[23F] Pregnant with worsened IBS symptoms and ovarian cyst

Patient Description

A 23-year-old female, currently 10 weeks pregnant, reports a worsening of pre-existing IBS symptoms, including severe bloating, sharp pains in the chest and gut, nausea, cramps, and general gut pain. The bloating, which has been present since a gallbladder removal 4 years ago, is exacerbated by meals, especially those containing fats or gas-producing foods, and persists all day. The patient also mentions the presence of an ovarian cyst, with more frequent cramping on the right side where the cyst is located. No recent injuries or accidents have been reported. The patient's sexual desire remains unchanged, although sexual activity requires the use of lubrication for comfort.

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Arora's Assessment

What might be happening

Based on the information provided, the most likely explanations for your symptoms include:

  • Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine and can cause cramping, abdominal pain, bloating, gas, and diarrhea or constipation, or both. Your symptoms of bloating and gut pain could be related to IBS, especially as you've mentioned having this diagnosis previously.

    • Treatment for IBS is usually focused on relieving symptoms and may include changes in diet, medication, and stress management techniques.
  • Ovarian Cyst: You mentioned that you have an ovarian cyst. These are fluid-filled sacs or pockets in or on the surface of an ovary. While many women have ovarian cysts at some time, most are harmless and cause little or no discomfort. However, a large ovarian cyst can cause pelvic pain, bloating, and a feeling of fullness in your abdomen.

    • Treatment for an ovarian cyst depends on the size and type of cyst, your age, and your symptoms. In many cases, cysts go away on their own. In other cases, your doctor may suggest medication or surgery.
  • Pregnancy: Pregnancy can cause a variety of symptoms, including bloating, nausea, and abdominal pain. These symptoms can be similar to those caused by IBS and ovarian cysts, making it difficult to distinguish between them.

    • Treatment during pregnancy is focused on ensuring the health and well-being of both the mother and the baby. It's important to discuss any symptoms with your healthcare provider to ensure appropriate care.

What you can do

  1. Consult your healthcare provider: It's important to discuss your symptoms with your healthcare provider, especially since you're pregnant. They can provide a formal assessment and order relevant tests if necessary.

  2. Monitor your diet: Pay attention to what foods make your symptoms worse and try to avoid them. This will also be useful information for your healthcare provider.

  3. Stay hydrated and eat a balanced diet: This can help minimize symptoms of IBS and ensure proper nutrition during pregnancy.

  4. Rest and relax: Stress can exacerbate symptoms of IBS, so try to find ways to relax and reduce stress.

What you should look out for

Seek immediate medical attention if you experience any of the following:

  • Severe abdominal pain
  • Rapid increase in abdominal size
  • Difficulty breathing or shortness of breath
  • Faintness, dizziness, or a severe headache
  • Vaginal bleeding or fluid leakage

Remember, while I strive to provide accurate information, I'm not a doctor. It's important to consult with a healthcare professional for a formal diagnosis and treatment.

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10 mo ago

People Also Ask


Can pregnancy worsen IBS symptoms?

Yes, pregnancy can worsen IBS symptoms due to hormonal changes, increased stress, and changes in diet and digestion. It's important to work with a healthcare provider to manage symptoms effectively.


What dietary changes can help manage IBS symptoms during pregnancy?

To manage IBS symptoms during pregnancy, it is recommended to avoid trigger foods such as high-fat and gas-producing foods, eat smaller meals more frequently, and maintain a balanced diet rich in fiber. Staying hydrated and keeping a food diary can also help identify and avoid triggers.


How can an ovarian cyst affect pregnancy?

An ovarian cyst during pregnancy can cause discomfort and pain, but most cysts are benign and resolve on their own. However, large cysts may cause complications such as pain or pressure on the bladder, and in rare cases, they may require monitoring or intervention.


What are the signs that an ovarian cyst might require medical attention?

Signs that an ovarian cyst might require medical attention include severe or sudden abdominal pain, fever, vomiting, rapid breathing, or signs of shock. If any of these symptoms occur, it is important to seek immediate medical care.


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