The Vietnamese word "ấm ách" is an adjective that describes a feeling of being puffed up or bloated, often due to gas in the stomach. It conveys a sense of discomfort, particularly related to digestion.
In more advanced contexts, "ấm ách" can be used metaphorically to describe emotional discomfort or a feeling of being weighed down by worries or problems, similar to feeling “heavy-hearted” or “stressed.”
While "ấm ách" primarily refers to physical discomfort in the stomach, it can also imply a general sense of being overwhelmed or burdened in other contexts.