Bloating and Abdominal Discomfort: A Gastrointestinal Guide

Q: Bloating and Abdominal Discomfort: A Gastrointestinal Guide

Hello： (1) Start by improving your diet. <br>For example, reduce fried foods, spicy foods, and caffeinated beverages, and quit smoking and drinking alcohol. <br>(2) If you can clearly identify the pain point about 2 centimeters to the left of the navel, you can observe whether th

The stomach feels bloated, and there is a specific sensation in the left abdomen?

1.
About a year ago, I visited a gastroenterologist due to persistent diarrhea, and after testing for occult blood, the result was negative.
I was diagnosed with irritable bowel syndrome (IBS).
However, I sometimes notice small pink blood spots, about the size of peppercorns, when I use the restroom.
I later went back and was diagnosed with an anal fissure.
My bowel habits feel quite different from before; I often have diarrhea and have not experienced particularly large stools.
Previously, my bowel movements were very smooth, but now I often need to squat for a while.
I would like to ask the doctor how I can improve this situation.
2.
About a week ago, I suddenly experienced a slight burning sensation in my stomach, but it did not affect my appetite.
This week, the burning sensation seems to have subsided, but I feel bloated.
Bending over causes discomfort in my stomach, with a sensation of gas being trapped.
This feeling occurs regardless of whether I have just eaten or not.
I went to the hospital for an ultrasound of my stomach, and the doctor said my symptoms indicate gastritis.
I was prescribed Algitab Chewable, Kascoal, Buscopan, Biotase, and Emetrol.
Today is the third day after my visit, and the bloating sensation persists.
There is a point about 2 centimeters to the left of my navel that occasionally hurts.
When I press that area, it feels painful in the muscle.
Should I be particularly concerned about this pain point? Additionally, since the medication for bloating is prescribed for four days, do I need to return for a follow-up? If I have gastritis, I have been paying more attention to my diet these past few days: breakfast was toast with egg, lunch was white rice with three types of green vegetables, and dinner was white rice with vegetables.
Is this acceptable? Thank you, doctor, for taking the time to respond.

tai, 20~29 year old female. Ask Date: 2016/03/23

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: (1) Start by improving your diet.
For example, reduce fried foods, spicy foods, and caffeinated beverages, and quit smoking and drinking alcohol.
(2) If you can clearly identify the pain point about 2 centimeters to the left of the navel, you can observe whether there are any abnormal changes in the skin.
If the pain persists, seek medical attention.
You can continue your current diet while waiting for the gastrointestinal mucosa to heal.
If the condition does not improve, it is advisable to return for a follow-up visit.
Changhua Hospital cares about your health.
Dr.
Tsai An-Shun.

Reply Date: 2016/03/23

More Info

Understanding bloating and abdominal discomfort can be quite complex, especially when considering the various underlying gastrointestinal issues that may be at play. Your symptoms, including changes in bowel habits, abdominal pain, and bloating, suggest a multifaceted problem that may involve several aspects of your digestive system.

1. Irritable Bowel Syndrome (IBS): Your previous diagnosis of IBS could explain the recurrent diarrhea and changes in bowel habits. IBS is a functional gastrointestinal disorder characterized by symptoms like abdominal pain, bloating, and altered bowel habits (diarrhea or constipation). It's important to manage stress, dietary triggers, and maintain a regular eating schedule to help alleviate symptoms. Keeping a food diary can help identify specific foods that may exacerbate your symptoms.

2. Hemorrhoids and Anal Fissures: The presence of pink blood in your stool and the diagnosis of anal fissures indicate that there may be some irritation or damage in the anal region. This can occur due to straining during bowel movements, which is often associated with diarrhea or constipation. To help with this, ensure you are consuming enough fiber in your diet to promote regular bowel movements and avoid straining. Over-the-counter treatments for hemorrhoids may also provide relief.

3. Gastritis: The burning sensation in your stomach could be indicative of gastritis, which is inflammation of the stomach lining. This condition can be exacerbated by certain foods, stress, and medications. The medications prescribed, such as Algitab (an antacid), are aimed at reducing stomach acidity and providing relief. It's essential to follow your doctor's advice regarding medication and dietary changes. A bland diet, avoiding spicy and acidic foods, and eating smaller, more frequent meals can help manage gastritis symptoms.

4. Bloating and Gas: The sensation of bloating and feeling of gas can be due to several factors, including dietary choices, swallowing air, or gastrointestinal motility issues. Foods that are high in fiber, while beneficial for overall digestive health, can sometimes lead to increased gas production. Gradually increasing fiber intake and ensuring adequate hydration can help manage these symptoms. Additionally, over-the-counter medications like simethicone can help relieve gas discomfort.

5. Localized Pain: The pain you describe in the left lower quadrant of your abdomen could be related to several factors, including muscle strain, gastrointestinal issues, or even referred pain from other organs. If the pain persists or worsens, it would be prudent to follow up with your healthcare provider for further evaluation. They may consider imaging studies or additional tests to rule out any serious conditions.

6. Dietary Considerations: Your current diet seems to be on the right track, focusing on whole foods like vegetables and avoiding heavy, greasy meals. However, it’s important to monitor how your body reacts to different foods. Some individuals with gastrointestinal issues may benefit from a low FODMAP diet, which reduces certain fermentable carbohydrates that can cause bloating and discomfort.

7. Follow-Up Care: Since you are still experiencing bloating after three days of medication, it would be wise to follow up with your healthcare provider. They may need to reassess your treatment plan or consider other underlying conditions that could be contributing to your symptoms.

In summary, managing gastrointestinal discomfort often requires a comprehensive approach that includes dietary modifications, stress management, and regular follow-up with healthcare providers. Keeping an open line of communication with your doctor about your symptoms and any changes you notice will be crucial in finding effective relief.

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