[38M] With sudden onset bloating and stomach cramps

Patient Description

A 38-year-old male has been experiencing bloating and stomach cramps, primarily on the left lower side of the stomach, since yesterday. The bloating came on suddenly and has not been relieved by any specific measures. The patient reports both constipation and diarrhea, especially after changes in diet, with episodes typically lasting 1-2 days. Recently, the patient traveled to a place with different food and spices and has been under work stress to finish a project. The patient has not experienced any nausea, vomiting, blood in stool, fever, chills, or unintentional weight loss. Medical history includes IBS, lactose intolerance, mold allergy, and dust mite allergy, all diagnosed over 10 years ago. The patient has no known drug allergies and is not currently taking any medications.

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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:

  • Irritable Bowel Syndrome (IBS): Given your history of IBS, it's possible that your recent symptoms of bloating, stomach cramps, constipation, and diarrhea are related to this condition. IBS can be triggered by stress, dietary changes, and travel, all of which you have recently experienced.

    • Treatment: Management of IBS typically involves dietary modifications, stress management, and sometimes medications to relieve specific symptoms. Common dietary changes include increasing fiber intake, avoiding trigger foods, and staying hydrated.
  • Lactose Intolerance: Since you have a known history of lactose intolerance, consuming dairy products or foods containing lactose could contribute to your bloating and stomach cramps.

    • Treatment: Avoiding lactose-containing foods and using lactase enzyme supplements can help manage symptoms.
  • Dietary Changes and Travel: Exposure to new foods and spices while traveling can sometimes cause digestive upset, including bloating and cramps. Your body may need time to adjust to the new diet.

    • Treatment: Gradually reintroducing familiar foods and avoiding overly spicy or rich foods may help alleviate symptoms.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take to manage your symptoms in the meantime:

  1. Dietary Adjustments:

    • Avoid known trigger foods, especially those containing lactose.
    • Eat smaller, more frequent meals to reduce bloating.
    • Incorporate high-fiber foods gradually to help with bowel regularity.
  2. Hydration: Drink plenty of water to stay hydrated, especially if you are experiencing diarrhea.

  3. Stress Management: Practice stress-reducing techniques such as deep breathing exercises, meditation, or yoga to help manage IBS symptoms.

  4. Track Symptoms: Use the MDandMe app to journal your symptoms, track your progress, and get insights. This information can be valuable for your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

  • Severe or persistent abdominal pain
  • Blood in your stool
  • Unexplained weight loss
  • Fever or chills
  • Symptoms that do not improve with dietary changes and stress management

Remember, while these suggestions can help manage your symptoms, it's important to consult a healthcare professional for a formal diagnosis and appropriate treatment. If you have any further questions or need additional support, feel free to continue the conversation.

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5 mo ago


People Also Ask


What are common triggers for IBS symptoms?

Common triggers for IBS symptoms include stress, dietary changes, certain foods (like those high in fat or caffeine), and hormonal changes. Keeping a food diary can help identify personal triggers.


How can stress affect digestive health?

Stress can affect digestive health by altering gut motility and increasing gut sensitivity, which can exacerbate conditions like IBS. Stress management techniques such as meditation and exercise can help alleviate symptoms.


What dietary changes can help manage lactose intolerance?

To manage lactose intolerance, it's important to avoid foods containing lactose, such as milk and certain cheeses. Lactase enzyme supplements can also be taken to help digest lactose when consuming dairy products.


When should I seek medical attention for digestive issues?

You should seek medical attention for digestive issues if you experience severe or persistent abdominal pain, blood in your stool, unexplained weight loss, fever, chills, or if symptoms do not improve with dietary changes and stress management.


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