[28M] Experiencing stomach pain and bloating after eating cheese pizza

Patient Description

A 28-year-old male reports a dull ache in the lower stomach with a severity of 7 out of 10, which began 6 hours ago after consuming cheese pizza. The pain is accompanied by bloating and is somewhat alleviated by burping. The patient has had a recent bowel movement, describing the stool as yellow and soft. There is no associated fever or chills. The patient also mentions immediate onset of symptoms post ingestion and an increase in flatulence and urgency to defecate. Additionally, there has been recent weight loss, but no similar symptoms have been noted with other dairy products.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible diagnoses include:

  • Lactose Intolerance: This is a common condition where the body is unable to fully digest lactose, a sugar found in milk and dairy products. Symptoms often include bloating, diarrhea, and abdominal cramps and usually occur within 30 minutes to 2 hours after eating or drinking foods containing lactose.

    • The primary treatment for lactose intolerance is to limit or avoid foods that contain lactose, such as milk and cheese.
  • Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine. Symptoms include cramping, abdominal pain, bloating, gas, and diarrhea or constipation, or both.

    • Treatment of IBS typically involves long-term management of diet, lifestyle changes, and stress.
  • Gastroenteritis: This is an inflammation of the lining of the intestines caused by a virus, bacteria or parasites. Viral gastroenteritis is particularly common and highly infectious. Symptoms include diarrhea, stomach pain, and bloating.

    • Treatment usually involves rest, hydration, and antibiotics if the cause is bacterial.

What you can do

  1. Try avoiding dairy products for a few days to see if your symptoms improve. This can help determine if lactose intolerance is the cause.
  2. Maintain a balanced diet and drink plenty of fluids to stay hydrated, especially if you're experiencing diarrhea.
  3. Over-the-counter medications like antacids or gas-reducing drugs might help alleviate some of your symptoms.
  4. Keep a food diary to track what you eat and how you feel afterwards. This can help identify any potential triggers for your symptoms.

What you should look out for

You should seek immediate medical attention if:

  • Your pain is severe or is getting worse
  • You have blood in your stool
  • You have a high fever
  • You're unable to keep liquids down or your symptoms persist for more than a few days

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

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1 yr ago

People Also Ask


What are the common symptoms of lactose intolerance?

Common symptoms of lactose intolerance include bloating, diarrhea, abdominal cramps, gas, and nausea, typically occurring within 30 minutes to 2 hours after consuming dairy products.


How can I differentiate between lactose intolerance and irritable bowel syndrome (IBS)?

Lactose intolerance symptoms are specifically triggered by dairy products and include digestive issues like bloating and diarrhea. IBS symptoms can be triggered by a variety of foods and stress, and may include alternating diarrhea and constipation, along with abdominal pain and bloating.


What dietary changes can help manage symptoms of lactose intolerance?

To manage lactose intolerance, try avoiding or limiting dairy products, using lactose-free alternatives, or taking lactase enzyme supplements before consuming dairy. Keeping a food diary can also help identify specific triggers.


When should I seek medical attention for abdominal pain and digestive issues?

Seek medical attention if you experience severe or worsening pain, blood in your stool, a high fever, or if you are unable to keep liquids down or your symptoms persist for more than a few days.


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