[65F] Experiencing abdominal bloating and rectal bleeding

Patient Description

A 65-year-old female presents with a 4-day history of bloating in the right side of the abdomen, described as a sensation of something inside causing discomfort without identified alleviating or aggravating factors. Additionally, the patient reported transient rectal bleeding on two occasions, which has since resolved, and suspects a fissure tear. The patient's medical history includes a complete hysterectomy, gallbladder removal, and appendectomy. No chronic illnesses are reported. The patient has a documented allergy to aspirin, which causes throat constriction. No current medications are being taken.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are a few possibilities:

  • Gastrointestinal issues: Given your symptoms of bloating and discomfort, it's possible that you're experiencing a gastrointestinal issue. This could be due to a variety of factors, such as indigestion, constipation, or a food intolerance.

  • Diverticulitis: This is an inflammation or infection of small pouches called diverticula that develop along the walls of the intestines. The signs and symptoms of diverticulitis include abdominal pain (typically on the left side), bloating, and sometimes bleeding.

  • Hernia: Given your past surgical history, there's a possibility that you could have a hernia, which is a bulge or protrusion of body tissue or an organ through the structure that normally contains it. Hernias can cause discomfort and bloating.

  • Anal Fissure: This is a small tear in the thin, moist tissue (mucosa) that lines the anus, which may cause pain and bleeding, especially during bowel movements.

Please note that these are only possibilities. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

Here are some general suggestions that might help:

  1. Monitor your diet: Keep a food diary to track what you eat and how you feel afterwards. This might help identify any food intolerances or triggers for your bloating.

  2. Stay hydrated and eat fiber-rich foods: This can help with digestion and prevent constipation.

  3. Over-the-counter remedies: There are several over-the-counter medications that can help with bloating and discomfort. However, given your allergy to aspirin, it's important to read labels carefully and consult with a pharmacist or healthcare provider.

  4. See a healthcare provider: Given your symptoms and medical history, it's important to consult with a healthcare provider. They can provide a more accurate diagnosis and appropriate treatment.

What you should look out for

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

  • Severe abdominal pain
  • Persistent or worsening bloating
  • Blood in your stool
  • Unexplained weight loss
  • Difficulty swallowing

Remember, I'm an AI and this advice is based on the information you've provided. It's always important to consult with a healthcare provider for an accurate diagnosis and treatment.

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1 yr ago

People Also Ask


What are common causes of abdominal bloating in older adults?

Common causes of abdominal bloating in older adults include gastrointestinal issues such as indigestion, constipation, food intolerances, and conditions like diverticulitis or hernias. It's important to monitor symptoms and consult a healthcare provider for a proper diagnosis.


How can I differentiate between a hernia and other causes of abdominal discomfort?

A hernia often presents as a noticeable bulge or lump in the abdomen or groin area, which may increase in size when standing or straining. It can cause discomfort or pain, especially when lifting or bending. Other causes of abdominal discomfort may not have a visible bulge. A healthcare provider can perform a physical examination to differentiate between these conditions.


What are the symptoms and treatment options for an anal fissure?

An anal fissure is a small tear in the lining of the anus, often causing sharp pain during bowel movements and sometimes bleeding. Treatment typically includes increasing fiber intake, staying hydrated, using stool softeners, and applying topical anesthetics or creams. In persistent cases, medical procedures may be necessary.


When should I be concerned about rectal bleeding?

Rectal bleeding can be concerning if it is persistent, accompanied by severe pain, or associated with other symptoms like unexplained weight loss or changes in bowel habits. Occasional minor bleeding, such as from an anal fissure, may resolve on its own, but it's important to consult a healthcare provider to rule out more serious conditions.


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