Gastrointestinal Issues: Symptoms and When to Seek Help - Gastroenterology and Hepatology

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Gastrointestinal issues


Hello doctor, recently I noticed that the area to the right of my navel is more protruded and sometimes painful, so I had an X-ray done.
The doctor only mentioned a bit of gas and a small amount of retained stool.
After returning home, I still felt something was off, so I pressed on it, but the painful area was actually above the left side of my navel.
This reminded me of a time in the first year of junior high when I had diarrhea for a week and felt bloated in my lower abdomen.
After that, I would experience sharp pain in the upper left side after breakfast, which would subside after passing gas.
During that period, I would have diarrhea if I ate too quickly.
This continued for several years, and I thought it was just indigestion, so I didn't pay much attention to it.
Now, I notice that the painful area on the upper left seems to be sunken in, but it doesn't hurt when pressed.
I'm very worried that there might have been an issue for a long time that I've been ignoring.
Additionally, I have experienced arrhythmia and had unexplained fevers during times of high stress while studying for exams.
I'm not sure if these symptoms are related to my gastrointestinal issues.
Is it possible to undergo a gastrointestinal endoscopy? Thank you.

Min, 20~29 year old female. Ask Date: 2020/07/02

Dr. Chen Shidian reply Gastroenterology and Hepatology


You can test for occult blood in the stool; if the results are normal, there is no need to worry too much.
If necessary, medications can be used to regulate gastrointestinal motility and help relax.

Reply Date: 2020/07/02

More Info


Understanding gastrointestinal issues can be quite complex, especially when multiple symptoms are present. Based on your description, it seems you are experiencing a range of gastrointestinal symptoms, including localized pain, changes in bowel habits, and a history of digestive discomfort.
Firstly, the pain you are feeling in the left upper quadrant of your abdomen could be related to several gastrointestinal conditions. The fact that you have a history of diarrhea and abdominal distension, along with the recent discomfort, suggests that you may be dealing with a functional gastrointestinal disorder, such as Irritable Bowel Syndrome (IBS). IBS is characterized by symptoms like abdominal pain, bloating, and changes in bowel habits (diarrhea and constipation). It is often triggered by dietary factors, stress, and other lifestyle choices.

The presence of "gas" and "small amounts of stool" noted in your X-ray results could indicate that your intestines are not moving as efficiently as they should be, which can lead to discomfort and pain. This can happen for various reasons, including dietary choices, stress, and even underlying conditions like IBS.
Your previous experiences with abdominal pain after eating quickly and the relief you felt after passing gas suggest that your symptoms may be exacerbated by certain eating habits or stress. Eating too quickly can lead to swallowing air, which contributes to bloating and discomfort. Additionally, stress can significantly impact gut health, leading to symptoms like those you described.

Regarding your concerns about the left upper quadrant pain and whether it could indicate a more serious underlying condition, it is essential to consider that while some gastrointestinal issues can be benign, others may require further investigation. Given your history of abdominal pain and changes in bowel habits, it would be prudent to consult a gastroenterologist for a thorough evaluation. A gastroenterologist may recommend further diagnostic tests, including an endoscopy (or colonoscopy) if deemed necessary, to rule out any serious conditions such as ulcers, inflammatory bowel disease, or other gastrointestinal disorders.

As for your concerns about heart palpitations and previous episodes of fever during stressful periods, it is worth noting that stress can have a profound impact on both gastrointestinal and cardiovascular health. Stress can exacerbate gastrointestinal symptoms and may also lead to palpitations or irregular heart rhythms. If you are experiencing these symptoms concurrently, it would be wise to discuss them with your healthcare provider to ensure a comprehensive approach to your health.

In summary, your symptoms suggest a potential functional gastrointestinal disorder, possibly IBS, exacerbated by dietary habits and stress. It is advisable to seek a consultation with a gastroenterologist for a detailed assessment and to discuss the possibility of undergoing an endoscopy if necessary. Additionally, consider lifestyle modifications such as eating smaller, more frequent meals, reducing stress through relaxation techniques, and maintaining a balanced diet to help manage your symptoms. Remember, early intervention and proper management can significantly improve your quality of life.

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