[18M] With bloated stomach and changes in bowel habits

Patient Description

An 18-year-old male reports experiencing a bloated stomach almost every day for the past two weeks. He describes frequent bowel movements, sometimes passing a lot of stool and sometimes only a little. He also notes bloating by the lower left rib cage and trapped gas in that area, causing his stomach to appear uneven. The patient has not found any relief for these symptoms and has not identified any specific food triggers. He denies any recent weight loss, fever, severe abdominal pain, or changes in stool color or consistency. However, he has noticed blood in his stool. There is no family history of gastrointestinal diseases such as irritable bowel syndrome, inflammatory bowel disease, or celiac disease, and he does not have any pre-existing conditions or chronic illnesses.

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Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

  • Irritable Bowel Syndrome (IBS): IBS is a common disorder that affects the large intestine. Symptoms can include cramping, abdominal pain, bloating, gas, and diarrhea or constipation, or both. The fact that you experience bloating and changes in bowel habits could be indicative of IBS.

    • Treatment: Management of IBS often involves dietary changes, such as increasing fiber intake, avoiding trigger foods, and sometimes medications to manage symptoms.
  • Gastrointestinal Gas and Bloating: Excessive gas and bloating can be caused by swallowing air, certain foods, or an imbalance in gut bacteria.

    • Treatment: Over-the-counter medications like simethicone can help relieve gas. Probiotics may also help balance gut bacteria.
  • Constipation: Even if you are having frequent bowel movements, incomplete evacuation can lead to bloating and discomfort.

    • Treatment: Increasing fiber intake, drinking plenty of water, and regular exercise can help manage constipation.
  • Food Intolerances: Sometimes, certain foods can cause bloating and changes in bowel habits. Common culprits include lactose, gluten, and certain high-fiber foods.

    • Treatment: Keeping a food diary to track what you eat and how it affects your symptoms can help identify any food intolerances.

What you can do

  1. Dietary Changes: Try to identify and avoid foods that may be causing your symptoms. Keeping a food diary can help you track what you eat and how it affects you.
  2. Hydration: Drink plenty of water to help with digestion and reduce bloating.
  3. Exercise: Regular physical activity can help improve your digestive health.
  4. Over-the-Counter Medications: Medications like simethicone can help relieve gas and bloating. Fiber supplements can also help regulate bowel movements.

What you should look out for

  • Seek Medical Attention: If you notice any of the following, you should see a healthcare provider:
    • Persistent or severe abdominal pain
    • Blood in your stool
    • Unexplained weight loss
    • Fever
    • Symptoms that do not improve with over-the-counter treatments

Remember, while these suggestions can help manage your symptoms, it is important to consult a healthcare provider for a formal diagnosis and treatment plan.

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6 mo ago

People Also Ask


What could be causing my bloated stomach and frequent bowel movements?

Your symptoms could be caused by conditions such as Irritable Bowel Syndrome (IBS), gastrointestinal gas and bloating, constipation, or food intolerances. It's important to consult a healthcare provider for an accurate diagnosis.


How can I manage symptoms of bloating and gas effectively?

To manage bloating and gas, consider dietary changes like avoiding trigger foods, using over-the-counter medications like simethicone, and possibly taking probiotics to balance gut bacteria.


Is blood in the stool a serious concern?

Yes, blood in the stool can be a sign of a more serious condition and should be evaluated by a healthcare provider to rule out any underlying issues.


What lifestyle changes can help improve digestive health?

Improving digestive health can involve dietary changes, staying hydrated, regular exercise, and possibly using fiber supplements to regulate bowel movements. Keeping a food diary can also help identify any food intolerances.


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