[28F] With sharp abdominal and back pain, severe constipation, and increased appetite

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

• Constipation: Given your history of severe constipation and the description of your stool, it's possible that your abdominal pain is related to constipation. Constipation can cause sharp, cramping pain in the abdomen and can sometimes lead to more severe complications if not managed properly.

  • Treatment: Increasing dietary fiber intake, staying hydrated, and using stool softeners like Colace can help. In some cases, a doctor may prescribe medications to help with bowel movements.

• Irritable Bowel Syndrome (IBS): IBS is a common condition that affects the large intestine and can cause symptoms like abdominal pain, bloating, and changes in bowel habits, including constipation.

  • Treatment: Managing IBS often involves dietary changes, stress management, and sometimes medications to relieve symptoms.

• Gastroesophageal Reflux Disease (GERD): Since you have a history of GERD, it's possible that some of your symptoms, like nausea and abdominal pain, could be related to this condition.

  • Treatment: GERD is typically managed with lifestyle changes, dietary modifications, and medications like Famotidine, which you are already taking.

• Possible Kidney Issues: The pain radiating to your back and the increased frequency of urination could suggest a possible kidney issue, such as a kidney stone or infection.

  • Treatment: Kidney issues often require medical evaluation and treatment, which may include pain management, hydration, and sometimes antibiotics or other medications.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take to help manage your symptoms:

1. Increase Fiber Intake: Try to incorporate more high-fiber foods into your diet, such as fruits, vegetables, whole grains, and legumes. This can help with constipation.
2. Stay Hydrated: Drink plenty of water throughout the day to help soften your stool and promote regular bowel movements.
3. Over-the-Counter Remedies: Continue using Colace as directed to help with constipation. You might also consider using a fiber supplement if dietary changes are not enough.
4. Dietary Changes: Avoid foods and drinks that can exacerbate GERD, such as spicy foods, caffeine, and carbonated beverages. Eating smaller, more frequent meals can also help.
5. Track Symptoms: Use MDandMe to journal your symptoms, track your progress, and share your notes with your healthcare provider. This can help identify patterns and triggers for your symptoms.
6. Gentle Exercise: Engage in gentle physical activity, such as walking, to help stimulate bowel movements and relieve constipation.

What you should look out for

It's important to seek medical attention if you experience any of the following:

• Severe or Worsening Pain: If your abdominal or back pain becomes more severe or does not improve with home remedies.
• Blood in Stool: If you notice any blood in your stool, which could indicate a more serious condition.
• Fever or Chills: If you develop a fever or chills, which could suggest an infection.
• Inability to Pass Stool: If you are unable to have a bowel movement for an extended period, despite using laxatives or stool softeners.
• Unexplained Weight Loss: If you experience significant, unexplained weight loss.

Remember, while these suggestions can help manage your symptoms, it's crucial to consult a healthcare professional for a thorough evaluation and appropriate treatment.