[27F] Experiencing chronic constipation and abdominal discomfort

What might be happening

Based on the information you have provided, possible diagnoses include:

• Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine. Signs and symptoms include cramping, abdominal pain, bloating, gas, and diarrhea or constipation, or both. IBS is a chronic condition that you'll need to manage long term.

  • Treatment of IBS typically involves long-term strategies to manage symptoms. These can include changes in diet, lifestyle, and stress management. In some cases, medication or counseling is recommended.

• Lactose Intolerance: This is a common condition that's more common in people of East Asian descent. It can cause bloating, diarrhea, and gas after eating or drinking dairy products.

  • Treatment of lactose intolerance generally involves limiting or avoiding foods that contain lactose, such as milk and cheese. Lactase enzyme supplements can also be helpful.

• Chronic Idiopathic Constipation: This is a diagnosis of exclusion for constipation that does not have a clear cause but has been present for several months to years.

  • Treatment typically involves lifestyle changes, such as increasing physical activity and intake of dietary fiber and fluids. Over-the-counter or prescription medications may also be recommended.

What you can do

1. Keep a food diary: Write down what you eat and how you feel afterwards to see if you can identify any triggers for your symptoms.
2. Increase your fiber intake: Eating more fruits, vegetables, and whole grains may help to soften your stool and increase its bulk, which can help with constipation.
3. Stay hydrated: Drinking plenty of fluids can help prevent constipation.
4. Exercise regularly: Physical activity can help stimulate intestinal function and reduce constipation.
5. Try over-the-counter remedies: Fiber supplements, stool softeners, and laxatives can all be used to help manage constipation. However, these should not be used long-term without the guidance of a healthcare provider.

What you should look out for

• If your symptoms worsen or do not improve with dietary changes and over-the-counter treatments, you should seek medical attention.
• If you notice blood in your stool, unintentional weight loss, or severe pain, you should seek immediate medical attention.

Please remember that while I strive to provide accurate and useful information, I am not a doctor and this advice should not replace a consultation with a healthcare professional.