[44F] Experiencing constipation and itchy eyes

Patient Description

A 44-year-old female is presenting with ongoing symptoms of constipation and itchy eyes. The constipation is described as intermittent, with a recent episode involving abdominal pressure, burning sensation, and only gas being passed. The last bowel movement was a couple of days ago, producing hard stools. The patient denies any recent weight changes and has a history of constipation. The itchy eyes have been a recurrent issue for months, characterized by irritation inside and around the eyes, with episodes of itchiness and burning that resolve spontaneously. In addition, the patient reports a dull ache in the stomach, mainly on the left side, which has been occurring on and off for months, accompanied by slight nausea but no fever or chills. The patient also experiences frequent gas almost hourly, which has been ongoing for over a week, and acknowledges that certain foods may exacerbate the condition.

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Arora's Assessment

What might be happening

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

  • Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine and can cause cramping, abdominal pain, bloating, gas, and changes in bowel habits (either diarrhea or constipation, or both). The exact cause of IBS isn't known, and it often requires long-term management.

    • Treatment usually focuses on relieving symptoms and can include changes in diet, lifestyle, and stress management. Sometimes medication is necessary.
  • Allergic Conjunctivitis: This is inflammation of the tissue lining the eyelids (conjunctiva) due to an allergic reaction. It can cause red, watery, itchy eyes, and sometimes a feeling of grittiness in the eyes.

    • Treatment often involves avoiding the allergen if possible, and using over-the-counter or prescription eye drops to relieve symptoms.
  • Dry Eye Syndrome: This is a condition where the eyes do not produce enough tears, or the tears evaporate too quickly. This can cause the eyes to feel dry, gritty, and sore, and they may be red and water. Sometimes it can feel like there is something in your eye.

    • Treatment usually involves eye drops to lubricate the eyes, and lifestyle changes such as taking breaks from looking at screens.

Please note that these are only possible explanations and you should consult with a healthcare professional for a formal diagnosis.

What you can do

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

  1. For your constipation, try to eat more fiber-rich foods, drink plenty of water, and stay active. Over-the-counter remedies like fiber supplements or stool softeners may also help.

  2. For your itchy eyes, try to avoid rubbing them as this can make the symptoms worse. Over-the-counter eye drops may provide some relief. If you suspect an allergy, try to identify and avoid the allergen.

  3. For your stomach discomfort, try to identify any foods or drinks that make your symptoms worse and avoid them. Eating smaller, more frequent meals instead of three large meals a day may also help.

What you should look out for

If your symptoms persist or worsen, or if you experience any of the following, please seek medical attention:

  • Severe abdominal pain
  • Blood in your stool or black, tarry stools
  • Unexplained weight loss
  • Difficulty swallowing
  • Persistent or high fever
  • Severe or worsening eye pain or vision changes

Remember, while I strive to provide accurate information, I'm not a doctor. Please consult with a healthcare professional for a formal diagnosis and treatment.

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11 mo ago

People Also Ask


What are some common causes of constipation and how can it be managed?

Common causes of constipation include a low-fiber diet, inadequate fluid intake, lack of physical activity, and certain medications. Management often involves increasing dietary fiber, staying hydrated, exercising regularly, and sometimes using over-the-counter laxatives or stool softeners.


What is allergic conjunctivitis and how can it be treated?

Allergic conjunctivitis is an inflammation of the conjunctiva due to an allergic reaction, causing red, itchy, and watery eyes. Treatment includes avoiding allergens, using over-the-counter or prescription antihistamine eye drops, and applying cold compresses to reduce symptoms.


How can I identify foods that might be causing my stomach discomfort?

To identify foods causing stomach discomfort, keep a food diary to track what you eat and any symptoms that follow. Eliminate suspected foods one at a time to see if symptoms improve. Common triggers include dairy, gluten, and high-fat foods.


What are the symptoms of dry eye syndrome and how can it be alleviated?

Dry eye syndrome occurs when the eyes don't produce enough tears or the tears evaporate too quickly, leading to dryness, irritation, and redness. It can be alleviated with artificial tears, taking breaks from screens, using a humidifier, and avoiding smoke or wind.


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