[58M] Experiencing lower abdominal pain and bloating

Patient Description

A 58-year-old male has been experiencing a dull, intermittent stomach ache in the lower center of his abdomen for the past three days. The pain, rated as a 4 on a scale of 1-10, is alleviated by not eating and using the bathroom. The patient also reports bloating, which is most pronounced in the lower abdomen and has been present for the same duration, though it is getting better. No specific foods have been identified as exacerbating the bloating. The patient had a fever or chills recently but did not specify if these symptoms are ongoing. There are no other accompanying symptoms, no known drug allergies, no pre-existing conditions, and the patient is not on any medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, the possible causes of your symptoms could include:

  • Gastroenteritis: This is an inflammation of the lining of the intestines caused by a virus, bacteria or parasites. Viral gastroenteritis is particularly common and is also known as the stomach flu. Symptoms can include stomach ache, bloating, and fatigue.

    • Treatment typically involves rest, hydration, and over-the-counter remedies. Antibiotics may be necessary if the cause is bacterial.
  • 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.

    • Treatment of IBS typically involves long-term strategies to manage symptoms, such as changes in diet and lifestyle, and sometimes medications.
  • Gastritis: This is an inflammation of the stomach lining. Weakness or damage to the mucus-lined barrier that protects your stomach wall allows your digestive juices to damage and inflame your stomach lining.

    • Treatment typically involves antacids and other medications aimed at reducing stomach acid, relieving symptoms and promoting the healing of your stomach lining.

Remember, I'm an AI and not a doctor. You should seek care from a real health professional to receive a formal diagnosis and treatment if appropriate.

What you can do

  1. Stay hydrated: Drink plenty of fluids such as water or broth to avoid dehydration. Avoid caffeine and alcohol as they can worsen dehydration.

  2. Rest: Resting may help your body recover.

  3. Eat light: Begin with a diet of bland foods like rice, applesauce, or crackers if your stomach can handle it.

  4. Over-the-counter remedies: There are over-the-counter medications that may help with symptoms, such as loperamide (Imodium A-D) for diarrhea and bismuth subsalicylate (Pepto-Bismol) for general stomach discomfort.

What you should look out for

Reasons to see a doctor more urgently:

  • If your symptoms persist for more than a week
  • If you have severe abdominal pain
  • If you have bloody stools
  • If you have a high fever (over 102°F)
  • If you're unable to keep liquids down or if you're becoming dehydrated (symptoms of dehydration include extreme thirst, dark urine, and fatigue)

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11 mo ago

People Also Ask


What are the common causes of a dull, intermittent stomach ache in the lower abdomen?

Common causes of a dull, intermittent stomach ache in the lower abdomen include gastroenteritis, irritable bowel syndrome (IBS), and gastritis. These conditions can cause inflammation or irritation in the digestive tract, leading to discomfort.


How can bloating be managed or alleviated?

Bloating can often be managed by avoiding foods that cause gas, eating smaller meals, staying hydrated, and engaging in light physical activity. Over-the-counter medications like simethicone can also help relieve bloating.


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

Symptoms of gastroenteritis include stomach ache, bloating, diarrhea, vomiting, and sometimes fever. Treatment typically involves staying hydrated, resting, and using over-the-counter medications to relieve symptoms. Antibiotics may be needed if the cause is bacterial.


When should someone with abdominal pain see a doctor?

You should see a doctor if abdominal pain persists for more than a week, is severe, is accompanied by bloody stools, a high fever, or if you are unable to keep liquids down, which could indicate dehydration.


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