis can also make you feel pretty sick so if you feel unwell and you're suffering from sharp pains, definitely get it checked out ASAP.

4. Pain accompanied by unexplained weight loss - cancer

 Losing weight unintentionally is never something that you can afford to ignore
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Losing weight unintentionally is never something that you can afford to ignoreCredit: Getty - Contributor

Unexpected weight loss may sound like the answer to many of our dreams but if you aren't actively trying to lose weight, it's often an extremely concerning sign that something's wrong.

If it's accompanied by belly pain, it could be a sign of:

  • cancer
  • pancreatitis
  • an IBD like Crohn's or Colitis

Even if you don't have pain, it's still worth getting checked out - but it's absolutely necessary if you do have a tender tummy too.

5. Pain accompanied by a fever - inflammation

 Inflammation or infection tend to trigger a fever
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Inflammation or infection tend to trigger a feverCredit: Getty - Contributor

"Fever often suggests infection or inflammation," says Dr Jarvis.

Possible causes would include:

  • appendicitis (pain often starts around the tummy button then moves to the bottom right of the tummy)
  • food poisoning or tummy bug
  • infection in the gall bladder (pain on the top/top right of the tummy)
  • diverticulitis (inflammation in pockets in the colon)
  • pelvic infection in women or an abscess in the stomach cavity

6. Long term belly pain - indigestion

 If you've had a belly ache for over a couple of months, you might want to get checked out - particularly if you have any other symptoms
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If you've had a belly ache for over a couple of months, you might want to get checked out - particularly if you have any other symptomsCredit: Getty - Contributor

Dr Jarvis says: "How long you should wait to see your GP depends very much on how severe the pain is and whether you have any of the ‘red flag’ symptoms".

The most common causes of stomach pain are period pains in women and indigestion.

Indigestion commonly causes burning pain in the top of the tummy, often with bloating, burping and feeling sick. Your pharmacist should be your first port of call here.

Most of the time, stomach pain is going to totally normal - just trapped wind or indigestion.

And if it goes on for a while, it might be worth looking at what you're eating, your posture and activity levels, how fast you're eating and how much you're chewing.

Symptoms you need to get checked by a GP

To recap, you should always see a doctor if you have tummy pain which is associated with these "red flags":

  • passing blood when you open your bowels
  • losing weight unintentionally
  • black, tarry poos
  • not passing any poo or wind
  • persistent bloating (not the kind that comes and goes)
  • persistent vomiting

But if you have any of these other factors, then it's crucial that you are seen to by your GP.

Catching anything nasty early on gives you a much better chance at fighting it.

It really isn't worth simply putting up with chronic pain or embarrassment.


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