[34F] Experiencing persistent bloating and constipation

Patient Description

A 34-year-old female reports experiencing persistent bloating and constipation for several months, occurring after eating any food. The bloating sensation begins in the stomach and sometimes extends to the arms, lasting for hours. The patient rates the associated stomach pain as a 7 out of 10 in severity. Despite these symptoms, there have been no changes in appetite, fever, chills, or blood in the stool. The patient has experienced weight gain during this period. There is a family history of colitis in the patient's father. The patient has not identified any specific foods that exacerbate symptoms and has not recently changed diet, traveled, or taken medications that might affect the digestive system.

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Arora's Assessment

What might be happening

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

  • Irritable Bowel Syndrome (IBS): IBS is a common disorder that affects the large intestine, causing symptoms like cramping, abdominal pain, bloating, gas, diarrhea, and constipation. It is a chronic condition that you'll need to manage long term. Stress, certain foods, and hormonal changes can trigger symptoms.

    • Treatment often involves dietary changes, stress management, and sometimes medication to manage symptoms.
  • Food Intolerances or Sensitivities: Conditions like lactose intolerance or gluten sensitivity can cause bloating, diarrhea, and abdominal pain after eating certain foods.

    • Identifying and avoiding trigger foods is key. Keeping a food diary can help pinpoint which foods might be causing your symptoms.
  • Inflammatory Bowel Disease (IBD): Conditions such as Crohn's disease or ulcerative colitis can cause inflammation in the digestive tract, leading to symptoms like diarrhea, abdominal pain, and weight changes. Given your family history of colitis, this might be worth exploring with a healthcare provider.

    • Treatment typically involves medication to reduce inflammation and manage symptoms, and sometimes surgery.
  • Constipation: Alternating between diarrhea and constipation can sometimes be due to dietary factors, such as low fiber intake, or lifestyle factors, such as lack of physical activity.

    • Increasing fiber intake, staying hydrated, and regular exercise can help manage constipation.

What you can do

  1. Dietary Adjustments: Consider keeping a food diary to track what you eat and how it affects your symptoms. This can help identify any food triggers.
  2. Hydration and Fiber: Ensure you are drinking plenty of water and consuming a diet rich in fiber to help regulate bowel movements.
  3. Stress Management: Stress can exacerbate digestive issues, so incorporating stress-reducing activities like yoga or meditation might be beneficial.
  4. Use MDandMe: You can use the MDandMe app to journal your symptoms, track your progress, and share your notes with your healthcare provider for a more comprehensive view of your health.

What you should look out for

  • Seek Medical Attention If:
    • You experience severe abdominal pain or persistent symptoms that do not improve with dietary changes.
    • You notice significant weight loss or blood in your stool.
    • Your symptoms are affecting your quality of life or daily activities.

Remember, while these suggestions can help manage your symptoms, it's important to consult with a healthcare professional for a formal diagnosis and personalized treatment plan.

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29 d 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 intensity and may be triggered by stress, certain foods, or hormonal changes.


How can I identify if I have a food intolerance or sensitivity?

To identify a food intolerance or sensitivity, you can keep a food diary to track what you eat and any symptoms that occur afterward. This can help pinpoint specific foods that may be causing issues. Consulting with a healthcare provider for tests or an elimination diet can also be helpful.


What is the difference between IBS and Inflammatory Bowel Disease (IBD)?

IBS is a functional disorder affecting the large intestine with symptoms like pain and bloating, but it doesn't cause inflammation or damage to the intestines. IBD, which includes Crohn's disease and ulcerative colitis, involves chronic inflammation of the digestive tract and can lead to more serious complications.


What lifestyle changes can help manage constipation?

To manage constipation, increase your fiber intake through fruits, vegetables, and whole grains, stay hydrated by drinking plenty of water, and engage in regular physical activity. These changes can help regulate bowel movements and improve digestive health.


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