[35F] Experiencing constipation with stomach discomfort

Patient Description

A 35-year-old female is experiencing constipation characterized by infrequent bowel movements over the last 3 days, with the most recent stool being small and pebble-like. She reports a stomach ache rated as a 5 on the pain scale, localized around and below the belly button, and describes her stomach as feeling upset and full. The patient also mentions feeling tired and anxious but does not report fever or chills. There is no mention of any changes in diet, medication, or lifestyle that could contribute to these symptoms.

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Arora's Assessment

What might be happening

Based on your symptoms, here are a few possibilities:

  • Constipation: This is a common condition characterized by difficulty in passing stools, or infrequent bowel movements. It can cause stomach ache and a feeling of fullness.

    • Treatment usually involves dietary changes, such as increasing fiber and fluid intake, and sometimes over-the-counter or prescription medications.
  • Irritable Bowel Syndrome (IBS): This is a chronic disorder affecting the large intestine. It can cause a variety of symptoms, including constipation, stomach pain, and bloating.

    • Treatment often involves lifestyle modifications, such as changes in diet and stress management, and sometimes medications.
  • 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 symptoms like heartburn and stomach ache.

    • Treatment often involves lifestyle modifications and over-the-counter or prescription medications.

Please note that these are just possibilities and not a definitive diagnosis.

What you can do

Here are some steps you can take to help manage your symptoms:

  1. Increase your fiber intake: Foods high in fiber can help promote regular bowel movements. Good choices include whole grains, fruits, vegetables, and legumes.

  2. Stay hydrated: Drink plenty of fluids, especially water, to help soften your stool and make it easier to pass.

  3. Regular exercise: Physical activity can help stimulate intestinal activity and promote regular bowel movements.

  4. Over-the-counter remedies: If your symptoms persist, you might want to try over-the-counter products designed to treat constipation, such as fiber supplements or stool softeners. Always use these products as directed.

  5. Mindful eating: Try to eat smaller, more frequent meals and take your time to eat. This can help reduce the amount of air you swallow, which can help reduce bloating and discomfort.

Remember, it's important to consult with a healthcare professional for an accurate diagnosis and treatment.

What you should look out for

Seek immediate medical attention if you experience:

  • Severe or worsening abdominal pain
  • Blood in your stool or black, tarry stools
  • Unintentional weight loss
  • Persistent or severe vomiting
  • High fever (temperature over 100.4°F)
  • Symptoms that persist despite self-care measures

These could be signs of a more serious condition.

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10 mo ago

People Also Ask


What are some common causes of constipation?

Common causes of constipation include a low-fiber diet, inadequate fluid intake, lack of physical activity, certain medications, and stress. It can also be caused by underlying medical conditions such as IBS or hypothyroidism.


How can dietary changes help alleviate constipation?

Dietary changes can help alleviate constipation by increasing fiber intake, which adds bulk to the stool and helps it pass more easily. Drinking plenty of fluids, especially water, can also soften the stool, making it easier to pass.


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

Symptoms of Irritable Bowel Syndrome (IBS) can include abdominal pain or cramping, bloating, gas, diarrhea, constipation, or alternating between diarrhea and constipation. Symptoms can vary in severity and may be triggered by certain foods or stress.


When should I seek medical attention for constipation?

You should seek medical attention for constipation if you experience severe or worsening abdominal pain, blood in your stool, black or tarry stools, unintentional weight loss, persistent vomiting, or if your symptoms persist despite self-care measures.


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