[30M] Experiencing chronic gastrointestinal symptoms

Patient Description

A 30-year-old male has been enduring a variety of chronic gastrointestinal symptoms for many years. The patient describes a crampy stomach ache in the lower abdomen with a severity of 8 out of 10, which is somewhat alleviated by movement. Accompanying the stomach pain is nausea, rated 9 out of 10, that is exacerbated by odors. The patient also reports experiencing both diarrhea, described as loose but sometimes watery occurring twice daily, and constipation. Additional symptoms include excessive gas on a daily basis, bloating, acid reflux with heartburn, and a sour taste in the mouth after eating or lying down. Occasionally, the patient notices blood when wiping after a bowel movement. The patient reports a sudden drop in energy, an itchy anus likely associated with hemorrhoids, and a loss of appetite. There is no reported family history of gastrointestinal diseases, no known drug allergies, and the patient is not currently on any medications.

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Arora's Assessment

What might be happening

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

  • Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine and can cause cramping, abdominal pain, bloating, gas, diarrhea, and constipation. IBS is a chronic condition that you'll need to manage long term.

    • Treatment typically includes changes in diet, lifestyle, and stress management. Some people with IBS find it helpful to work with a dietitian to identify healthy food choices that won't trigger symptoms. Over-the-counter medications are often effective.
  • Gastroesophageal Reflux Disease (GERD): This is a chronic condition where stomach acid frequently flows back into the tube connecting your mouth and stomach (esophagus). This backwash (acid reflux) can irritate the lining of your esophagus and cause heartburn.

    • Treatment typically involves lifestyle changes and over-the-counter medications. If these don't help, your doctor might recommend prescription medications or surgery.
  • Hemorrhoids: These are swollen veins in your lower rectum and anus. They're one of the most common causes of rectal bleeding.

    • Treatment typically involves over-the-counter creams or ointments, lifestyle changes, and possibly minimally invasive procedures.

Please note that these are possible diagnoses based on the information you've provided. It's important to consult with a healthcare provider for a formal diagnosis.

What you can do

  1. Try to identify any food or drink that might be triggering your symptoms and avoid them. Common triggers include alcohol, caffeine, carbonated drinks, chocolate, artificial sweeteners, certain fats, spicy foods, dairy products, and foods that produce gas, such as beans and lentils.
  2. Regular physical activity can help reduce symptoms of IBS and GERD.
  3. Over-the-counter treatments can help with symptoms of IBS, GERD, and hemorrhoids. These include antacids, H2 blockers, proton pump inhibitors, fiber supplements, pain relievers, and creams or ointments for hemorrhoids.
  4. Try to manage stress, as it can exacerbate symptoms of IBS and GERD. Techniques that might be helpful include relaxation exercises, meditation, and deep breathing exercises.

What you should look out for

  • If your symptoms worsen or don't improve with lifestyle changes and over-the-counter treatments, you should seek medical attention.
  • If you notice blood in your stool or if your rectal bleeding increases, you should seek medical attention.
  • If you experience unexplained weight loss, severe abdominal pain, difficulty swallowing, or persistent vomiting or nausea, you should seek medical attention.

Remember, while I strive to provide accurate and helpful health information, this advice is intended to be general in nature, and specific causes may not be covered. Always consult with a healthcare provider for appropriate examinations, treatment, testing, and care recommendations.

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10 mo ago

People Also Ask


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

Common symptoms of IBS include cramping, abdominal pain, bloating, gas, diarrhea, and constipation. These symptoms can vary in severity and may be triggered by certain foods or stress.


How can lifestyle changes help manage Gastroesophageal Reflux Disease (GERD)?

Lifestyle changes for managing GERD include avoiding foods and drinks that trigger reflux, eating smaller meals, not lying down immediately after eating, losing weight if overweight, and quitting smoking. These changes can help reduce the frequency and severity of acid reflux.


What are the treatment options for hemorrhoids?

Treatment options for hemorrhoids include over-the-counter creams or ointments, warm baths, dietary changes to increase fiber intake, and minimally invasive procedures if necessary. These treatments aim to reduce symptoms and prevent further irritation.


When should I seek medical attention for gastrointestinal symptoms?

You should seek medical attention if your symptoms worsen or do not improve with lifestyle changes and over-the-counter treatments, if you notice blood in your stool, if you experience unexplained weight loss, severe abdominal pain, difficulty swallowing, or persistent vomiting or nausea.


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1 Comments


Anonymous#4453

9 mo ago

Sorry for what you’re going though. Have you checked for hiatus hernia. I’m not a doctor, I read about it, and you have some of those symptoms.

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