[46F] Experiencing abdominal bloating, constipation, and lower abdomen pain

Patient Description

A 46-year-old female presents with symptoms including abdominal bloating, constipation, mucus in stool, and lower abdomen pain. The pain is described as crampy, with an intensity of 5 out of 10, occurring at least 3-5 times a week. The pain is spread across the lower abdomen and sometimes lasts all day. The patient's abdomen is bloated and sensitive to touch, with the bloating being a frequent occurrence. The patient has been experiencing constipation for at least a year, with no clear pattern, and occasionally notices blood and mucus in the stool. The patient also experiences excessive gas a few times a week, which is not related to urination or specific foods. The patient has a history of a nephrectomy (left kidney removal) performed a month ago and a bariatric sleeve operation 4 years prior. The symptoms were present both before and after these surgeries. The patient was diagnosed with IBS 6 years ago but questions the accuracy of this diagnosis. No current medications are being taken, and there are no known drug allergies.

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Arora's Assessment

What might be happening

Based on your symptoms, the following conditions could be possible:

  • 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. IBS is a chronic condition that you'll need to manage long term. You mentioned that a doctor diagnosed you with IBS in the past, and your symptoms are consistent with this condition.

  • Inflammatory Bowel Disease (IBD): This term covers a group of disorders that cause chronic inflammation of your digestive tract. Types include ulcerative colitis and Crohn's disease. Both usually involve severe diarrhea, abdominal pain, fatigue and weight loss. IBD can be debilitating and sometimes leads to life-threatening complications.

  • Diverticulitis: This is a condition where small, bulging pouches (diverticula) in the digestive tract become inflamed or infected. Symptoms include abdominal pain (usually on the left side), fever, and a change in bowel habits.

  • Gastroenteritis: This is an inflammation of the digestive tract, often caused by a virus, bacteria, or parasites. Symptoms can include diarrhea, abdominal pain, bloating, and gas.

  • Food Intolerances or Allergies: Some people have difficulty digesting certain types of foods, which can lead to bloating, gas, diarrhea, constipation, and abdominal pain.

Please note that these are possibilities based on the symptoms you've described, and not a definitive diagnosis. It's important to consult with a healthcare professional who can evaluate your symptoms and medical history in person.

What you can do

Here are some general suggestions that may help you manage your symptoms:

  1. Keep a food diary: This can help you identify any foods that trigger your symptoms. Common culprits include dairy products, certain fruits and vegetables, grains, and carbonated drinks.

  2. Try to eat regular, balanced meals: Eating regularly can help regulate your digestive system. Try to include a variety of different foods in your diet to ensure you're getting a wide range of nutrients.

  3. Stay hydrated: Drinking plenty of fluids can help prevent constipation.

  4. Exercise regularly: Physical activity can often help reduce symptoms of IBS and can help regulate your bowel movements.

  5. Over-the-counter medications: There are several over-the-counter products that may help with symptoms of gas and bloating. These include simethicone (Gas-X, Mylanta Gas) and activated charcoal capsules.

Remember, these are general suggestions and may not be suitable for everyone. Always check with a healthcare professional before starting any new treatment or making significant changes to your diet or exercise routine.

What you should look out for

You should seek immediate medical attention if you experience any of the following:

  • Severe, persistent abdominal pain
  • Blood in your stool or black, tarry stools
  • High fever (over 101°F)
  • Unexplained or significant weight loss
  • Persistent or recurrent nausea or vomiting
  • Swelling or redness on your abdomen
  • Difficulty swallowing

These could be signs of a more serious condition that needs immediate treatment.

Remember, while I strive to provide accurate and helpful information, I am an AI and not a substitute for professional medical advice. Always consult with a healthcare professional for a formal diagnosis and treatment.

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11 mo ago

People Also Ask


What are the common symptoms of Irritable Bowel Syndrome (IBS)?

Common symptoms of IBS include cramping, abdominal pain, bloating, gas, and changes in bowel habits such as diarrhea or constipation. These symptoms can vary in intensity and may be triggered by certain foods or stress.


How can I differentiate between IBS and Inflammatory Bowel Disease (IBD)?

IBS and IBD can have similar symptoms, but IBD often involves more severe symptoms such as significant weight loss, persistent diarrhea, and blood in the stool. IBD can also lead to inflammation visible on medical imaging or endoscopy, whereas IBS does not cause visible inflammation.


What dietary changes can help manage symptoms of bloating and constipation?

To manage bloating and constipation, consider keeping a food diary to identify triggers, eating regular balanced meals, staying hydrated, and incorporating fiber-rich foods into your diet. Avoiding known triggers like dairy or certain high-fiber foods may also help.


When should I seek immediate medical attention for abdominal symptoms?

Seek immediate medical attention if you experience severe, persistent abdominal pain, blood in your stool, high fever, unexplained weight loss, persistent nausea or vomiting, or any signs of infection or obstruction such as swelling or redness on your abdomen.


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