[38F] Experiencing gas, bloating, swollen feet, and cold hands

Patient Description

A 38-year-old female reports experiencing painful bloating, swollen feet, and cold hands for approximately one year. The bloating is described as a swollen abdomen with occasional radiating pain to the back and shoulders, worsening at the end of the workday between 3-5 pm. Gas X tablets and laying down sometimes provide relief. The patient also describes her feet swelling to the point where socks become too tight and her hands becoming cold to the extent that she cannot warm them up. These symptoms of cold hands have been occurring on and off for the past year. The patient's bowel movements are described as loose, with the most recent one occurring in the morning prior to the encounter. No specific dietary triggers have been identified, and the patient denies any fever or chills. The abdominal pain associated with bloating is rated as a 4 on a scale of 1-10 in severity.

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Arora's Assessment

What might be happening

Based on the information you've provided, some possible causes of your symptoms include:

  • Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine. Signs and 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 typically focuses on relieving symptoms so that you can live as normally as possible. This might involve dietary changes, medication, and managing stress.
  • Gastroenteritis: This is an inflammation of the lining of the intestines caused by a virus, bacteria or parasites. Viral gastroenteritis is particularly common and highly infectious. Symptoms include diarrhea, abdominal pain, vomiting, headache, fever and chills.

    • Treatment usually consists of self-care measures to help manage your symptoms while your body fights off the virus.
  • Hypothyroidism: This is a condition in which your thyroid gland doesn't produce enough of certain crucial hormones. Hypothyroidism may not cause noticeable symptoms in the early stages. Over time, untreated hypothyroidism can cause a number of health problems, such as obesity, joint pain, infertility and heart disease. Symptoms include fatigue, increased sensitivity to cold, constipation, dry skin, weight gain, puffy face, hoarseness, muscle weakness, elevated blood cholesterol level, muscle aches, tenderness and stiffness, pain, stiffness or swelling in your joints, heavier than normal or irregular menstrual periods, thinning hair, slowed heart rate, depression, impaired memory.

    • Standard treatment for hypothyroidism involves daily use of the synthetic thyroid hormone levothyroxine.
  • Food Intolerance: This occurs when your digestive system can't tolerate certain foods. Unlike food allergies, which can cause hives and respiratory problems, an intolerance only affects digestion. Symptoms include gas, bloating, diarrhea, constipation, cramping, and aching.

    • The treatment for food intolerance is to either avoid certain foods or eat them less often and in smaller amounts, as well as to take supplements that might help digestion.

What you can do

  1. Keep a food diary: Write down what you eat and how you feel afterwards to see if you can identify any triggers. This can be helpful information to share with your doctor.
  2. Stay hydrated: Drink plenty of fluids to help prevent dehydration, especially if you've been having diarrhea.
  3. Eat smaller, more frequent meals: Instead of three large meals a day, try eating several small meals throughout the day. This can help prevent your digestive system from becoming overloaded and leading to gas and bloating.
  4. Exercise regularly: Regular physical activity can help stimulate the muscles of your digestive system to help prevent constipation and promote overall well-being.

What you should look out for

If your symptoms worsen or you develop new symptoms, such as vomiting, severe abdominal pain, blood in your stool, or significant weight loss, you should seek medical attention immediately.

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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10 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 diarrhea or constipation. These symptoms can vary in intensity and may be triggered by certain foods, stress, or hormonal changes.


How can hypothyroidism affect my body and what are its symptoms?

Hypothyroidism can lead to symptoms such as fatigue, increased sensitivity to cold, constipation, dry skin, weight gain, puffy face, muscle weakness, and depression. It occurs when the thyroid gland doesn't produce enough hormones, affecting various bodily functions.


What is the difference between food intolerance and food allergy?

Food intolerance affects digestion and can cause symptoms like gas, bloating, diarrhea, and cramping. Unlike food allergies, which involve the immune system and can cause severe reactions like hives and respiratory issues, food intolerance is generally less severe and only affects the digestive system.


What lifestyle changes can help manage symptoms of bloating and digestive discomfort?

To manage bloating and digestive discomfort, consider keeping a food diary to identify triggers, staying hydrated, eating smaller and more frequent meals, and engaging in regular physical activity. These changes can help improve digestion and reduce symptoms.


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