Abdominal Issues: Symptoms of Gastrointestinal Distress

Abdominal issues?

The patient has not had a bowel movement or passed gas since yesterday, is unable to eat, and experiences pain when pressing on the upper right and left sides of the abdomen.
There is a significant amount of gastric acid causing a burning sensation, and upon waking up in the morning, the patient hears sounds of air moving in the abdomen but does not feel the urge to defecate (usually has regular bowel movements at fixed times).
The abdomen feels slightly bloated, and the patient has lost 9 kilograms over the past two weeks due to reduced food intake.
The patient has actively sought care at Chiayi Hospital but feels there has been no improvement.
Could this be gastroenteritis? I am very worried about intestinal obstruction.

Wang Daming, 10~19 year old female. Ask Date: 2019/01/19

Dr. Chen Qifeng reply Gastroenterology and Hepatology

Please visit a gastroenterologist to determine the exact cause of your abdominal bloating and weight loss.

Reply Date: 2019/01/19

More Info

It sounds like you're experiencing a range of gastrointestinal symptoms that can be quite distressing. Based on your description, you have not had a bowel movement or passed gas since yesterday, are experiencing pain in the upper right and left sides of your abdomen, have excessive stomach acid, and have noticed a significant weight loss of 9 kilograms over the past two weeks. Additionally, you mentioned that your stomach feels bloated, and you can hear air moving in your abdomen, which can be concerning.

Given these symptoms, it is essential to consider several potential causes. One possibility is that you may be experiencing a gastrointestinal infection, such as gastroenteritis, which can lead to symptoms like abdominal pain, bloating, and changes in bowel habits. However, the fact that you have not had a bowel movement for an extended period raises the concern for constipation or even a potential bowel obstruction. Bowel obstruction can occur due to various reasons, including adhesions from previous surgeries, hernias, or even tumors.
Another consideration is that your symptoms could be related to functional gastrointestinal disorders, such as irritable bowel syndrome (IBS), which can cause abdominal pain, bloating, and changes in bowel habits. Stress and anxiety can exacerbate these symptoms, leading to a cycle of discomfort and worry.

The significant weight loss you mentioned is particularly concerning. Losing weight unintentionally, especially in a short period, can indicate an underlying health issue that requires further investigation. It is crucial to address this with your healthcare provider, as they may want to conduct additional tests, such as imaging studies or blood tests, to rule out any serious conditions.

In terms of management, it is vital to stay hydrated, especially if you are not eating well. Dehydration can worsen gastrointestinal symptoms and lead to further complications. You might also consider keeping a food diary to track what you eat and how it affects your symptoms. This information can be helpful for your healthcare provider in determining the best course of action.

Since you have already sought care at a hospital and feel that your condition has not improved, it may be beneficial to follow up with a gastroenterologist. They can provide specialized care and may recommend further diagnostic tests, such as an abdominal ultrasound or CT scan, to assess for any structural issues in your gastrointestinal tract.

In summary, your symptoms warrant further evaluation to determine the underlying cause. It is essential to communicate openly with your healthcare provider about your concerns, including the weight loss and any changes in your bowel habits. They can help guide you through the necessary steps to address your gastrointestinal distress and improve your overall health. Remember, early intervention is key in managing gastrointestinal issues effectively.

Similar Q&A

Understanding Gastrointestinal Issues: Causes and Solutions for Chronic Discomfort

Hello Doctor, I have been experiencing gastrointestinal discomfort since childhood, including frequent vomiting and abdominal pain. Sometimes, I suddenly have to vomit in the middle of a meal, and afterwards, I feel very hungry. I also tend to have abdominal pain during stressful...

Dr. Xiao Yongxun reply Internal Medicine
1. There are many and complex causes of abdominal pain. It can originate from the abdomen itself, such as infections, inflammation, ulcers, vascular lesions, trauma, or organ pathology; it may also be due to issues in the thoracic cavity, spine, or pelvic cavity. Additionally, fu...

Understanding Gastrointestinal Issues: Symptoms and Next Steps

Hello Doctor: I have some gastrointestinal issues to discuss. The symptoms are as follows: 1. I have been experiencing constipation for a long time. 2. Recently, I often have abdominal pain (it feels like cramping associated with diarrhea). 3. I frequently pass gas, and it occurs...

Dr. Su Baojia reply Gastroenterology and Hepatology
Your condition is related to Irritable Bowel Syndrome (IBS), which is associated with lifestyle stress and dietary habits. It is recommended that you consult a gastroenterologist for appropriate treatment.

Understanding Abdominal Discomfort: Possible Causes and Concerns

Hello Doctor: I have a friend who often feels discomfort in her abdomen and experiences nausea both before and after meals, along with diarrhea that is watery in consistency. She has undergone imaging studies, and the doctor noted a hazy area in her stomach that appears to be inf...

Dr. Yang Guojun reply Gastroenterology and Hepatology
Your condition may be Irritable Bowel Syndrome (IBS), which has three main characteristics: 1. The symptoms recur frequently. 2. All examinations have been conducted, but they show normal results. 3. Consulting multiple physicians does not lead to improvement. This condition is p...

Understanding Abdominal Pain and Diarrhea: Stress and Gastrointestinal Issues

Hello, Doctor. Last month, after experiencing gastroenteritis, I have been feeling more bloated. After taking medication from my family physician, it improved, but in the past few days, the bloating has become more severe again. Yesterday, I had diarrhea, mostly loose and semi-fo...

Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: It is important to pay attention to your diet and manage stress appropriately. Excessive stress can lead to physical discomfort. However, you should monitor the frequency of diarrhea or the amount of stool, as well as any accompanying symptoms such as fever or muscle aches...