[22F] Experiencing abdominal discomfort and loose stools

Patient Description

A 22-year-old female has been experiencing constant, mild abdominal discomfort in the lower left abdomen near the ribs for the past six months. The discomfort fluctuates in intensity but is generally alleviated by prune juice and bowel movements. Additionally, the patient reports having loose stools that are not watery or mushy, which occur often, especially after consuming milk or fiber-rich foods. Small pieces of stool occasionally float, a symptom present since May of 2023. The patient experiences increased gas when consuming milk or a high volume of fruits and vegetables. There is no reported blood in the stool, sudden weight loss, recent travel, pre-existing conditions, allergies, or adverse reactions to medications, and the patient is not on any medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are a few possible explanations for your symptoms:

  • Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine and can cause abdominal pain, bloating, gas, and changes in bowel habits. The exact cause of IBS isn't known, but certain foods and stress can trigger symptoms.

    • Treatment for IBS is focused on relieving symptoms. Dietary changes, lifestyle modifications, and medications can help manage symptoms.
  • Lactose Intolerance: This is a common condition where the body has difficulty digesting lactose, a sugar found in milk and dairy products. Symptoms can include bloating, diarrhea, and gas after consuming dairy products.

    • Treatment for lactose intolerance involves avoiding foods and drinks that contain lactose or taking lactase supplements.
  • Dietary Factors: Consumption of certain foods or drinks, especially in large amounts, can cause loose stools. This includes alcohol, caffeine, artificial sweeteners, certain fruits and vegetables, and fatty or greasy foods.

    • Treatment involves identifying and avoiding the foods or drinks that cause your symptoms.

Please note that this is not a comprehensive list of all possible diagnoses. Other conditions could also explain your symptoms.

What you can do

Here are some steps you can take to manage your symptoms:

  1. Keep a food diary: Write down what you eat and drink, and note when you have symptoms. This could help you identify foods or drinks that trigger your symptoms.

  2. Try a low-FODMAP diet: This diet involves limiting certain types of carbohydrates that are hard for some people to digest. It may help reduce symptoms of IBS.

  3. Stay hydrated: Loose stools can lead to dehydration. Make sure to drink plenty of fluids, especially water.

  4. Try over-the-counter medications: Certain medications can help manage symptoms of IBS and lactose intolerance. Always follow the instructions on the label and talk to your doctor or pharmacist if you have any questions.

What you should look out for

Please seek immediate medical attention if you notice any of the following:

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

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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11 mo ago

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

People Also Ask


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

Common symptoms of IBS include abdominal pain, bloating, gas, and changes in bowel habits such as diarrhea or constipation. Symptoms can vary in intensity and may be triggered by certain foods or stress.


How can lactose intolerance be managed effectively?

Lactose intolerance can be managed by avoiding foods and drinks that contain lactose, such as milk and dairy products. Lactase supplements can also be taken to help digest lactose when consuming dairy.


What dietary changes can help alleviate symptoms of loose stools?

To alleviate symptoms of loose stools, consider reducing intake of alcohol, caffeine, artificial sweeteners, and fatty or greasy foods. Keeping a food diary can help identify specific triggers, and a low-FODMAP diet may also be beneficial.


When should I seek medical attention for abdominal discomfort?

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


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