[29F] With severe lower abdominal pain and constipation

What might be happening

Based on the symptoms you've described, there are a few potential conditions that could be contributing to your abdominal pain and other symptoms:

1. Irritable Bowel Syndrome (IBS): This is a common condition that affects the large intestine and can cause symptoms like cramping, abdominal pain, bloating, gas, and changes in bowel habits, including constipation. Stress and certain foods can trigger symptoms.

2. Diverticulitis: This condition occurs when small, bulging pouches (diverticula) in the digestive tract become inflamed or infected. It can cause severe abdominal pain, fever, nausea, and a noticeable change in bowel habits.

3. Inflammatory Bowel Disease (IBD): Conditions like Crohn's disease or ulcerative colitis can cause inflammation in the digestive tract, leading to symptoms such as abdominal pain, changes in bowel habits, and blood in the stool.

4. Hemorrhoids: These are swollen veins in the lower rectum or anus that can cause bleeding during bowel movements. They can also lead to discomfort and pain, especially if they become thrombosed or prolapsed.

5. Gastrointestinal Infection: Sometimes, infections in the digestive tract can cause symptoms like abdominal pain, constipation, and blood in the stool. These infections can be caused by bacteria, viruses, or parasites.

It's important to follow up with a healthcare professional to rule out any serious conditions and to receive appropriate treatment. While IBS is a common and manageable condition, diverticulitis and other gastrointestinal issues may require more immediate medical attention.

What you can do

For Abdominal Pain and Constipation:

• Dietary Changes: Consider increasing your intake of fiber-rich foods, such as fruits, vegetables, and whole grains, to help alleviate constipation. Drink plenty of water to stay hydrated.
• Over-the-Counter Remedies: You may find relief with over-the-counter medications like stool softeners or laxatives, but use them as directed and consult a healthcare provider if symptoms persist.
• Stress Management: Stress can exacerbate symptoms, so consider incorporating relaxation techniques such as deep breathing, meditation, or yoga into your routine.

For Blood in Stool:

• Monitor Symptoms: Keep track of any changes in your symptoms, including the frequency and amount of blood in your stool. This information can be helpful for your healthcare provider.
• Seek Medical Attention: If you notice a significant increase in bleeding or if it is accompanied by other concerning symptoms, seek medical attention promptly.

General Health:

• Regular Check-Ups: Schedule regular check-ups with your healthcare provider to monitor your symptoms and discuss any concerns.
• Symptom Journal: Use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.

What you should look out for

Given the severity of your symptoms and the presence of blood in your stool, it's important to seek medical care. Reasons to seek care more urgently include:

• A significant increase in abdominal pain or a change in its pattern
• A noticeable increase in the amount of blood in your stool
• New symptoms such as fever, chills, or significant weight loss
• Persistent or worsening constipation despite dietary changes and over-the-counter remedies

Remember, while I can provide information and suggestions, it's important to consult with a healthcare professional for a formal diagnosis and treatment plan. If you have any further questions or concerns, feel free to reach out.