[22F] Experiencing mild abdominal discomfort and occasional floating stools

Patient Description

A 22-year-old female has been experiencing mild, vague abdominal discomfort near the lower left rib for about 5 years. The discomfort is typically triggered a few minutes after consuming milk and is sometimes accompanied by bloating, gas, and diarrhea. The patient finds relief in symptoms through the use of prune juice and bowel movements. Additionally, since May 2023, the patient has noticed occasional floating stools, with smaller pieces tending to float rather than larger ones. There is no associated unexplained weight loss, fever, or chills. The patient has no known pre-existing conditions, allergies, or adverse reactions to medications, and is not currently taking any medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, it's possible that you may have:

  • Lactose Intolerance: This is a common condition where your body is unable to fully digest lactose, a sugar found in milk and dairy products. Symptoms often start a few minutes to a few hours after consuming dairy and can include abdominal discomfort, bloating, diarrhea, and gas.

    • Treatment typically involves limiting or avoiding dairy products. Some people may benefit from lactase supplements, which help break down lactose.
  • Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine and can cause symptoms like abdominal discomfort, bloating, and changes in bowel habits, including floating stools.

    • Treatment often involves long-term dietary adjustments and stress management. Some people may benefit from medication.

Please note that these are potential explanations based on the symptoms you've reported, but they are not definitive diagnoses. Only a healthcare provider can diagnose these conditions.

What you can do

  1. Try avoiding dairy products for a while to see if your symptoms improve. This could help determine if lactose intolerance is causing your symptoms.
  2. Keep a food diary. This can help identify any other potential food triggers for your symptoms.
  3. Try to eat smaller, more frequent meals instead of three large meals a day. This can sometimes help with IBS symptoms.
  4. Stay hydrated and maintain a balanced diet. This is always important for overall health.

What you should look out for

Please seek immediate medical attention if you experience:

  • 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.

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11 mo ago

People Also Ask


What are the common symptoms of lactose intolerance?

Common symptoms of lactose intolerance include abdominal discomfort, bloating, gas, diarrhea, and sometimes nausea, typically occurring after consuming dairy products.


How can I manage symptoms of irritable bowel syndrome (IBS)?

Managing IBS often involves dietary changes such as increasing fiber intake, avoiding trigger foods, eating smaller meals, and managing stress. Some people may also benefit from medications prescribed by a healthcare provider.


Why do some stools float and is it a cause for concern?

Floating stools can be caused by excess gas or a high-fat content in the stool. Occasional floating stools are usually not a cause for concern, but if it persists, it may be worth discussing with a healthcare provider.


What dietary changes can help alleviate symptoms of lactose intolerance?

To alleviate symptoms of lactose intolerance, try reducing or eliminating dairy products from your diet, using lactose-free alternatives, or taking lactase enzyme supplements before consuming dairy.


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