[21M] With constipation, abdominal discomfort, and back pain

Patient Description

A 21-year-old male has been experiencing constipation, abdominal discomfort, and back pain for the past four months. Bowel movements occur approximately four times a week, with stools described as 'kind of skinny.' The abdominal discomfort is dull, located on the right side, and rated as 4 out of 10 in severity. The patient has noticed some weight changes due to reduced eating but reports no nausea, vomiting, blood in stool, fever, chills, or changes in urination. Dietary changes include increased fiber intake. The patient does not use alcohol, tobacco, or recreational drugs, has not traveled recently, has no pre-existing conditions, and is not taking any medications.

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Arora's Assessment

What might be happening

Based on your symptoms, here are some possible explanations:

  • Dietary Changes and Constipation: Eating fast food like McDonald's regularly can lead to constipation and abdominal discomfort due to low fiber content. The back pain might be related to straining or discomfort from constipation.

    • Treatment: Increasing fiber intake, staying hydrated, and regular exercise can help. Over-the-counter laxatives might be used temporarily, but consult a doctor for long-term use.
  • Irritable Bowel Syndrome (IBS): This condition can cause abdominal discomfort and changes in bowel habits. Stress and diet can trigger symptoms.

    • Treatment: Dietary changes, stress management, and sometimes medication can help manage symptoms.
  • Musculoskeletal Issues: Back pain could be unrelated to your abdominal symptoms and might be due to posture or physical strain.

    • Treatment: Stretching, strengthening exercises, and proper ergonomics can help alleviate back pain.

What you can do

  1. Dietary Adjustments: Continue increasing your fiber intake with fruits, vegetables, and whole grains. Drink plenty of water.
  2. Exercise: Regular physical activity can help improve bowel movements and reduce discomfort.
  3. Monitor Symptoms: Use MDandMe to journal your symptoms, track progress, and share insights with your healthcare provider.
  4. Consult a Doctor: If symptoms persist, a healthcare provider can offer a formal diagnosis and treatment plan.

What you should look out for

Seek medical attention if you experience:

  • Severe or worsening abdominal pain
  • Blood in your stool
  • Unexplained weight loss
  • Persistent symptoms despite dietary changes

Remember, it's important to consult a healthcare professional for a proper 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

People Also Ask


What dietary changes can help alleviate constipation?

Increasing fiber intake with foods like fruits, vegetables, and whole grains, staying hydrated, and reducing processed foods can help alleviate constipation.


How can I differentiate between IBS and other gastrointestinal issues?

IBS is often characterized by a combination of abdominal pain, bloating, and changes in bowel habits without any structural abnormalities. A healthcare provider can help differentiate IBS from other conditions through a detailed history and possibly some tests.


What are some effective exercises for relieving back pain related to constipation?

Exercises such as gentle stretching, yoga, and core strengthening can help relieve back pain related to constipation. It's important to maintain good posture and avoid heavy lifting.


When should I seek medical attention for abdominal discomfort and constipation?

Seek medical attention if you experience severe or worsening abdominal pain, blood in your stool, unexplained weight loss, or if symptoms persist despite dietary changes.


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