Do you suffer from a stomach ache after drinking alcohol? Your digestive system is trying to tell you something. In this guide, we look at the possible causes of your pain and explain when to seek medical help.

 

Why Do I Have a Painful Stomach Ache After Drinking Alcohol?

Alcohol can irritate the stomach lining and increase the amount of acid produced. This contributes to indigestion, heartburn and other acid-related digestive symptoms. You don’t even have to drink heavily to experience discomfort.

Some people notice burning, bloating, nausea or indigestion soon after consuming alcohol. Studies also show that regularly drinking too much alcohol can increase stomach acid production and aggravate digestive problems. This is because stomach acid moves upwards into the oesophagus, causing a burning sensation in the chest, an unpleasant sour taste and other painful sensations.

For many people, these symptoms settle once alcohol has left the system and the digestive system has had time to recover. But some people will experience pain and discomfort long after drinking has stopped.

 

There are several reasons why you may experience abdominal pain after drinking. The most common include:

Gastritis

Gastritis is inflammation or irritation of the stomach lining. Alcohol can irritate the stomach lining and contribute to symptoms, particularly with repeated or heavy drinking. Symptoms can include upper abdominal pain, nausea, vomiting, indigestion and feeling unusually full after eating. In some cases, gastritis can even cause bleeding.

You should never ignore vomiting blood as this can indicate bleeding in the stomach or oesophagus. If you experience this or regularly have stomach pain after drinking, it’s important to speak to a GP.

Acid reflux

Alcohol is a known trigger for acid reflux and heartburn, both of which happen when stomach acid travels up towards the throat. The main symptom is a burning sensation in the chest, but you can also experience a sour taste, bloating, coughing, nausea, and recurring hiccups. These can also feel worse after eating, lying down or bending over.

Alcohol makes these symptoms worse as it increases stomach acid and aggravates the digestive system. So, cutting down alcohol can be a beneficial step to reduce acid-related symptoms.

That being said, if you do experience recurrent heartburn or indigestion, don’t assume alcohol is the only possible cause. A GP can assess your symptoms and potentially carry out additional investigation.

Pancreatitis

Pancreatitis occurs when the pancreas becomes inflamed and is a serious condition that requires urgent hospital treatment. Alcohol is one of the causes of acute pancreatitis alongside gallstones. The main symptom is severe stomach pain that doesn’t go away and appears in the upper abdomen, sides and back. You may also experience nausea, vomiting and a high temperature.

 

When Does Stomach Pain Signal a Bigger Problem?

Mild stomach pain that settles usually isn’t a serious problem, but some symptoms require medical attention. This includes:

  • Severe or persistent abdominal pain
  • Sudden abdominal pain that doesn’t go away
  • Severe pain that spreads to your back
  • Vomiting blood or vomit that looks like coffee grounds
  • Black or bloody stools
  • Persistent vomiting
  • Yellowing of the skin or whites of the eyes
  • Significant abdominal swelling
  • Difficulty breathing, a rapid heartbeat or feeling extremely unwell.

If you or someone you care about is experiencing these symptoms, don’t try to manage them at home or wait to see if they disappear. Instead, consult your GP or attend hospital.

 

If your pain is mild and you don’t have any other warning signs, there are a few things you can do that may help.

  1. Stop drinking alcohol and give your digestive system time to settle. Opt for water to ensure hydration and focus on eating small plain meals.
  2. Try to avoid foods and drinks that you know trigger indigestion or reflux. This may be rich, spicy or fatty foods.
  3. If you experience heartburn, avoid lying down immediately after eating. Eating several hours before going to bed and keeping your head and shoulders elevated while sleeping can help.

If you continue to experience symptoms, arrange a GP appointment. Repeated symptoms can be a sign that your digestive system is under stress or that your drinking itself needs attention.

 

When To Get Help For Drinking

Recurring physical symptoms after drinking alcohol could mean it’s time to think about your relationship with alcohol. While stomach pain on its own doesn’t mean someone has an alcohol problem, it can be useful to look at the bigger picture. For example, do you regularly drink more than intended? Have you tried to cut down but found it difficult? Are other people concerned about how much you drink? Do you continue drinking despite it causing problems with your health, relationships or work?

Cravings, needing larger amounts of alcohol to experience the same effects and experiencing withdrawal symptoms can all signal a potential alcohol-use disorder. You don’t need to wait until a serious problem or health scare occurs either. Speaking to a GP or alcohol support service can be a useful first step.

Remember, if you drink heavily or think you may be physically dependent on alcohol, it’s important you don’t stop suddenly without medical advice. This is because alcohol withdrawal can be very dangerous in people who are dependent.

 

Don’t Ignore Recurring Pain After Drinking

If you experience a stomach ache after drinking alcohol, there may be a relatively straightforward explanation such as acid reflux. But recurring, severe or unusual pain shouldn’t be ignored or written off as the result of a big night out.

Pay attention to how often the pain occurs, how severe it is and whether you experience other symptoms such as vomiting, bleeding, jaundice or pain that spreads to your back. And remember that if alcohol is regularly causing you physical problems or you’re finding it hard to control how much you drink, help is available.

At Addiction Advocates, we provide confidential guidance for those concerned about alcohol misuse, and we’re also able to help you understand the treatment and support options available. You don’t have to wait until things get worse to ask for help. If drinking is affecting your health, relationships or everyday life, taking that first step towards support can make a real difference.

References

  • [1] Alcohol can irritate the stomach lining - https://www.drinkaware.co.uk/facts/health-effects-of-alcohol/general-health-effects/is-alcohol-harming-your-stomach
  • [2] Gastritis - https://www.nhs.uk/conditions/gastritis/
  • [3] acid reflux and heartburn - https://www.nhs.uk/conditions/heartburn-and-acid-reflux/
  • [4] Pancreatitis - https://www.nhs.uk/conditions/acute-pancreatitis/