Abdominal Discomfort: Insights into Gastrointestinal Issues

Abdominal issues?

Hello Doctor, at the end of October, I went to the emergency room due to discomfort in my back and slight cold sweats.
Since it was after dinner time and I needed to take medication, I bought a small snack to eat.
However, before taking the medication, I started to feel a bit bloated, but it improved after a while, and I began taking the anti-inflammatory medication.
After about three days, I felt a slight heaviness after meals, but it improved quickly.
I have a persistent dull discomfort in my left abdomen, extending from the area near my navel.
My stools have been oily and loose.
After researching online, I felt it might be a pancreatic issue, so I visited the clinic again.
The doctor told me it was unlikely to be pancreatitis because I did not experience significant pain upon palpation, so he prescribed gastrointestinal medication.
Although my symptoms have eased, when standing or walking, I feel as if there is something in my left abdomen near the navel.
When I stand and drink water, I also feel a sensation of fluid moving in that area, but I do not experience this sensation when sitting.
My medical history includes two gastroscopies, revealing gastric and duodenal ulcers.
Thank you, Doctor, and I hope you can help clarify my concerns!

Xiao Zhou, 30~39 year old female. Ask Date: 2017/11/15

Dr. Chen Shidian reply Gastroenterology and Hepatology

Hello, sir.
It doesn't seem like pancreatitis, but it would still be advisable to have an abdominal ultrasound to check for any other internal issues.
Changhua Hospital cares about your health.
Chen Shidian

Reply Date: 2017/11/15

More Info

Abdominal discomfort can be a complex issue, often stemming from various gastrointestinal problems. Based on the symptoms you've described, including left-sided abdominal discomfort, loose and oily stools, and a sensation of something moving in your abdomen, there are several potential causes to consider.

Firstly, your history of gastric and duodenal ulcers is significant. These conditions can lead to chronic abdominal pain and discomfort, particularly if they are not fully healed or if there is a recurrence. Ulcers can cause inflammation and irritation in the gastrointestinal tract, leading to symptoms such as bloating, discomfort, and changes in bowel habits. It's essential to ensure that these ulcers are being adequately managed, which may involve medications such as proton pump inhibitors (PPIs) or H2 blockers to reduce stomach acid and promote healing.

The sensation of "something moving" in your abdomen, especially when standing, could be related to gastrointestinal motility issues. Conditions like irritable bowel syndrome (IBS) can cause abnormal contractions of the intestines, leading to discomfort and changes in bowel movements. IBS is often characterized by a combination of abdominal pain, bloating, and altered bowel habits, including diarrhea or constipation. Stress and dietary factors can exacerbate IBS symptoms, so it may be beneficial to evaluate your diet and stress levels.

Loose, oily stools can indicate malabsorption issues, which occur when the intestines do not adequately absorb nutrients from food. This can be caused by various conditions, including pancreatic insufficiency, where the pancreas does not produce enough digestive enzymes. Given your concern about potential pancreatic issues, it may be worthwhile to discuss this with your healthcare provider. They might recommend tests to evaluate pancreatic function, such as stool tests for fat malabsorption or imaging studies to assess the pancreas.

Additionally, the sensation of bloating and discomfort after eating could be related to dietary choices. High-fat meals can lead to increased bloating and discomfort, especially if there is an underlying issue with fat digestion. Keeping a food diary to track what you eat and how it affects your symptoms can provide valuable insights.

It's also important to consider the psychological aspect of gastrointestinal symptoms. Anxiety and stress can significantly impact gut health, leading to symptoms like abdominal pain and changes in bowel habits. If you find that your symptoms worsen during stressful periods, it may be beneficial to explore stress management techniques or speak with a mental health professional.

In terms of next steps, if your symptoms persist or worsen, it would be advisable to follow up with your healthcare provider. They may recommend further diagnostic tests, such as imaging studies (like an abdominal ultrasound or CT scan) or additional endoscopic evaluations, to rule out any underlying conditions. Regular follow-ups can help monitor your symptoms and adjust treatment as necessary.

In summary, abdominal discomfort can arise from various gastrointestinal issues, including ulcers, motility disorders, malabsorption, and stress-related factors. A comprehensive approach that includes dietary modifications, stress management, and appropriate medical treatment is essential for managing your symptoms effectively. Always consult with your healthcare provider for personalized advice and treatment options tailored to your specific situation.

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