[30F] Experiencing gastrointestinal and back symptoms

Patient Description

A 30-year-old female presents with a month-long history of gastrointestinal symptoms, including stomach pain that is dull and swollen, occasionally sharp, and localized to the middle right side. The pain is constant with a severity of 6 or 7 out of 10, with sharper pains that come and go. The patient also reports bloating, an upset stomach, and a mix of constipation and diarrhea, with the latter occurring up to four times daily and described as watery and loose. These symptoms are particularly exacerbated by coffee or rich foods. Additionally, the patient experiences lower back pain, described as a soreness with a severity of 3 out of 10, which has been present for approximately a month. No fever, chills, recent travel, or weight changes were reported. The patient has not found relief from these symptoms and has a history of on-and-off constipation.

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Arora's Assessment

What might be happening

Based on the information you've provided, you may be experiencing one of the following conditions:

  • 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 is usually focused on relieving symptoms. In many cases, lifestyle changes can help, such as avoiding foods that trigger symptoms, getting regular exercise, and managing stress.
  • Gastroenteritis: This is an inflammation of the digestive tract, including the stomach and intestines. It can cause abdominal pain and cramps, diarrhea, nausea, and bloating. Most cases are caused by a viral infection.

    • Treatment usually involves rest, hydration, and over-the-counter medications for symptom relief. If symptoms persist for more than a few days, you should seek medical attention.
  • Gallstones: These are hard deposits in your gallbladder, a small organ under the liver. They can cause pain in the middle to upper right stomach area. The pain can come and go and may get worse after eating, particularly fatty foods.

    • Treatment may involve surgery to remove the gallbladder, medications to dissolve the gallstones, or lifestyle changes to prevent new gallstones from forming.

What you can do

  1. Keep a symptom diary: Note down when you have pain, what you're eating, and your bowel movements. This can help identify any patterns or triggers.
  2. Stay hydrated: Especially if you're experiencing diarrhea, it's important to replace lost fluids.
  3. Try dietary changes: Some people find relief from IBS symptoms with dietary changes. Strategies include limiting caffeine and alcohol, adding fiber to the diet, avoiding large meals, and figuring out if certain foods trigger symptoms.
  4. Over-the-counter medications: Certain medications may help with symptoms. For example, anti-diarrheal medications can help with diarrhea, and gas relief drugs can help with bloating.

What you should look out for

If you experience any of the following symptoms, you should seek immediate medical attention:

  • Severe abdominal pain
  • Blood in your stool
  • Unintentional weight loss
  • Persistent or high fever
  • Vomiting that prevents you from keeping liquids down

Remember, while I strive to provide accurate information, I'm not a doctor. It's important to consult with a healthcare professional who can evaluate your symptoms and medical history.

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11 mo ago

People Also Ask


What are the common triggers for Irritable Bowel Syndrome (IBS) symptoms?

Common triggers for IBS symptoms include certain foods (such as dairy, caffeine, and fatty foods), stress, hormonal changes, and certain medications. Keeping a food diary can help identify specific triggers.


How can I differentiate between IBS and gastroenteritis based on symptoms?

IBS is a chronic condition with symptoms that include abdominal pain, bloating, and changes in bowel habits, often without fever. Gastroenteritis usually involves acute symptoms like diarrhea, nausea, and sometimes fever, often due to an infection.


What lifestyle changes can help manage IBS symptoms effectively?

Lifestyle changes that can help manage IBS include eating smaller, more frequent meals, avoiding trigger foods, increasing fiber intake, staying hydrated, exercising regularly, and managing stress through techniques like yoga or meditation.


When should I seek medical attention for gastrointestinal symptoms?

You should seek medical attention if you experience severe abdominal pain, blood in your stool, unintentional weight loss, persistent or high fever, or vomiting that prevents you from keeping liquids down.


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