[32F] Experiencing abdominal pain, bloating, and excessive gas post-C-section

Patient Description

A 32-year-old female has been experiencing a dull, aching stomach pain, bloating, and excessive foul gas for a year, with these symptoms beginning after a C-section. The stomach pain varies in intensity from 4 to 8 out of 10 and is currently at a 7. The pain does not change after eating or having a bowel movement and is not related to any specific time of day or her menstrual cycle. Despite efforts to diet, exercise, and track calories, the patient has difficulty losing weight and has been experiencing a loss of appetite. There has been no unexplained weight loss or changes in bowel habits, and no blood has been noticed in the stool. The patient has no known drug allergies and is not currently taking any medications. There is no history of pre-existing conditions or chronic illnesses.

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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. 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 typically involves long-term strategies to manage symptoms, such as changes in diet, lifestyle, and stress management. Medications may also be used.
  • Postoperative Adhesions: These are bands of scar tissue that form between abdominal tissues and organs following surgery. They can cause chronic abdominal and pelvic pain, bloating, and gas. They can also cause difficulty losing weight due to changes in bowel function and metabolism.

    • Treatment may involve physical therapy, pain management, and in some cases, further surgery.
  • Hormonal Imbalance: Changes in hormone levels after pregnancy and childbirth can affect metabolism and weight management. They can also cause bloating and gastrointestinal issues.

    • Treatment may involve lifestyle changes, hormone therapy, or medication.

What you can do

It would be best to consult a doctor about your symptoms so that they can provide a formal assessment and order relevant tests if necessary. In the meantime, you can try the following to help manage your symptoms:

  1. Keep a food diary to track what you eat and how you feel afterwards. This can help identify any food triggers for your symptoms.
  2. Regular exercise can help reduce bloating and improve digestion. It can also help with weight management.
  3. Try to eat smaller, more frequent meals instead of three large meals a day. This can help your digestive system manage the amount of food and reduce bloating and gas.
  4. Drink plenty of water and eat a balanced diet rich in fiber to help improve digestion and reduce bloating and gas.

What you should look out for

Reasons to see a doctor more urgently:

  • If your pain becomes severe or is accompanied by other symptoms such as vomiting, fever, or blood in your stool.
  • If you notice any changes in your bowel habits, such as constipation or diarrhea.
  • If you notice any changes in your menstrual cycle or have any concerns about hormonal imbalance.
  • If your symptoms worsen or do not improve with lifestyle changes.

Please remember that while I strive to provide accurate and helpful information, I am an AI and not a doctor. Always consult with a healthcare professional for a formal diagnosis and treatment.

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11 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, and changes in bowel habits such as diarrhea or constipation. These symptoms can vary in intensity and may be triggered by certain foods or stress.


How can postoperative adhesions affect digestion and weight management?

Postoperative adhesions can cause chronic abdominal pain, bloating, and gas by creating bands of scar tissue that affect the movement of the intestines. This can lead to changes in bowel function and metabolism, making weight management more difficult.


What lifestyle changes can help manage symptoms of hormonal imbalance after childbirth?

Lifestyle changes that can help manage symptoms of hormonal imbalance include maintaining a balanced diet, regular exercise, stress management techniques, and possibly consulting a healthcare provider for hormone therapy or medication if needed.


When should I see a doctor for abdominal pain and bloating?

You should see a doctor if your abdominal pain becomes severe, is accompanied by symptoms like vomiting, fever, or blood in your stool, or if you notice changes in bowel habits or menstrual cycle. Additionally, if your symptoms do not improve with lifestyle changes, a medical consultation is advised.


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