Abdominal Discomfort: Causes and Remedies - Internal Medicine

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I've been experiencing some gastrointestinal issues lately?


Recently, I have noticed a small bulge below my navel that feels somewhat hard to the touch.
I went to the pharmacy and bought laxatives.
After taking them, my stools have been very watery and thick.
Occasionally, I experience abdominal pain, and I also have a reduced appetite.

Ya Er, 10~19 year old female. Ask Date: 2017/04/20

Dr. Xiao Yongxun reply Internal Medicine


Dear Miss Ya-er:
1.
[Recently, I've been experiencing some gastrointestinal issues; there is a slight protrusion below my navel that feels somewhat hard to the touch.
I went to the pharmacy and bought laxatives, and after taking them, my stools have been thick and watery.
Occasionally, I experience abdominal pain, and I also have a reduced appetite.] The description of this issue is not very clear, and it would be advisable for you to seek assistance at a gastroenterology clinic.
There are many organs in the lower abdomen, and in addition to the intestines, we must also consider potential issues with the bladder, ureters, uterus, ovaries, abdominal wall, nerves, and other tissues.
Therefore, it is important to think about any related symptoms; if necessary, a physical examination or some tests may be required to make an appropriate diagnosis.

2.
Please consult with your parents and seek assistance at a gastroenterology clinic; of course, you can also discuss this with your family physician first.

Reply Date: 2017/04/20

More Info


Abdominal discomfort can stem from a variety of causes, and understanding these can help in identifying the appropriate remedies. Based on your description of having a hard area below the navel, experiencing occasional pain, and changes in bowel habits, several potential issues could be at play.

Firstly, the hard area you mentioned could indicate several conditions. One possibility is the presence of a mass or an abdominal hernia. Hernias occur when an internal part of the body pushes through a weakness in the muscle or surrounding tissue wall. They can sometimes be felt as a lump and may cause discomfort, especially when straining or lifting. Another possibility is the presence of fecal impaction, where hardened stool accumulates in the intestines, leading to a feeling of fullness and discomfort. This could explain the changes in your bowel movements, particularly if you have been using laxatives.

The fact that you mentioned your bowel movements have become watery after taking laxatives suggests that your body may be reacting to the medication. Laxatives can sometimes lead to dehydration or an imbalance in electrolytes, especially if used frequently or inappropriately. It's essential to use these medications under the guidance of a healthcare professional to avoid complications.

Additionally, abdominal pain and changes in appetite can be linked to gastrointestinal issues such as irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), or even gastritis. Stress and anxiety can exacerbate these conditions, leading to a cycle of discomfort and further anxiety about eating and bowel habits.

Given your symptoms, it is advisable to consult a healthcare provider for a thorough evaluation. They may recommend imaging studies, such as an ultrasound or CT scan, to assess the abdominal area and determine if there are any structural issues. Blood tests may also be necessary to check for signs of infection, inflammation, or other underlying conditions.

In the meantime, here are some general remedies and lifestyle changes that may help alleviate your discomfort:
1. Dietary Adjustments: Focus on a balanced diet rich in fiber, which can help regulate bowel movements and prevent constipation. Foods like fruits, vegetables, whole grains, and legumes are excellent sources of fiber. However, if you are experiencing diarrhea, it may be beneficial to temporarily reduce fiber intake until your bowel movements stabilize.

2. Hydration: Ensure you are drinking plenty of fluids, especially water. Staying hydrated is crucial for digestive health and can help prevent constipation.

3. Regular Exercise: Engaging in regular physical activity can promote healthy digestion and help alleviate stress, which may be contributing to your symptoms.

4. Stress Management: Since anxiety can impact gastrointestinal health, consider incorporating stress-reducing techniques such as mindfulness, yoga, or meditation into your routine.

5. Avoid Overuse of Laxatives: If you find yourself relying on laxatives frequently, it may be time to reassess your approach to bowel health with a healthcare provider. They can help you find a more sustainable solution.

In conclusion, while abdominal discomfort can arise from various causes, it is essential to seek medical advice for a proper diagnosis and treatment plan tailored to your specific situation. Early intervention can prevent complications and improve your overall quality of life.

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