Chronic Abdominal Discomfort: Possible IBS Solutions

Q: Chronic Abdominal Discomfort: Possible IBS Solutions

Hello： The location of pain is very important, as the distribution of organs is closely related to the discomfort experienced. <br>If the pain occurs in different locations each time, it is essential to consider whether it may be a functional issue, such as irritable bowel syndro

Abdominal discomfort?

Dear Doctor: I have been experiencing a strange feeling in my abdomen for a long time.
It’s not very painful, but it is uncomfortable, and I can't pinpoint the exact location of the discomfort.
I have undergone several examinations at the hospital, including abdominal ultrasound, X-rays, and fecal occult blood tests (many times), but all the results have shown no issues.
After using the restroom, I often feel the urge to go again.
Previously, I would go at least once every three days, but now I go once a day and occasionally have diarrhea.
Some doctors have suggested that my symptoms resemble irritable bowel syndrome (IBS).
How can I improve this condition?

Niming, 30~39 year old female. Ask Date: 2019/10/08

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: The location of pain is very important, as the distribution of organs is closely related to the discomfort experienced.
If the pain occurs in different locations each time, it is essential to consider whether it may be a functional issue, such as irritable bowel syndrome.
Changhua Hospital cares about your health.
Dr.
Tsai An-Shun.

Reply Date: 2019/10/08

More Info

Chronic abdominal discomfort can be a challenging issue to manage, especially when the symptoms are vague and do not point to a specific diagnosis. Based on your description, it seems that you have undergone various tests, including abdominal ultrasound, X-rays, and stool occult blood tests, all of which returned normal results. This is a positive sign, as it suggests that there are no serious underlying conditions such as tumors or significant gastrointestinal diseases.

Given that your symptoms include persistent discomfort, a sensation of incomplete evacuation after bowel movements, and occasional diarrhea, it is plausible that you may be experiencing Irritable Bowel Syndrome (IBS). IBS is a functional gastrointestinal disorder characterized by a combination of abdominal pain and altered bowel habits, which can include constipation, diarrhea, or alternating between both. It is important to note that IBS is often diagnosed based on symptoms rather than specific tests, especially when other serious conditions have been ruled out.

To manage IBS effectively, several strategies can be employed:
1. Dietary Modifications: Many individuals with IBS find that certain foods can trigger their symptoms. Keeping a food diary can help identify these triggers. Common culprits include high-fat foods, dairy products, caffeine, and certain carbohydrates known as FODMAPs (fermentable oligosaccharides, disaccharides, monosaccharides, and polyols). A low-FODMAP diet has been shown to be effective for many people with IBS.

2. Regular Meal Patterns: Eating at regular intervals and not skipping meals can help regulate bowel function. Smaller, more frequent meals may be easier to digest and can help prevent symptoms.

3. Hydration: Staying well-hydrated is essential, especially if you experience diarrhea. Aim for adequate fluid intake throughout the day.

4. Physical Activity: Regular exercise can help improve bowel function and reduce stress, which is often a contributing factor to IBS symptoms. Aim for at least 30 minutes of moderate exercise most days of the week.

5. Stress Management: Stress and anxiety can exacerbate IBS symptoms. Techniques such as mindfulness, yoga, meditation, or cognitive-behavioral therapy may be beneficial in managing stress levels.

6. Medications: Depending on your symptoms, your doctor may recommend medications to help manage IBS. These can include antispasmodics to relieve cramping, laxatives for constipation, or anti-diarrheal medications. In some cases, prescription medications specifically for IBS may be considered.

7. Probiotics: Some studies suggest that probiotics may help alleviate symptoms of IBS by promoting a healthy gut microbiome. However, results can vary, so it may take some experimentation to find a probiotic that works for you.

8. Follow-Up with Healthcare Providers: Since your symptoms have persisted, it may be beneficial to follow up with a gastroenterologist who specializes in functional gastrointestinal disorders. They can provide further evaluation and tailor a management plan specific to your needs.

In conclusion, while chronic abdominal discomfort can be distressing, understanding the potential role of IBS and implementing lifestyle changes can significantly improve your quality of life. It is essential to work closely with your healthcare provider to develop a comprehensive approach that addresses your symptoms and helps you feel better. If your symptoms persist or worsen, do not hesitate to seek further medical advice.

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