[35F] Experiencing sharp gas pains, extreme bloating, and persistent diarrhea

Patient Description

A 35-year-old female reports suffering from sharp gas pains, extreme bloating, hemorrhoids, and constant diarrhea for several months. The diarrhea is described as frequent, with over ten episodes daily, and has recently intensified in the past week, particularly after consuming Greek food. The patient indicates that all foods, including oatmeal, eggs, rice, bread, and turkey, seem to trigger the symptoms. There is no solid stool, only liquid, and the act of defecation is described as painful with a feeling of incomplete evacuation. The patient denies any recent travel, fever, or chills. The symptoms are causing significant distress and impacting daily activities.

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Arora's Assessment

What might be happening

Based on the information you've provided, you might be experiencing:

  • 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.

    • Treatment typically involves long-term management of diet, lifestyle and stress. More-severe symptoms can be treated with medication and counseling.
  • Inflammatory Bowel Disease (IBD): This is an umbrella term used to describe disorders that involve chronic inflammation of your digestive tract. Symptoms include diarrhea, abdominal pain and cramping, blood in your stool, reduced appetite and unintended weight loss.

    • Treatment usually involves drug therapy or, in certain cases, surgery.
  • Food intolerance or allergy: This occurs when your immune system overreacts to a food or a substance in a food. Symptoms can include diarrhea, bloating, and gas.

    • Treatment involves avoiding the foods that cause you problems.
  • Gastroenteritis: This is an inflammation of the digestive tract, often resulting from a viral, bacterial, or parasitic infection. Symptoms include diarrhea, abdominal pain, vomiting, headache, fever, and chills.

    • Treatment usually consists of self-care measures to help manage symptoms while your body fights off the infection.

What you can do

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

  1. Keep a food diary: Write down what you eat each day, when you eat it, and how it makes you feel. This can help you identify triggers for your symptoms.

  2. Stay hydrated: Diarrhea can cause you to lose fluids quickly, so it's important to drink plenty of water. Avoid alcohol and caffeine, as these can make your symptoms worse.

  3. Eat small meals: You might find that eating five or six small meals a day, rather than three large meals, helps your digestive system handle food.

  4. Over-the-counter remedies: Anti-diarrheal medications and gas relief drugs may help with symptoms.

What you should look out for

Please seek immediate medical attention if you experience:

  • Severe pain or cramping in your abdomen
  • Blood in your stools or black, tarry stools
  • High fever (above 101°F)
  • Signs of dehydration, such as dry skin and mouth, feeling very thirsty, or producing less urine than usual

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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11 mo ago

Top picked over-the-counter products for Irritable Bowel Syndrome: American College of Gastroenterology Guidelines

People Also Ask


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

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


How can food intolerances or allergies cause digestive issues?

Food intolerances or allergies can cause digestive issues because the immune system overreacts to certain foods, leading to symptoms like diarrhea, bloating, and gas. Identifying and avoiding trigger foods is key to managing these symptoms.


What are the differences between IBS and Inflammatory Bowel Disease (IBD)?

IBS is a functional disorder affecting the large intestine with symptoms like cramping and diarrhea, but it does not cause inflammation or damage to the intestines. IBD, on the other hand, involves chronic inflammation of the digestive tract and can lead to more severe symptoms, including blood in the stool and weight loss.


What self-care measures can help manage symptoms of gastroenteritis?

To manage symptoms of gastroenteritis, it's important to stay hydrated by drinking plenty of fluids, eat small and bland meals, and rest. Over-the-counter medications may help alleviate symptoms like diarrhea and nausea. Avoiding caffeine, alcohol, and dairy products can also be beneficial.


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