Abdominal Bloating: Causes and When to Seek Help - Gastroenterology and Hepatology

Abdominal bloating

Hello, doctor.
Recently, my eating habits have been irregular; I often combine two meals into one or eat late at night until I'm very full, and I've been exercising less.
Around early March, I started experiencing a dull pain in the upper right abdomen and to the right of my navel.
It's not very painful, just an odd sensation.
After a buffet meal on March 12, I began to experience bloating and diarrhea starting March 14.
I visited a nearby clinic and took some gastrointestinal medication, which resolved the diarrhea, and my stool returned to normal, but I still only pass a small amount each time.
The dull pain in my upper right abdomen persists intermittently, and I still have some bloating, which has increased above my navel by about three finger widths.
Pressing on that area causes pain, and sometimes I experience numbness and tingling in my right hand.
These symptoms do not occur during sleep, and I can sleep well.
The doctor at the nearby clinic mentioned that it could be pancreatitis.
I would like to know if this is a digestive system issue or if I should go to a larger hospital for an ultrasound examination.
Although I am taking medication, I still feel a bit anxious.

Niming, 20~29 year old female. Ask Date: 2016/03/25

Dr. Chen Shidian reply Gastroenterology and Hepatology

Hello, sir.

1.
First, please maintain a light diet.

2.
Pancreatitis is less common in young individuals in their 20s who do not consume alcohol; it is more similar to gastroenteritis.

3.
An ultrasound can rule out liver and gallbladder conditions (such as stones), and you may schedule an outpatient appointment.

Changhua Hospital cares about your health.

Chen Shih-Dian

Reply Date: 2016/03/25

More Info

Abdominal bloating and discomfort can be quite distressing, and understanding the potential causes is essential for effective management. Based on your description, it seems that your symptoms began after a change in your eating habits, which can often lead to gastrointestinal issues. Let’s break down the possible causes, when to seek help, and what steps you can take to alleviate your symptoms.

Possible Causes of Abdominal Bloating and Discomfort
1. Dietary Changes: Sudden changes in diet, such as consuming larger meals or eating late at night, can disrupt normal digestion. Overeating can lead to increased gas production and bloating, especially if the meals are high in carbohydrates or sugars that are difficult to digest.

2. Gastrointestinal Disorders: Conditions such as irritable bowel syndrome (IBS), gastritis, or pancreatitis can cause abdominal pain and bloating. Your mention of intermittent pain in the upper right abdomen and around the navel could suggest issues with the pancreas or gallbladder.

3. Food Intolerances: Lactose intolerance or gluten sensitivity can lead to bloating and discomfort after meals. If you’ve recently introduced new foods into your diet, consider whether any of these might be the culprit.

4. Infections: Gastroenteritis or other infections can cause symptoms like diarrhea and bloating. While you mentioned that your diarrhea has resolved, lingering symptoms could indicate a need for further evaluation.

5. Functional Dyspepsia: This is a common condition characterized by discomfort in the upper abdomen, often related to eating. Symptoms can include bloating, nausea, and early satiety.

6. Psychological Factors: Stress and anxiety can exacerbate gastrointestinal symptoms. If you’ve been under stress, this could contribute to your discomfort.

When to Seek Help
You should consider seeking medical attention if:
- Your symptoms persist despite over-the-counter treatments.

- You experience severe or worsening pain.

- You notice significant changes in your bowel habits (e.g., persistent diarrhea or constipation).

- You have accompanying symptoms such as fever, weight loss, or blood in your stool.

- You experience new symptoms such as jaundice (yellowing of the skin or eyes), which could indicate liver or gallbladder issues.

Recommended Steps
1. Dietary Adjustments: Try to return to a balanced diet with regular meal times. Avoid large meals and high-fat or spicy foods that can exacerbate bloating. Keeping a food diary may help identify any specific triggers.

2. Hydration: Ensure you are drinking enough water, as dehydration can worsen constipation and bloating.

3. Physical Activity: Regular exercise can help stimulate digestion and reduce bloating. Even light activities like walking can be beneficial.

4. Over-the-Counter Remedies: Antacids or medications containing simethicone can help relieve gas and bloating. Probiotics may also be beneficial in restoring gut flora.

5. Follow-Up with a Healthcare Provider: Given your symptoms, especially the intermittent pain and the concern about pancreatitis, it may be wise to consult a gastroenterologist. They may recommend imaging studies like an abdominal ultrasound or CT scan to evaluate your organs and rule out any serious conditions.

In conclusion, while your symptoms may stem from dietary habits or functional gastrointestinal disorders, it’s essential to monitor your condition closely. If symptoms persist or worsen, don’t hesitate to seek professional medical advice for a thorough evaluation and appropriate management. Your health is paramount, and addressing these symptoms early can lead to better outcomes.

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