[63F] Experiencing lower abdominal discomfort with alternating constipation and diarrhea

What might be happening

Based on the information you've provided, the following conditions could be causing your symptoms:

• 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). Your description of alternating constipation and diarrhea, along with lower abdominal discomfort, aligns with this condition.

  • Treatment for IBS is focused on relieving symptoms. Lifestyle changes, including diet and managing stress, can help in many cases. In some cases, medication or counseling is recommended.

• Diverticular Disease: Given your history of diverticulosis, it's possible that your symptoms could be related to this condition. Diverticulosis can become symptomatic (known as diverticular disease) and cause symptoms similar to what you're experiencing, including abdominal pain, changes in bowel habits, and bloating.

  • Treatment for diverticular disease typically involves diet modifications, such as increasing fiber intake. In some cases, over-the-counter pain relievers and antibiotics are used.

• Gastroenteritis: This is an inflammation of the digestive tract, often caused by a virus, bacteria, or parasites. It can cause diarrhea, abdominal pain, and cramping. However, it usually resolves on its own within a few days and is often accompanied by other symptoms like vomiting or fever, which you did not report.

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

What you can do

1. Keep a symptom diary: Write down what you eat and drink, how often you have bowel movements, and any other symptoms you experience. This can help identify patterns and potential triggers.
2. Stay hydrated: Diarrhea can cause dehydration, so make sure to drink plenty of fluids. Avoid alcohol and caffeine, as they can worsen diarrhea.
3. Eat smaller, more frequent meals: This can sometimes help alleviate symptoms.
4. Try a low FODMAP diet: This is a type of diet that can help manage symptoms in some people with IBS. It involves avoiding certain types of carbohydrates that are harder for your body to digest.

What you should look out for

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

• Severe pain or cramping in your abdomen
• Blood in your stool or black, tarry stools
• High fever (over 101°F)
• Signs of dehydration, such as dry mouth, excessive thirst, little to no urination, severe weakness, dizziness, or lightheadedness
• Symptoms that persist for more than a week or continue to worsen

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.