Right lower abdominal discomfort and pain after meals?
Hello doctor, I previously asked about discomfort in my right abdomen.
I later visited my family doctor, who pressed on my abdomen, and I did not feel any pain.
I had blood tests and a urinalysis, and the results were normal.
The tests included: Comprehensive Metabolic Panel, Complete CBC with Auto Differential, Urinalysis Auto without Scope, Assay of Lipase, and Assay of Amylase.
The discomfort I feel is not very painful; it's more of a dull discomfort primarily in the lower right abdomen.
It seems to be worse after eating, while the left side feels fine.
However, the discomfort persists for a few hours after eating.
Currently, my doctor has advised me to try Zantac, but it doesn't seem to help.
My appetite and bowel movements are still okay, but my stools tend to be soft or loose.
I have lost about two kilograms compared to three months ago.
Can bloating or gastroesophageal reflux cause discomfort in the lower right abdomen?
Mr. Lin, 30~39 year old female. Ask Date: 2018/02/18
Dr. Chen Shidian reply Gastroenterology and Hepatology
Hello, sir.
Please visit the gastroenterology outpatient clinic for an examination (colonoscopy) and at least a fecal occult blood test.
Changhua Hospital cares about your health.
Chen Shidian.
Reply Date: 2018/02/18
More Info
Experiencing discomfort in the right lower abdomen after meals can be concerning, especially after undergoing significant medical procedures like gallbladder surgery or liver transplant. Based on your description, it seems that you have already taken some important steps by consulting with your family doctor and undergoing various tests, including blood work and urinalysis, which returned normal results. This is a positive sign, as it suggests that there may not be any acute underlying conditions such as infections or significant organ dysfunction.
The discomfort you are experiencing, particularly after eating, could be attributed to several factors. One possibility is that it may be related to gastrointestinal issues such as gas, bloating, or even gastroesophageal reflux disease (GERD). Both gas and GERD can cause discomfort in the abdomen, and they can manifest as a dull ache or a feeling of fullness, especially after meals. The fact that you mentioned the discomfort is more pronounced after eating suggests that it could be related to how your body is processing food.
Another consideration is the possibility of functional gastrointestinal disorders, such as irritable bowel syndrome (IBS). IBS can cause symptoms like abdominal pain, bloating, and changes in bowel habits, including softer stools or diarrhea. Stress and dietary choices can exacerbate these symptoms, so it may be worth reflecting on any recent changes in your diet or stress levels.
Regarding your question about whether bloating or GERD can cause discomfort in the right lower abdomen, the answer is yes. Bloating can lead to a sensation of fullness and discomfort in various parts of the abdomen, including the right lower quadrant. Similarly, GERD can cause referred pain or discomfort in the abdomen due to the way the digestive system is interconnected.
Since you mentioned that you have been prescribed Zantac (ranitidine), which is a medication that reduces stomach acid, it may help alleviate symptoms related to GERD. However, if you find that your symptoms persist despite taking the medication, it would be advisable to follow up with your healthcare provider. They may consider further evaluation or alternative treatments, such as dietary modifications or additional medications.
In terms of dietary recommendations, it may be beneficial to keep a food diary to track what you eat and how it correlates with your symptoms. This can help identify any specific foods that may trigger discomfort. Generally, a diet low in fatty, spicy, or acidic foods can be helpful for managing GERD symptoms. Additionally, eating smaller, more frequent meals rather than large meals may reduce the likelihood of discomfort.
Lastly, if you continue to experience discomfort or if it worsens, it would be prudent to seek further evaluation from a gastroenterologist. They can perform more specialized tests, such as an endoscopy or imaging studies, to rule out any underlying conditions that may not have been detected in your initial evaluations.
In summary, while your initial tests have not shown any significant abnormalities, the discomfort you are experiencing could be related to functional gastrointestinal issues, dietary factors, or even stress. Monitoring your symptoms, making dietary adjustments, and maintaining open communication with your healthcare provider will be key in managing your discomfort effectively.
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