[52M] Experiencing abdominal pain and changes in bowel habits

Patient Description

A 52-year-old male has been experiencing mild, intermittent abdominal pain for the past 3 years, sometimes crampy or dull, not associated with dairy intake. The pain is located in the upper belly region and is relieved by medications such as Mucosta Rabimide, Gaviscon, and Panto Plus (Pantoprazole). The patient has a history of hypertension, managed with Lifezar 100mg, and acid reflux diagnosed in 2019. Recent symptoms include frequent farting and the presence of yellowish slimy mucus in the stool. The patient has increased urgency with bowel movements, occurring up to three times a day. No fever, chills, or unintentional weight loss has been reported. The patient also takes non-acidic vitamin C and Pro Bio Go (probiotic), with no known drug allergies.

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Arora's Assessment

What might be happening

Based on your symptoms and medical history, the following conditions may be considered:

  • Lactose Intolerance: This condition occurs when your body is unable to fully digest lactose, a sugar found in milk and other dairy products. Symptoms typically occur within a few minutes to a couple of hours after eating or drinking foods containing lactose, and can include abdominal pain, bloating, gas, and diarrhea.

    • Treatment typically involves reducing or eliminating dairy products from your diet. Lactase supplements can also be taken to help break down lactose.
  • 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).

    • Treatment often involves long-term management of diet, lifestyle changes, and stress. Certain medications may also help.
  • Gastroesophageal Reflux Disease (GERD): This is a chronic condition where stomach acid frequently flows back into the tube connecting your mouth and stomach (esophagus). This backwash (acid reflux) can irritate the lining of your esophagus and cause symptoms like heartburn and acid indigestion.

    • Treatment often involves lifestyle changes and over-the-counter medications. If these don't help, prescription medications or even surgery may be an option.

Please note that these are potential explanations for your symptoms based on the information provided, but they are not definitive diagnoses. You should consult with a healthcare provider for a formal diagnosis and treatment plan.

What you can do

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

  1. Try a lactose-free diet: This involves eliminating all dairy products from your diet to see if your symptoms improve. If they do, you may be lactose intolerant.

  2. Maintain a balanced diet: Eating a diet rich in fruits, vegetables, lean proteins, and whole grains can help maintain a healthy digestive system.

  3. Stay hydrated: Drink plenty of water throughout the day to help keep your digestive system functioning properly.

  4. Regular exercise: Physical activity can help stimulate normal contractions in your intestines and can help alleviate constipation.

  5. Over-the-counter medications: Over-the-counter treatments like antacids or acid blockers can help with symptoms of acid reflux.

What you should look out for

If you notice any of the following symptoms, it's important to seek medical attention immediately:

  • Severe abdominal pain
  • Blood in your stool
  • Unexplained weight loss
  • Difficulty swallowing
  • Persistent vomiting or vomiting blood
  • Chest pain, especially if it is accompanied by shortness of breath or arm pain

Remember, it's important to consult with a healthcare provider for a formal diagnosis and treatment plan.

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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, constipation, or both. Symptoms can vary in intensity and may be triggered by certain foods, stress, or hormonal changes.


How can Gastroesophageal Reflux Disease (GERD) be managed effectively?

GERD can be managed through lifestyle changes such as avoiding foods that trigger reflux, eating smaller meals, not lying down immediately after eating, and maintaining a healthy weight. Over-the-counter medications like antacids or acid blockers can also help. In more severe cases, prescription medications or surgery may be necessary.


What dietary changes can help with lactose intolerance?

For lactose intolerance, it is recommended to reduce or eliminate dairy products from your diet. Lactase enzyme supplements can be taken to help digest lactose when consuming dairy. Additionally, lactose-free dairy products are available as alternatives.


When should I seek medical attention for abdominal pain?

You should seek medical attention for abdominal pain if you experience severe pain, blood in your stool, unexplained weight loss, difficulty swallowing, persistent vomiting or vomiting blood, or chest pain, especially if it is accompanied by shortness of breath or arm pain.


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