Gastrointestinal Discomfort: Symptoms and Possible Causes

Gastrointestinal discomfort?

Hello, doctor.
I have had gastrointestinal issues since childhood, and I also have irritable bowel syndrome, but I usually have a bowel movement every day.
However, in the past week, I suddenly developed some symptoms.
It started with bloating in the lower abdomen and around the navel, accompanied by a feeling of heaviness.
I began experiencing constipation, and after a day or two, I started to feel acidity in my stomach, along with frequent flatulence and belching.
However, after eating, my condition improves significantly, but after a while, my stomach discomfort returns, and sometimes I feel soreness in my back.
These symptoms began about a week before my menstrual period, but there has been no accompanying nausea or vomiting; instead, I have a strong appetite, although I am afraid that eating more will worsen my condition.
I consulted a traditional Chinese medicine practitioner who said I have indigestion, but there hasn't been much improvement after taking the medication.
I would like to ask if this could possibly be a gastric or duodenal ulcer, excessive stomach acid, or something more serious...?

Cindy, 10~19 year old female. Ask Date: 2018/02/24

Dr. Chen Shidian reply Gastroenterology and Hepatology

Hello, please visit the gastroenterology outpatient clinic for medication management.
If necessary, a (self-paid, painless) gastroscopy can be performed.
Changhua Hospital cares about your health.
Chen Shidian.

Reply Date: 2018/02/24

More Info

Understanding gastrointestinal discomfort can be quite complex, especially when symptoms are multifaceted and can overlap with various conditions. Based on the symptoms you've described—bloating around the lower abdomen and navel, constipation, acid reflux, excessive gas, and back discomfort—there are several potential causes to consider.

Firstly, your history of irritable bowel syndrome (IBS) suggests that your gastrointestinal tract may be more sensitive to triggers such as stress, diet, and hormonal changes. The timing of your symptoms, particularly their onset before your menstrual period, may indicate a connection to hormonal fluctuations. Many women experience gastrointestinal symptoms related to their menstrual cycle due to hormonal changes that can affect gut motility and sensitivity.

The symptoms of bloating and constipation could be attributed to functional gastrointestinal disorders, such as IBS. In IBS, the gut may not function properly, leading to symptoms like bloating, gas, and altered bowel habits (constipation or diarrhea). The fact that eating seems to alleviate your discomfort temporarily could suggest that food intake stimulates gut motility, which is a common phenomenon in IBS.

The presence of acid reflux and a sour stomach feeling could indicate gastroesophageal reflux disease (GERD) or gastritis. GERD occurs when stomach acid flows back into the esophagus, causing discomfort and a burning sensation. If you are experiencing this along with back discomfort, it may be worth considering whether your posture during meals or other lifestyle factors are contributing to these symptoms.

While the symptoms you describe could potentially be linked to more serious conditions such as peptic ulcers (either gastric or duodenal), the absence of nausea and vomiting, along with the relief you experience after eating, makes this less likely. However, it is essential to rule out these conditions through appropriate diagnostic testing, especially given your history of gastrointestinal issues.

In terms of management, it would be advisable to keep a food diary to identify any specific triggers that may exacerbate your symptoms. This can help you and your healthcare provider tailor a dietary plan that minimizes discomfort. Additionally, consider discussing the possibility of a trial of proton pump inhibitors (PPIs) or H2 blockers with your doctor to see if reducing stomach acid alleviates your symptoms.

If your symptoms persist or worsen, further evaluation may be warranted. This could include upper endoscopy (EGD) to visualize the stomach and duodenum, as well as to check for ulcers or other abnormalities. Additionally, tests for H. pylori infection, which can contribute to gastritis and ulcers, may be beneficial.

In summary, while your symptoms could be related to IBS, hormonal changes, or functional gastrointestinal disorders, it is crucial to monitor your condition closely and consult with a healthcare professional for a thorough evaluation. They can provide guidance on appropriate tests and treatments to help manage your symptoms effectively. Remember, maintaining open communication with your healthcare provider is key to finding the right approach for your gastrointestinal health.

Similar Q&A

Understanding Gastrointestinal Discomfort: Causes and Solutions

I tend to get nervous easily and have been experiencing gastrointestinal discomfort. Sometimes, I have to rush to the bathroom to have diarrhea right after breakfast. Last year, I noticed blood in my stool, but I didn't see any blood when wiping. Blood tests showed normal tu...

Dr. Chen Jiaming reply Surgery
The most common cause of symptoms is actually gastroenteritis, which is often managed with oral medications that control some of the symptoms. Most cases of gastroenteritis will resolve on their own. If you are very concerned about conditions such as intestinal tumors, you should...

Understanding Gastrointestinal Discomfort: Causes and Solutions

Hello Doctor, I started experiencing gastrointestinal discomfort around February 13, with diarrhea occurring about 3 to 4 times a day. Most of the time, after eating, I would have cramping abdominal pain and the urge to have a bowel movement. There were also instances where I fel...

Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, the common causes are gastroenteritis and irritable bowel syndrome. It is recommended to pay attention to your diet and avoid irritating foods. It seems that your gastrointestinal symptoms are gradually improving! During gastroenteritis, be mindful of food cleanliness, sta...

Understanding Gastrointestinal Discomfort: Causes and Solutions

Hello, doctor. Recently, I've been feeling a dull discomfort about one to two centimeters above my navel. My bowel movements have been slightly loose. What could be the issue?

Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Please pay attention to any signs of gastroenteritis or gastrointestinal discomfort caused by improper diet. If necessary, consult a gastroenterologist. Changhua Hospital cares about your health. Dr. Tsai An-shun.

Understanding Gut Issues: Symptoms, Stress, and Possible Solutions

Since the onset of constipation, I have started to feel discomfort in my intestines. Although the constipation has improved, I still experience a strange sensation around my lower left abdomen, which occasionally causes mild pain. Currently, stress is an unavoidable factor in my ...

Dr. Chen Qifeng reply Gastroenterology and Hepatology
Gastrointestinal bloating can also cause discomfort, and functional disorders are one of the reasons for gastrointestinal discomfort.