[62F] Experiencing constipation, bloating, and abdominal burning

Patient Description

A 62-year-old female presents with a one-month history of constipation, bloating, and a burning sensation in the abdomen. The patient reports that the constipation began a month ago and describes the stool as 'pebble-like' during her last bowel movement, which occurred tonight. She has noticed unintentional weight loss but has not experienced constipation before. The abdominal burning has been rated as a 6 out of 10 in severity and is somewhat alleviated by peppermint tea. There is no associated fever or chills. The patient has been managing constipation with a laxative every three days but did not specify the frequency of bowel movements since the onset of constipation.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

  • Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine and can cause symptoms like bloating, gas, and constipation. It's usually a chronic condition, but many people find relief from symptoms with lifestyle adjustments and medication.

    • Treatment often involves dietary changes, stress management, and sometimes medications prescribed by a doctor.
  • 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 a burning sensation.

    • Treatment often involves lifestyle changes and over-the-counter medications. In severe cases, prescription medications or even surgery may be required.
  • Gastritis: This is an inflammation of the stomach lining. The inflammation can be caused by certain medications, drinking too much alcohol, long-term stress, or infections. The burning sensation you're experiencing could be a symptom of gastritis.

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

Please remember that these are potential explanations for your symptoms, but only a healthcare professional can provide a definitive diagnosis.

What you can do

While waiting for a consultation with a healthcare professional, you can try the following:

  1. Maintain a regular eating schedule and try not to skip meals.
  2. Avoid foods that trigger your symptoms. Common triggers include fatty or fried foods, alcohol, caffeine, and spicy foods.
  3. Drink plenty of water and stay hydrated.
  4. Try over-the-counter remedies for constipation, such as fiber supplements or stool softeners, but do not rely on them long-term without consulting a healthcare professional.
  5. Regular physical activity can help stimulate intestinal activity and relieve constipation.

What you should look out for

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

  • Severe, persistent abdominal pain
  • Blood in your stool or black, tarry stools
  • Persistent vomiting or vomiting blood
  • Unexplained weight loss

Remember, it's important to consult with a healthcare professional for a definitive diagnosis and treatment.

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11 mo ago

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

People Also Ask


What are common causes of constipation and how can it be managed?

Common causes of constipation include a low-fiber diet, inadequate fluid intake, lack of physical activity, and certain medications. Management often involves increasing dietary fiber, staying hydrated, exercising regularly, and sometimes using over-the-counter remedies like fiber supplements or stool softeners.


What lifestyle changes can help alleviate symptoms of GERD?

Lifestyle changes that can help alleviate GERD symptoms include eating smaller meals, avoiding food and drinks that trigger reflux (such as fatty foods, caffeine, and alcohol), not lying down immediately after eating, maintaining a healthy weight, and elevating the head of the bed.


How can one differentiate between IBS and other gastrointestinal conditions?

IBS is typically characterized by a combination of symptoms such as abdominal pain, bloating, and changes in bowel habits (constipation, diarrhea, or both). It is often diagnosed based on symptoms and by ruling out other conditions. Unlike some other gastrointestinal conditions, IBS does not cause inflammation or changes in bowel tissue.


What are the potential risks of using laxatives frequently for constipation?

Frequent use of laxatives can lead to dependency, where the bowel becomes reliant on them to function. It can also cause dehydration, electrolyte imbalances, and damage to the intestinal lining. It's important to use them under the guidance of a healthcare professional and explore other long-term solutions for constipation.


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