[73F] Experiencing abdominal cramps and IBS symptoms

Patient Description

A 73-year-old female is reporting abdominal pain centered in the lower abdomen, described as colonic spasms, persisting for 2 days with a severity of 6 out of 10. The patient notes the pain is not relieved by any measures and is possibly triggered by onions and garlic, occurring hours post-consumption. The patient had multiple bowel movements yesterday, characterized by small, solid stools with mucus but no blood. No fever, chills, or other systemic symptoms were reported. The patient has a history of irritable bowel syndrome (IBS) but no other chronic conditions or recent unintentional weight loss. No current medications are being taken, and the patient has a known allergy to Vicodin.

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Arora's Assessment

What might be happening

Based on your symptoms, the most likely explanation is a flare-up of your previously diagnosed Irritable Bowel Syndrome (IBS). IBS is a chronic condition that affects the large intestine and can cause cramping, abdominal pain, bloating, gas, and diarrhea or constipation, or both. Some people with IBS notice that certain foods seem to trigger or worsen their symptoms. In your case, you've mentioned that onions and garlic seem to be triggers for you.

What you can do

Here are some general suggestions that might help manage your symptoms:

  1. Avoid foods that trigger your symptoms: You've mentioned that onions and garlic seem to trigger your symptoms. Try to avoid these foods and see if your symptoms improve.

  2. Eat high-fiber foods: Foods high in fiber, like fruits, vegetables, and whole grains, can help control constipation.

  3. Drink plenty of fluids: Water is the best fluid to drink. Alcohol and beverages with caffeine stimulate your intestines and can make diarrhea worse, and carbonated drinks can produce gas.

  4. Exercise regularly: Physical activity can help reduce depression and anxiety and normalize bowel function.

  5. Try to manage stress: Stress can trigger IBS symptoms. Consider trying stress-reducing activities, like yoga or meditation.

What you should look out for

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

  • Severe pain that is not relieved with medications
  • Blood in your stool
  • Unexplained vomiting
  • Difficulty breathing
  • Unexplained weight loss
  • Severe diarrhea or constipation

Remember, while I strive to provide accurate information, I'm not a doctor. You should consult with a healthcare professional for a formal 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 triggers for IBS symptoms?

Common triggers for IBS symptoms include certain foods (like onions, garlic, dairy, and gluten), stress, hormonal changes, and certain medications. It's important to identify personal triggers as they can vary from person to person.


How can diet affect IBS symptoms?

Diet can significantly affect IBS symptoms. High-fiber foods can help with constipation, while avoiding trigger foods like onions and garlic can prevent flare-ups. Drinking plenty of water and avoiding caffeine and alcohol can also help manage symptoms.


What are some effective ways to manage stress that might help with IBS?

Effective ways to manage stress, which can help with IBS, include practicing yoga, meditation, deep breathing exercises, and engaging in regular physical activity. Finding a stress management technique that works for you can help reduce the frequency and severity of IBS symptoms.


When should someone with IBS seek medical attention?

Someone with IBS should seek medical attention if they experience severe pain that is not relieved with medications, blood in their stool, unexplained vomiting, difficulty breathing, unexplained weight loss, or severe diarrhea or constipation.


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