Abdominal Discomfort: When to Seek Medical Attention

Q: Abdominal Discomfort: When to Seek Medical Attention

Hello： Based on the symptoms, it appears to be gastroenteritis. <br>It is recommended to adjust your diet to a mild one that is low in oil, dairy, and irritants. <br>If there is no improvement, please consult a gastroenterologist. <br>Wishing you safety and health. <br>Sincerely,

I've been experiencing some discomfort in my abdomen lately?

Hello, Doctor.
About a week or two ago, I started feeling discomfort in my abdomen and had diarrhea, which later developed into cramping pain.
I visited a clinic where I usually go for colds, and they said I had inflammation causing stomach cramps.
After taking the medication, the cramps stopped, but I still felt a lingering heaviness in my abdomen.
I went for a second visit, and at that time, pressing on my abdomen caused discomfort, similar to the feeling of bruising.
After taking medication for a day, the cramps returned, so I stopped the medication, and the cramps ceased.
However, I experienced alternating pain on the right and left sides of my abdomen, which later evolved into discomfort in my lower abdomen when urinating, resembling a dull ache.
As of today, I feel somewhat better, but bending over and pressing on my abdomen gives me a sensation similar to bloating.
I feel slightly uncomfortable when my stomach is empty.
Could this mean that my gastroenteritis hasn't fully resolved? Additionally, I have some soreness in my back, and I'm unsure if it's related to my abdominal pain.
Should I see a doctor again?

yi, 10~19 year old female. Ask Date: 2017/02/16

Dr. Chen Qifeng reply Gastroenterology and Hepatology

Hello: Based on the symptoms, it appears to be gastroenteritis.
It is recommended to adjust your diet to a mild one that is low in oil, dairy, and irritants.
If there is no improvement, please consult a gastroenterologist.
Wishing you safety and health.
Sincerely, Dr.
Chi-Feng Chen, Attending Physician, Department of Gastroenterology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2017/02/16

More Info

When experiencing abdominal discomfort, especially when accompanied by symptoms such as diarrhea, cramping, and pain that shifts from one side of the abdomen to another, it is crucial to seek medical attention. Your recent symptoms, including the feeling of pressure or bruising in the abdomen, intermittent pain in the lower abdomen, and discomfort during urination, suggest that there may be an underlying issue that requires further evaluation.

Based on your description, it seems that you may have had an episode of gastroenteritis, which is inflammation of the stomach and intestines, often caused by infections. While your initial treatment may have alleviated some symptoms, the persistence of discomfort indicates that the condition may not have fully resolved. The sensation of pressure and pain, particularly when bending or pressing on the abdomen, could suggest several possibilities, including:
1. Residual Inflammation: If the inflammation in your gastrointestinal tract has not completely healed, you may continue to experience discomfort. This can manifest as a feeling of fullness or pressure, especially after eating or when the abdomen is pressed.

2. Irritable Bowel Syndrome (IBS): If your symptoms are recurrent and include changes in bowel habits, such as alternating between diarrhea and constipation, you might be experiencing IBS. This condition is often triggered by stress, dietary changes, or infections.

3. Urinary Tract Infection (UTI): The discomfort during urination and the sensation of pain in the lower abdomen could also indicate a UTI, especially if you are experiencing any burning sensation while urinating or if there is an increased frequency of urination.

4. Musculoskeletal Issues: The back pain you mentioned could be related to muscle strain or tension, especially if you have been compensating for abdominal discomfort. Sometimes, abdominal pain can radiate to the back, and vice versa.

Given the complexity of your symptoms, it is advisable to return to a healthcare provider for a thorough evaluation. Here are some steps you can take:
- Consult a Gastroenterologist: Since your symptoms are primarily abdominal, a gastroenterologist can perform specific tests, such as blood tests, stool tests, or imaging studies (like an ultrasound or CT scan), to rule out any serious conditions such as appendicitis, diverticulitis, or other gastrointestinal disorders.

- Consider a Urinalysis: If urinary symptoms persist, a urinalysis can help determine if there is an infection or other issues affecting your urinary tract.

- Keep a Symptom Diary: Documenting when your symptoms occur, their intensity, and any associated factors (like food intake or stress levels) can provide valuable information to your healthcare provider.

- Lifestyle Modifications: In the meantime, consider dietary adjustments, such as avoiding spicy or fatty foods, and ensure you stay hydrated. Gentle physical activity may also help alleviate some discomfort.

In conclusion, while your symptoms may initially appear to be related to a mild gastrointestinal issue, the persistence and evolution of your discomfort warrant further investigation. It is essential to communicate openly with your healthcare provider about all your symptoms, including the back pain, to ensure a comprehensive approach to your health. Early intervention can lead to better outcomes and peace of mind.

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