Abdominal Discomfort After Bowel Movements: Causes and Solutions

Bowel movement abdominal issues?

Hello, doctor.
After I have a bowel movement, I often feel discomfort that extends from the bottom of my right rib cage to my right pelvis, even affecting my right lower back and groin.
It's a dull ache rather than pain, and I also experience some bloating.
In my right lower abdomen, I can feel a hard, tubular structure that resembles an inflated intestine (I can only feel it after a bowel movement).
When I don't have a bowel movement, I don't feel this discomfort.
This situation has persisted for about six months, with fluctuations in severity.
I have bowel movements every two to three days, with a normal amount of stool.
Sometimes, I feel like my intestines are weak and I can't fully empty them in one go, leading to a sensation of incomplete evacuation, which may require two attempts in a day.
The shape of my stool seems normal.
I'm unsure what the issue might be and what kind of examinations should be arranged.
(P.S.
I had a bout of severe diarrhea about six months ago, and after that resolved, I started experiencing the current symptoms.)

Miffy, 30~39 year old female. Ask Date: 2017/07/12

Dr. Chen Qifeng reply Gastroenterology and Hepatology

Based on the symptoms, it may be a gastrointestinal dysfunction.
If necessary, you can visit a gastroenterologist for a barium enema.

Reply Date: 2017/07/12

More Info

Understanding abdominal discomfort after bowel movements can be complex, as it often involves various factors related to gastrointestinal health. Based on your description, it seems you are experiencing a combination of symptoms that could be indicative of several underlying issues.

Firstly, the discomfort you feel from the right ribcage down to the right pelvis, along with a sensation of bloating, could be related to several gastrointestinal conditions. One common possibility is irritable bowel syndrome (IBS), which is characterized by symptoms such as abdominal pain, bloating, and changes in bowel habits. IBS can often lead to feelings of incomplete evacuation, which aligns with your experience of feeling like you cannot fully empty your bowels.

The presence of a hard, tubular structure in your lower abdomen that becomes noticeable after bowel movements could be your intestines, particularly if you are experiencing bloating. This sensation may be more pronounced if you have gas or stool buildup in that area. The fact that you have had episodes of diarrhea in the past could also suggest that your bowel habits have been disrupted, leading to a more sensitive gastrointestinal tract.

Another potential cause for your symptoms could be related to dietary factors. If your diet lacks sufficient fiber, it can lead to irregular bowel movements and feelings of incomplete evacuation. Incorporating more fiber-rich foods, such as fruits, vegetables, and whole grains, can help regulate your bowel movements and improve overall gut health.

Additionally, the discomfort you experience could be linked to gastrointestinal motility issues, where the muscles of the intestines do not contract effectively, leading to feelings of sluggishness or incomplete evacuation. This can sometimes occur after episodes of diarrhea, as the intestines may take time to return to their normal function.

Given that your symptoms have persisted for about six months and have been variable in nature, it is essential to consult a healthcare professional for a thorough evaluation. A doctor may recommend several diagnostic tests to better understand your condition. These could include:
1. Abdominal Ultrasound: This imaging test can help visualize the organs in your abdomen and identify any abnormalities, such as gallstones or other structural issues.

2. Colonoscopy: This procedure allows a doctor to examine the inner lining of your colon and rectum, helping to identify any inflammation, polyps, or other abnormalities.

3. Blood Tests: These can help rule out infections, inflammation, or other systemic issues that may be contributing to your symptoms.

4. Stool Tests: Analyzing your stool can help identify any infections, parasites, or signs of malabsorption.

5. Dietary Assessment: A review of your diet may help identify any potential triggers for your symptoms, such as lactose intolerance or gluten sensitivity.

In the meantime, consider keeping a symptom diary to track your bowel habits, dietary intake, and any associated symptoms. This information can be invaluable for your healthcare provider in diagnosing your condition.

In conclusion, while your symptoms may be indicative of a functional gastrointestinal disorder such as IBS, it is crucial to seek medical advice for a proper diagnosis and treatment plan. Lifestyle modifications, including dietary changes and stress management techniques, can often help alleviate symptoms, but a tailored approach based on your specific situation is essential for effective management.

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