[57M] Experiencing constant, dull, and diffuse abdominal pain with bloating

Patient Description

A 57-year-old male reports a constant, dull, and diffuse abdominal pain that started in the lower left quadrant but has since become generalized. The pain, rated a 2 or 3 out of 10 in severity, is accompanied by a feeling of bloating and is relieved by laying down. The patient has been experiencing these symptoms for two weeks. Bowel movements are regular, with stool sometimes appearing dark and other times brown, occasionally in pellet form, but there is no blood present. The patient denies any changes in weight, nausea, fever, chills, or changes in urine color. There is no significant past medical history, known drug allergies, or current medication use reported.

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Arora's Assessment

What might be happening

Based on the information provided, possible diagnoses include:

  • Irritable Bowel Syndrome (IBS): A common disorder that affects the large intestine and can cause cramping, abdominal pain, bloating, gas, and changes in bowel habits. Your description of a constant, dull ache and feeling bloated, along with the change in stool consistency to pellet-like, could be indicative of IBS.

    • Treatment typically involves long-term management of diet, lifestyle and stress. More-serious symptoms can be treated with medication and counseling.
  • Constipation: This condition is characterized by infrequent bowel movements or difficult passage of stools. The presence of pellet-like stool could be a sign of constipation.

    • Treatment usually involves changes in diet and lifestyle, such as eating more fiber, drinking more fluids and getting regular exercise. Over-the-counter or prescription medications may also be recommended.
  • Gastroenteritis: An inflammation of the digestive tract, particularly the stomach and intestines. It can cause abdominal discomfort and bloating.

    • Treatment typically involves rest, hydration and over-the-counter remedies.

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

What you can do

Here are some things you can do to help manage your symptoms:

  1. Increase your fiber intake: Foods high in fiber can help regulate your bowel movements. Try incorporating more fruits, vegetables, and whole grains into your diet.
  2. Stay hydrated: Drink plenty of fluids, especially water. This can help soften your stool, making it easier to pass.
  3. Regular exercise: Physical activity can help stimulate intestinal activity and relieve constipation.
  4. Over-the-counter remedies: There are several over-the-counter products that can help relieve constipation. However, it's important to consult with a healthcare professional before starting any new medication.

What you should look out for

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

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

Remember, it's important to consult with a healthcare professional for an accurate 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.


How can dietary changes help with constipation?

Dietary changes, such as increasing fiber intake, can help regulate bowel movements and soften stool, making it easier to pass. Foods like fruits, vegetables, and whole grains are beneficial.


What are the signs that abdominal pain might require immediate medical attention?

Signs that abdominal pain might require immediate medical attention include severe pain, blood in the stool, unexplained weight loss, and persistent or worsening symptoms.


Can stress management play a role in alleviating symptoms of IBS?

Yes, stress management can play a significant role in alleviating symptoms of IBS. Techniques such as relaxation exercises, mindfulness, and counseling can help reduce stress and improve symptoms.


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