Stomach Pain – Too Much Spice?

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Q:  Dear Dave,

Last night at a restaurant I ate an hors d’oerve dish that the place challenges people to finish, presumably because it is so hot.  Few do it.  It is made up of 5 habanero chile fritters and habanero hot sauce for dipping. Going down was painful, but do-able.  When it hit my stomach, though, I felt a low level burning irritation.  And when I began eating the main dinner, that burning irritation turned into a powerful hurt that would dissipate only after leaning forward for about 5 minutes.  Needless to say I couldn’t finish my meal.  The pain came back again just before going to bed and again in the middle of the night.  In the night I took several Tums which only made it worse and caused me to throw up.  Now, in the morning I am afraid to eat anything for fear of exacerbating the pain again, which again is at a low level burning irritation.  Have you heard of this happening before?  Is there a way to resolve this?

–Michael

 

A:  Hello Michael:

It has never been demonstrated that capsaicin damages the esophagus or stomach, but you may be super-sensitive to capsaicin of that power in your stomach.  If you are suffering from acid reflux, the Tums would have helped the situation by neutralizing stomach acid.  Of course, I am not a doctor, but it occurs to me that you should be checked for stomach ulcers. In the meantime, drink milk or eat ice cream. Hope this helps.

–Dave

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