[44F] Experiencing severe lower abdominal pain and gas

What might be happening

Based on the information you've provided, possible diagnoses include:

• 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 (diarrhea, constipation, or both). Your symptoms of lower abdominal pain, constipation, and flatulence could be indicative of IBS.

  • Treatment typically involves long-term management of diet, lifestyle and stress. Medications and counseling can also be beneficial.

• Gastroenteritis: This is an inflammation of the digestive tract, usually caused by a virus, bacteria, or parasites. It can cause diarrhea, abdominal pain, and vomiting. Although you did not report vomiting, your symptoms of abdominal pain and liquid bowel movements could be indicative of gastroenteritis.

  • Treatment usually involves rest, hydration, and over-the-counter medications to help with symptoms.

• Diverticulitis: This is an inflammation or infection of small pouches called diverticula that develop along the walls of the intestines. The formation of these pouches is known as diverticulosis. Your symptoms of lower abdominal pain, changes in bowel habits, and mucus in stool could be indicative of diverticulitis.

  • Treatment typically involves antibiotics, pain relievers, and a temporary change to a liquid diet. More severe or recurring diverticulitis may require surgery.

• Pancreatitis: Given your history of acute pancreatitis, it is possible that you could be experiencing a recurrence. Pancreatitis can cause upper abdominal pain that radiates to your back, and it can be worse after eating. Although your pain is primarily lower and not described as radiating to the back, pancreatitis could still be a possibility.

  • Treatment typically involves hospitalization for intravenous (IV) fluids, medications to relieve pain, and nutritional support.

Please note that these are only possibilities, and it's important to consult with a healthcare professional for an accurate diagnosis.

What you can do

1. Keep a symptom diary: Note down when your symptoms occur and what you're doing when they happen to help identify potential triggers.
2. Stay hydrated: Especially if you're experiencing diarrhea, it's important to drink plenty of fluids to prevent dehydration.
3. Try dietary changes: Some people find relief from IBS symptoms with dietary changes. Strategies include eating high-fiber foods, avoiding gluten, or following a low FODMAP diet.
4. Over-the-counter remedies: There are several over-the-counter products that can help with gas and bloating, such as simethicone or activated charcoal.

What you should look out for

Please seek immediate medical attention if you experience:

• Severe pain or cramping
• Blood in your stool
• Unexplained weight loss
• Persistent or worsening symptoms

Remember, while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.