[19F] Experiencing lower abdominal discomfort and constipation

Patient Description

A 19-year-old female is experiencing lower abdominal discomfort described as a 6 out of 10 in severity, starting this morning. The patient is also constipated and unable to pass stool. There is a reported mild fever accompanying the abdominal symptoms. No other symptoms such as chills or changes in bowel habits were mentioned. No relief measures have been reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, you may be experiencing:

  • Constipation: This condition is characterized by fewer than three bowel movements a week, or hard, dry and small bowel movements that are painful or difficult to pass. It can cause abdominal discomfort and a feeling of fullness or bloating.

    • Treatment typically includes lifestyle changes such as increasing your intake of fiber and fluids, and regular physical activity. Over-the-counter laxatives can also be used for short-term relief, but should be used under the guidance of a healthcare provider.
  • Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine and can cause cramping, abdominal pain, bloating, gas, and changes in bowel habits (constipation or diarrhea, or both).

    • Treatment often includes diet modifications (such as low FODMAP diet), stress management, and certain medications prescribed by a healthcare provider.

Please remember that these are possible conditions and it's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

Here are some general suggestions that might help alleviate your symptoms:

  1. Increase your fiber intake: Consuming more fiber can help bulk up your stools and make them easier to pass. Foods that are high in fiber include fruits, vegetables, whole grains, and legumes.

  2. Stay hydrated: Drink plenty of fluids throughout the day, especially water. This can help soften your stools and make them easier to pass.

  3. Regular physical activity: Exercise can help stimulate the muscles in your intestines and can help alleviate constipation.

  4. Over-the-counter remedies: There are several over-the-counter products that can help with constipation. These include fiber supplements, stool softeners, and laxatives. However, these should be used as a last resort and under the guidance of a healthcare provider.

What you should look out for

If your symptoms persist or worsen, or if you experience any of the following, you should seek medical attention:

  • Severe or worsening abdominal pain
  • Blood in your stool
  • Unexplained weight loss
  • Persistent or severe nausea or vomiting

Remember, while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare provider.

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11 mo ago

People Also Ask


What are common causes of constipation in young adults?

Common causes of constipation in young adults include a low-fiber diet, inadequate fluid intake, lack of physical activity, stress, and certain medications. Hormonal changes and ignoring the urge to have a bowel movement can also contribute.


How can I differentiate between constipation and a more serious condition like IBS?

Constipation is often temporary and can be relieved with lifestyle changes, while IBS is a chronic condition that involves a combination of symptoms like abdominal pain, bloating, and changes in bowel habits. A healthcare provider can help differentiate between the two based on a detailed history and possibly some tests.


What dietary changes can help alleviate constipation?

To alleviate constipation, increase your intake of high-fiber foods such as fruits, vegetables, whole grains, and legumes. Staying hydrated by drinking plenty of water and engaging in regular physical activity can also help.


When should I see a doctor for abdominal pain and constipation?

You should see a doctor if you experience severe or worsening abdominal pain, blood in your stool, unexplained weight loss, or persistent nausea or vomiting, as these could be signs of a more serious condition.


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