Abdominal Discomfort: Constipation and Its Implications

Q: Abdominal Discomfort: Constipation and Its Implications

Hello, Miss Meow： If there is no improvement after taking the medication, it is recommended to schedule another appointment with your physician to consider further examinations. <br>Nantou Hospital cares about you.

Abdominal issues?

Hello Doctor: I have been experiencing chronic constipation, with bowel movements occurring every 2 to 4 days, and my stools are hard and pellet-like, resembling sheep droppings.
Previously, I would experience dull pain about 1 cm to the left of my navel about 1 to 2 times a month, but it would resolve within a few seconds.
Recently, over the past couple of months, the frequency of this dull and aching pain in the same area has increased, occurring almost daily several times, lasting about a few dozen seconds each time.
Additionally, I have noticed an increase in flatulence, feeling like I am passing gas constantly (without any odor).
I consulted a doctor who simply had me lie down and gently tapped my abdomen, concluding that it was constipation, and prescribed laxatives for me to take home.
I am very concerned that this could be a sign of something more serious.
Should I undergo more detailed examinations, such as stool tests, ultrasound, or colonoscopy? Thank you.

Miao Miao, 30~39 year old female. Ask Date: 2020/01/21

Dr. Cai Jinji reply Gastroenterology and Hepatology

Hello, Miss Meow: If there is no improvement after taking the medication, it is recommended to schedule another appointment with your physician to consider further examinations.
Nantou Hospital cares about you.

Reply Date: 2020/01/21

More Info

Abdominal discomfort, particularly in the context of constipation, can be a source of significant concern for many individuals. Your description of having long-term constipation, characterized by infrequent bowel movements and hard, pellet-like stools, is indicative of a common gastrointestinal issue. The additional symptoms of localized pain near your navel and increased flatulence may suggest a few underlying conditions that warrant further exploration.

Constipation can lead to various complications, including abdominal pain, bloating, and discomfort. The pain you experience on the left side of your abdomen, especially if it has increased in frequency and intensity, could be related to the buildup of stool in the colon, which can cause distension and discomfort. This is often referred to as "colonic inertia," where the colon is not effectively moving stool along, leading to increased pressure and discomfort.

The fact that you are experiencing pain almost daily, along with increased flatulence, suggests that there may be more than just simple constipation at play. Increased gas production can occur due to the fermentation of undigested food in the intestines, which can happen when stool is retained for longer periods. This can lead to discomfort and a feeling of fullness or bloating.

While your doctor has diagnosed you with constipation and prescribed medication, it is essential to monitor your symptoms closely. If the pain persists or worsens, or if you experience any additional symptoms such as changes in bowel habits, blood in your stool, or unexplained weight loss, it would be prudent to seek further evaluation.
In terms of diagnostic tests, a stool test for occult blood could be beneficial to rule out any gastrointestinal bleeding. An abdominal ultrasound may help visualize any structural abnormalities in your digestive tract, while a colonoscopy could be warranted if there are concerns about potential underlying conditions such as polyps or inflammatory bowel disease. Given your symptoms, a colonoscopy may be particularly useful, especially if you have a family history of colorectal cancer or if you are over the age of 50.

Additionally, lifestyle modifications can play a significant role in managing constipation. Increasing dietary fiber intake, staying well-hydrated, and engaging in regular physical activity can help promote regular bowel movements. Fiber supplements or over-the-counter laxatives may provide temporary relief, but they should not be relied upon as a long-term solution without addressing the underlying causes of constipation.

In summary, while your symptoms may be related to constipation, the increase in pain and discomfort, along with changes in your bowel habits, warrant further investigation. It is essential to communicate openly with your healthcare provider about your concerns and consider requesting additional tests if your symptoms do not improve with initial treatment. Early detection and intervention can significantly improve outcomes and alleviate discomfort.

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