[39M] With abdominal swelling and constipation

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

• Irritable Bowel Syndrome (IBS): IBS is a common disorder that affects the large intestine. Symptoms often include cramping, abdominal pain, bloating, gas, and constipation or diarrhea. The pebble-like stools you described are consistent with constipation-predominant IBS.

  • Treatment: Management of IBS often includes dietary changes, such as increasing fiber intake, staying hydrated, and avoiding trigger foods. Medications to manage symptoms, such as laxatives for constipation or antispasmodics for pain, may also be prescribed.

• Small Intestinal Bacterial Overgrowth (SIBO): SIBO occurs when there is an abnormal increase in the overall bacterial population in the small intestine. This can lead to symptoms like bloating, abdominal pain, and changes in bowel habits.

  • Treatment: Treatment typically involves antibiotics to reduce bacterial overgrowth, along with dietary changes to support gut health.

• Hernia: The bulge you feel around your belly button could be a hernia, which occurs when an organ or tissue pushes through a weak spot in the abdominal muscles. Hernias can cause swelling, pain, and a noticeable bulge.

  • Treatment: Hernias often require surgical intervention to repair the weakened area of the abdominal wall.

• Gastroesophageal Reflux Disease (GERD): GERD is a chronic digestive disorder where stomach acid or bile irritates the food pipe lining. Symptoms include heartburn, acid reflux, and sometimes abdominal pain.

  • Treatment: Lifestyle changes, such as avoiding trigger foods, eating smaller meals, and not lying down after eating, can help manage GERD. Medications like antacids, H2 blockers, or proton pump inhibitors may also be recommended.

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 help manage your symptoms:

1. Dietary Changes: Increase your fiber intake by eating more fruits, vegetables, and whole grains. This can help with constipation. Avoid foods that trigger your symptoms, such as fatty or spicy foods, caffeine, and alcohol.
2. Stay Hydrated: Drink plenty of water throughout the day to help with digestion and prevent constipation.
3. Over-the-Counter Medications: Continue using antacids like Tums for heartburn relief. However, be cautious with the use of ibuprofen, as it can sometimes cause stomach issues.
4. Monitor Symptoms: Keep a journal of your symptoms, including what you eat, how you feel after eating, and any changes in your bowel habits. You can use MDandMe to track your symptoms, get insights, and share this information with your healthcare provider.
5. Physical Activity: Engage in regular physical activity to help stimulate digestion and reduce constipation.
6. Smoking Cessation: Consider reducing or quitting smoking, as it can exacerbate gastrointestinal issues and overall health.

What you should look out for

Seek medical attention if you experience any of the following:

• Severe or worsening abdominal pain
• Blood in your stool or black, tarry stools
• Unexplained weight loss
• Persistent vomiting or inability to keep food down
• Fever or chills
• Difficulty breathing or chest pain

Remember, while these suggestions can help manage your symptoms, it's crucial to consult a healthcare professional for a proper diagnosis and treatment plan. If you have any further questions or need assistance, feel free to reach out.