[28M] With severe abdominal pain, bloating, and difficulty with bowel movements

What might be happening

Based on the symptoms you've described, here are some possible explanations:

1. Ileus: This is a condition where there is a lack of movement in the intestines, leading to a buildup and blockage. This can cause severe abdominal pain, bloating, and difficulty passing stool and gas. The treatment usually involves resting the bowel by not eating solid foods, using IV fluids, and sometimes medications to stimulate bowel movements. However, since your symptoms have worsened despite following the treatment plan, further evaluation is necessary.

2. Celiac Disease: Given your sensitivity to gluten and dairy, celiac disease is a possibility. This is an autoimmune disorder where ingestion of gluten leads to damage in the small intestine. Symptoms include severe abdominal pain, bloating, diarrhea, and malabsorption of nutrients. Diagnosis is typically made through blood tests and a biopsy of the small intestine.

3. Small Intestinal Bacterial Overgrowth (SIBO): This condition occurs when there is an abnormal increase in the number of bacteria in the small intestine. Symptoms include bloating, abdominal pain, diarrhea, and malabsorption. Diagnosis is usually made through breath tests, and treatment involves antibiotics and dietary changes.

4. Inflammatory Bowel Disease (IBD): Conditions like Crohn's disease or ulcerative colitis could also explain your symptoms. These are chronic inflammatory conditions of the gastrointestinal tract that can cause severe abdominal pain, diarrhea, and weight loss. Diagnosis is made through a combination of blood tests, stool tests, endoscopy, and imaging studies.

What you can do

For Abdominal Pain and Bloating:

• Seek Immediate Medical Attention: Given the severity and persistence of your symptoms, it's crucial to consult a healthcare provider as soon as possible. You may need further diagnostic tests such as imaging studies (CT scan, MRI) or endoscopy to determine the underlying cause.
• Dietary Adjustments: While waiting for a medical consultation, continue to avoid gluten and dairy. You might also try a low-FODMAP diet, which can help reduce bloating and gas.
• Hydration: Ensure you stay hydrated, especially since you mentioned dark yellow to orange urine, which can indicate dehydration. Drink clear fluids like water, broth, or oral rehydration solutions.
• Document Symptoms: Use MDandMe to journal your symptoms, track your progress, and share this information with your healthcare provider. This can help in identifying patterns and triggers.

For Difficulty Passing Bowel Movements:

• Fiber Intake: Gradually increase your intake of soluble fiber (e.g., oats, bananas, apples) to help with bowel movements. Avoid insoluble fiber (e.g., whole grains, nuts) as it can worsen bloating.
• Gentle Exercise: Light physical activity, such as walking, can help stimulate bowel movements.
• Over-the-Counter Remedies: Consider using stool softeners or mild laxatives, but consult with a healthcare provider before starting any new medication.

For Nausea:

• Small, Frequent Meals: Eat small, frequent meals instead of large ones to reduce nausea.
• Ginger: Ginger tea or ginger supplements can help alleviate nausea.
• Avoid Triggers: Identify and avoid foods or smells that trigger your nausea.

What you should look out for

Given the severity of your symptoms, you should seek medical care as soon as possible. Reasons to seek care even more urgently include:

• Severe or worsening abdominal pain
• Persistent vomiting
• Signs of dehydration (e.g., very dark urine, dizziness, dry mouth)
• Blood in stool or vomit
• Fever or chills
• Unexplained weight loss

Remember, while I can provide information and suggestions, it's essential to consult with a healthcare professional for a formal diagnosis and appropriate treatment. If you have more questions or need further assistance, feel free to continue the conversation.