[35F] With lower abdominal and back pain, bloating, and history of colitis
Patient Description
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Arora's Assessment
What might be happening
Based on the information you have provided, here are some possible explanations for your symptoms:
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Irritable Bowel Syndrome (IBS): IBS is a common disorder that affects the large intestine. Symptoms include cramping, abdominal pain, bloating, gas, and diarrhea or constipation, or both. The fact that your symptoms come and go and are associated with bloating and cramping could suggest IBS.
- Treatment: Management of IBS often includes dietary changes, stress management, and sometimes medications to manage symptoms. A healthcare provider might recommend a low-FODMAP diet or other dietary adjustments.
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Colitis: Given your recent diagnosis of inflammation in the left side of your colon, it's possible that your symptoms are related to colitis. Colitis can cause abdominal pain, cramping, and changes in bowel habits.
- Treatment: Treatment for colitis often involves anti-inflammatory medications, antibiotics, and sometimes dietary changes. It's important to follow up with your healthcare provider to ensure proper management.
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Side Effects of Medications: The antibiotics you took could have disrupted your gut flora, leading to gastrointestinal symptoms like cramping, bloating, and changes in bowel habits. Additionally, medications like Wegovy can sometimes cause gastrointestinal side effects.
- Treatment: Probiotics or dietary adjustments might help restore gut balance. Discussing your symptoms with your healthcare provider is crucial to determine if any medication adjustments are needed.
What you can do
While you wait to see a healthcare provider, here are some steps you can take to help manage your symptoms:
- Dietary Adjustments: Try to eat small, frequent meals and avoid foods that can trigger bloating and cramping, such as high-fat foods, spicy foods, and carbonated beverages. A low-FODMAP diet might be beneficial.
- Stay Hydrated: Drink plenty of water to help with digestion and prevent constipation.
- Probiotics: Consider taking a probiotic supplement to help restore the balance of good bacteria in your gut.
- Over-the-Counter Remedies: Over-the-counter medications like simethicone (for bloating) or antispasmodics (for cramping) might provide some relief.
- Track Your Symptoms: Use MDandMe to journal your symptoms, track your progress, and share longitudinal medical notes with your provider. This can help identify patterns and triggers.
What you should look out for
It's important to seek medical attention if you experience any of the following:
- Severe Abdominal Pain: If your pain becomes severe or unbearable, seek medical attention immediately.
- Blood in Stool: If you notice any blood in your stool, contact your healthcare provider.
- Persistent Vomiting: If you continue to experience vomiting, especially if you can't keep fluids down, seek medical care.
- Fever or Chills: If you develop a fever (temperature over 100.4°F) or chills, it could indicate an infection or other serious condition.
- Unintentional Weight Loss: If you notice significant weight loss without trying, consult your healthcare provider.
Remember, while these suggestions can help manage your symptoms, it's important to consult with a healthcare provider for a formal diagnosis and appropriate treatment.
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4 mo ago