Severe abdominal pain occurring suddenly during the night can have several possible causes. Gastric irritation/acid reflux or indigestion may be possible, especially after spicy food and having an empty stomach, but menstrual cramps and other abdominal or pelvic conditions can also cause similar pain.
Since the pain is described as severe and significant enough to wake her from sleep, it would not be appropriate to assume the cause is simply “gas” or period-related without a proper assessment.
The most appropriate first consultation would generally be with a General Physician/Family Physician, who can assess the location and character of the pain, menstrual history, bowel and urinary symptoms, possibility of pregnancy if relevant, and other associated symptoms. Based on the findings, they can advise whether a gynaecological evaluation or further investigations are needed.
Next Steps
If the pain is still severe, persistent, recurrent, or worsening, she should get evaluated promptly rather than waiting for it to settle on its own.
If the pain is mild and has completely settled, she can maintain hydration, have light regular meals, and avoid very spicy/oily food for the time being.
Urgent medical evaluation is recommended if there is severe or worsening pain, repeated vomiting, fever, fainting/dizziness, abdominal swelling/rigidity, blood in vomit or stool, difficulty passing urine/stool, unusual vaginal bleeding/discharge, or if pregnancy is possible—particularly with abdominal/pelvic pain or bleeding.
Health Tips
Staying in a hostel with irregular meals can contribute to acidity and indigestion, but it should not be assumed to be the only explanation for severe abdominal pain. Avoid self-medicating with repeated painkillers, especially on an empty stomach, as some painkillers can aggravate gastric irritation.
For a more detailed assessment, you can book an online consultation with me. I can review the exact location and nature of the pain, menstrual history, food intake, associated symptoms and medications, and guide you regarding whether treatment, examination or further evaluation is required.