[19M] With sudden onset lower left abdominal distention and discomfort post-meal

Patient Description

A 19-year-old male reports experiencing sudden onset of lower left abdominal distention and discomfort after eating for the past week. The patient denies any changes in weight during this period. Further information regarding changes in bowel movements or other symptoms is not provided.

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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 condition that affects the digestive system. It can cause symptoms like bloating, abdominal pain, and changes in bowel habits. The discomfort and distention you feel after eating could be related to IBS.

    • Treatment: Management of IBS often includes dietary changes, such as increasing fiber intake, avoiding trigger foods, and sometimes using medications to manage symptoms.
  • Food Intolerances: Certain foods can cause digestive issues if your body has trouble processing them. Common culprits include lactose (found in dairy products) and gluten (found in wheat, barley, and rye).

    • Treatment: Identifying and avoiding the foods that trigger your symptoms can help. Keeping a food diary can be useful in pinpointing these triggers.
  • Gas and Bloating: Sometimes, the distention and discomfort can be due to excess gas in the digestive system. This can be caused by swallowing air while eating, consuming carbonated beverages, or eating certain gas-producing foods like beans and broccoli.

    • Treatment: Reducing the intake of gas-producing foods, eating slowly, and avoiding carbonated drinks can help alleviate symptoms.
  • Constipation: If you are experiencing less frequent bowel movements, it can lead to a feeling of fullness and distention.

    • Treatment: Increasing fiber intake, staying hydrated, and regular physical activity can help improve bowel movements.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take to manage your symptoms:

  1. Dietary Adjustments: Try to identify any foods that may be triggering your symptoms. You can use the MDandMe journal to track your meals and symptoms to find patterns.
  2. Eat Smaller Meals: Eating smaller, more frequent meals can help reduce the feeling of distention.
  3. Stay Hydrated: Drink plenty of water throughout the day to help with digestion.
  4. Exercise: Regular physical activity can help improve digestion and reduce bloating.
  5. Avoid Carbonated Drinks: These can contribute to gas and bloating.
  6. Over-the-Counter Remedies: Simethicone (found in products like Gas-X) can help reduce gas. Fiber supplements can also help if constipation is a factor.

What you should look out for

It's important to monitor your symptoms and seek medical attention if you notice any of the following:

  • Severe or Worsening Pain: If your abdominal pain becomes severe or worsens, seek medical attention.
  • Blood in Stool: If you notice blood in your stool, it could indicate a more serious condition.
  • Unexplained Weight Loss: If you start losing weight without trying, it’s important to see a doctor.
  • Fever or Chills: These could indicate an infection or other serious condition.

Remember, while these tips can help manage your symptoms, it's crucial to consult a healthcare professional for a proper diagnosis and treatment plan. You can use MDandMe to journal your symptoms, track your progress, get insights, and share your notes with your healthcare provider.

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4 mo ago


People Also Ask


What are common symptoms of Irritable Bowel Syndrome (IBS)?

Common symptoms of IBS include abdominal pain, bloating, gas, diarrhea, and constipation. Symptoms can vary from person to person and may change over time.


How can I identify if I have a food intolerance?

To identify a food intolerance, you can keep a food diary to track what you eat and any symptoms that occur. An elimination diet, where you remove suspected foods and gradually reintroduce them, can also help pinpoint intolerances.


What dietary changes can help reduce gas and bloating?

To reduce gas and bloating, try eating smaller meals, avoiding carbonated drinks, and limiting foods known to produce gas, such as beans, broccoli, and onions. Eating slowly and avoiding swallowing air can also help.


When should I seek medical attention for abdominal discomfort?

You should seek medical attention if you experience severe or worsening abdominal pain, blood in your stool, unexplained weight loss, or fever and chills, as these could indicate a more serious condition.

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