[21F] With severe upper abdominal bloating and gastrointestinal symptoms

Patient Description

A 21-year-old female has been experiencing severe upper abdominal bloating that lasts throughout the day, along with frequent burping, gas, and a constant dull ache in the upper abdomen rated at 5 out of 10 in severity. These symptoms have persisted for months. The patient reports diarrhea with semi-formed, runny stools and occasional nausea, but no vomiting, unintentional weight loss, or heartburn. She has noticed an increased appetite, feeling constantly hungry. There have been no recent changes in diet, lifestyle, or travel history. The patient has a history of anemia, diagnosed in 2018, and is currently taking 325mg of ferrous sulfate once daily and 50,000 units of vitamin D2 once weekly. There is no family history of gastrointestinal issues, and the patient has no known allergies.

Arora's Assessment

What might be happening

Based on your symptoms, here are some possible explanations:

Irritable Bowel Syndrome (IBS): This is a common condition that affects the digestive system, causing symptoms like bloating, gas, and changes in bowel habits. Stress and certain foods can trigger symptoms.
- Treatment: Often involves dietary changes, stress management, and sometimes medication to manage symptoms.
Small Intestinal Bacterial Overgrowth (SIBO): This occurs when there is an abnormal increase in the number of bacteria in the small intestine, leading to bloating, gas, and diarrhea.
- Treatment: Typically involves antibiotics and dietary changes.
Functional Dyspepsia: This is a chronic disorder of sensation and movement in the upper digestive tract, causing bloating and discomfort.
- Treatment: May include dietary changes, medications to reduce stomach acid, and prokinetics to help with digestion.

What you can do

Dietary Adjustments: Consider keeping a food diary to track what you eat and any symptoms that follow. This can help identify potential triggers.
Hydration: Ensure you are drinking plenty of water, especially with diarrhea.
Probiotics: These may help balance your gut bacteria and alleviate some symptoms.
Stress Management: Techniques like yoga, meditation, or deep breathing exercises can help reduce stress-related symptoms.
Symptom Tracking: Use MDandMe to journal your symptoms, track progress, and share insights with your healthcare provider.

What you should look out for

Seek Medical Attention: If you experience severe pain, blood in your stool, or significant weight loss, see a doctor promptly.
Monitor Symptoms: If your symptoms worsen or new symptoms develop, consult a healthcare professional.

Remember, it's important to consult with a healthcare provider for a formal diagnosis and treatment plan.

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3 mo ago

Top picked over-the-counter products for Irritable Bowel Syndrome: American College of Gastroenterology Guidelines