[44M] Experiencing intermittent flank and stomach pain with occasional green stool

Patient Description

A 44-year-old male reports intermittent dull or burning flank pain above the pelvis or hip bone, present for approximately 2 months. The pain occasionally radiates to the lower abdomen and is accompanied by a mild, dull ache or slight burning sensation in the lower back. Both flank and back pain come and go and seem to be unrelated to any physical injury. The patient also experiences mild, intermittent stomach pain centered under the belly button, which has been occurring for a week or two. Additionally, the patient notes occasional green stools, although the most recent bowel movement appeared normal. The patient experiences mild gas, particularly after eating, which can be frequent throughout the day. There is no history of fever, chills, blood in the stool, severe pain, nausea, vomiting, unintentional weight loss, chronic illnesses, allergies, or adverse reactions to medications. The patient is not currently on any medications.

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Arora's Assessment

What might be happening

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

  • Gastroenteritis: This is an inflammation of the lining of the intestines caused by a virus, bacteria or parasites. Viral gastroenteritis is the second most common illness in the U.S. It causes diarrhea and can also cause symptoms such as abdominal pain and cramping.

    • Treatment usually involves rest, hydration, and over-the-counter remedies. Antibiotics may be prescribed if bacteria or parasites are the cause.
  • 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.

    • Treatment of IBS typically involves long-term management of diet, lifestyle changes, and stress. Medication and counseling might be recommended in some cases.
  • Gallstones: These are hardened deposits in the gallbladder that can cause abdominal pain and other digestive problems.

    • Treatment for gallstones usually involves surgery to remove the gallbladder. In some cases, medications may be used to dissolve gallstones.
  • Kidney Stones: These are hard deposits made of minerals and salts that form inside your kidneys. Kidney stones can affect any part of your urinary tract and can cause severe pain that comes and goes.

    • Treatment for kidney stones usually involves pain relievers and drinking lots of water to help pass the stone. Medical procedures may be needed if the stone is too large.
  • Gastritis: This is an inflammation of the stomach lining. Weaknesses in the mucus-lined barrier that protects your stomach wall allow your digestive juices to damage and inflame your stomach lining.

    • Treatment usually involves taking antacids and other drugs to reduce stomach acid, which helps relieve gastritis symptoms and promotes healing.

What you can do

It would be best to consult a doctor about your symptoms so that they can provide a formal assessment and order relevant tests if necessary. In the meantime, you can try the following to narrow relieve your symptoms or figure out what's going on:

  1. Keep a food diary to track what you eat and how you feel afterwards. This can help identify any food triggers.
  2. Stay hydrated, especially if you're experiencing diarrhea.
  3. Try over-the-counter remedies for gas and bloating.
  4. Rest and avoid strenuous activity until you feel better.

What you should look out for

Reasons to see a doctor more urgently:

  • If you notice blood in your stool or urine
  • If you develop a fever (temperature over >100.4°F) or chills
  • If you cannot keep food or liquids down
  • If your symptoms worsen or do not improve after a week

Please 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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1 yr ago

Top picked over-the-counter products for Irritable Bowel Syndrome: American College of Gastroenterology Guidelines

People Also Ask


What are the common symptoms of gastroenteritis and how is it treated?

Common symptoms of gastroenteritis include diarrhea, abdominal pain, cramping, nausea, and vomiting. Treatment typically involves rest, staying hydrated, and using over-the-counter remedies. If the cause is bacterial or parasitic, antibiotics may be prescribed.


How can I manage symptoms of Irritable Bowel Syndrome (IBS) at home?

To manage IBS symptoms at home, keep a food diary to identify triggers, eat a balanced diet rich in fiber, stay hydrated, exercise regularly, and manage stress. Over-the-counter medications may help with specific symptoms like gas or diarrhea.


What are the signs that I might have kidney stones, and what should I do if I suspect them?

Signs of kidney stones include severe pain in the back or side, pain that radiates to the lower abdomen, and blood in the urine. If you suspect kidney stones, drink plenty of water and take pain relievers. Consult a doctor if the pain is severe or persistent.


What dietary changes can help alleviate symptoms of gastritis?

To alleviate symptoms of gastritis, avoid spicy and acidic foods, eat smaller meals more frequently, reduce alcohol and caffeine intake, and consider taking antacids or medications that reduce stomach acid. It's also helpful to avoid smoking and manage stress.


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