Abdominal Discomfort: Symptoms and Concerns Explained

Abdominal discomfort with abnormal sensations in the abdomen?

I have been experiencing these symptoms for a year.
I often feel bloated in my abdomen and have a constant urge to have a bowel movement.
Recently, the symptoms have worsened, and I feel discomfort in my abdomen and rectum.
My body also feels fatigued, and I have been experiencing lower back pain.
My mood has deteriorated, and my bowel movements have become irregular.
Sometimes I go to the bathroom but cannot pass anything, and the shape of my stool is strange; at times, it is very thin, even thinner than a finger.
I also experience frequent urination and excessive flatulence, and sometimes I have to exert effort to pass gas.
The same goes for bowel movements, but once I do have a bowel movement or pass gas, I feel some relief.
However, it’s not always complete, and I still feel like there is more to pass.
My lower abdomen is also bloated, and I continue to pass gas.
I try to eat fruits and yogurt that promote regular bowel movements, but it hasn’t helped me feel cleaner.
Could this be a disease or cancer? I am very scared.

Tiāntiān, 20~29 year old female. Ask Date: 2017/05/06

Dr. Lin Minghui reply Gastroenterology and Hepatology

Constipation, bloating, and mood disturbances that slightly improve after a bowel movement are common symptoms of irritable bowel syndrome (IBS).
It is recommended to increase fiber intake and hydration, in addition to consuming fruits and yogurt, to help form and ease bowel movements.
Pay attention to dietary habits, avoid eating too quickly, and limit greasy and processed foods.
Maintain a positive mindset and engage in moderate exercise to support gut health.
If bloating persists and bowel movements feel incomplete, consider visiting a clinic for stool tests and appropriate evaluations.
Wishing you good health.

Reply Date: 2017/05/06

More Info

Abdominal discomfort can be a complex issue, and your symptoms suggest a multifaceted problem that may require thorough evaluation. Based on the symptoms you've described—persistent abdominal bloating, a sensation of incomplete bowel movements, changes in stool shape, and associated fatigue and back pain—there are several potential underlying causes to consider.

Possible Causes
1. Irritable Bowel Syndrome (IBS): This is a common gastrointestinal disorder characterized by symptoms such as bloating, abdominal pain, and changes in bowel habits. IBS can lead to constipation, diarrhea, or alternating between both. Stress and anxiety can exacerbate these symptoms, which may explain the emotional changes you've experienced.

2. Constipation: The feeling of incomplete evacuation and the presence of thin stools can indicate constipation. This can be caused by a low-fiber diet, dehydration, or a sedentary lifestyle. It’s crucial to ensure adequate fiber intake and hydration to promote regular bowel movements.

3. Intestinal Obstruction: Although less common, a blockage in the intestines can cause significant discomfort, bloating, and changes in bowel habits. This could be due to adhesions from previous surgeries, hernias, or other structural issues.

4. Colorectal Issues: Given your concerns about potential serious conditions, it’s important to consider the possibility of colorectal polyps or even colorectal cancer, especially if you have a family history of such conditions. Symptoms like changes in stool shape, persistent abdominal pain, and changes in bowel habits warrant further investigation.

5. Psychological Factors: Anxiety and stress can significantly impact gastrointestinal function. Conditions like anxiety can lead to increased gut sensitivity and altered bowel habits, contributing to the symptoms you’re experiencing.

Recommended Actions
1. Consult a Gastroenterologist: Given the duration and severity of your symptoms, it’s advisable to seek a consultation with a gastroenterologist. They may recommend diagnostic tests such as a colonoscopy to rule out any structural abnormalities or malignancies, especially considering your concerns about cancer.

2. Dietary Modifications: Focus on a high-fiber diet, including fruits, vegetables, whole grains, and legumes. This can help improve bowel regularity. Additionally, consider keeping a food diary to identify any potential food intolerances or triggers.

3. Hydration: Ensure you are drinking enough fluids throughout the day, as dehydration can worsen constipation.

4. Physical Activity: Regular exercise can help stimulate bowel function and reduce feelings of bloating and discomfort.

5. Mental Health Support: If anxiety is a contributing factor, consider speaking with a mental health professional. Techniques such as cognitive-behavioral therapy (CBT) can be beneficial in managing anxiety and its physical manifestations.

6. Symptom Tracking: Keep a detailed record of your symptoms, including their frequency, duration, and any associated factors (like diet or stress levels). This information can be invaluable for your healthcare provider in determining the underlying cause.

Conclusion
While your symptoms are concerning, they do not necessarily indicate a serious condition like cancer. However, given the persistence and nature of your symptoms, it is crucial to seek medical evaluation to rule out any serious underlying issues. Early diagnosis and intervention can significantly improve outcomes and alleviate your fears. Remember, you are not alone in this, and there are effective treatments available to help manage your symptoms and improve your quality of life.

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