Abdominal issues?
Hello, Director Chen.
I am quite thin, measuring 181 cm and weighing 55 kg.
Yesterday, while lying on my side in bed and stretching, I felt something in my right abdomen being pushed or something moving inward.
I would like to ask if it is possible for abdominal organs to shift due to being too thin, or if my bones could have injured my organs, or if there could be other issues.
Since yesterday, I have been feeling abdominal pain and a strong urge to have a bowel movement.
Luka, 20~29 year old female. Ask Date: 2020/09/11
Dr. Chen Shidian reply Gastroenterology and Hepatology
Further observation is possible; the reported symptoms do not appear to be related.
If discomfort persists, please seek medical evaluation.
Reply Date: 2020/09/11
More Info
Abdominal discomfort can be a complex issue, especially when it involves sensations of pressure or pain that may feel like an organ is displaced or injured. Given your height and weight, it is understandable to be concerned about the possibility of organ displacement or injury due to a lack of body fat cushioning the organs. However, it is essential to consider various factors that could contribute to your symptoms.
Firstly, the sensation of something "pushing" against your abdomen could be related to several benign conditions. For instance, when stretching or moving in certain positions, the abdominal organs can shift slightly, which may cause temporary discomfort. This is particularly true if you are experiencing muscle tension or spasms in the abdominal wall, which can occur after sudden movements or stretching.
Additionally, if you have been experiencing ongoing abdominal pain and a sensation of needing to have a bowel movement, it could indicate gastrointestinal issues such as constipation or irritable bowel syndrome (IBS). These conditions can cause discomfort and a feeling of fullness or pressure in the abdomen. If you are experiencing changes in your bowel habits, such as infrequent bowel movements or straining, it would be advisable to increase your fiber intake and ensure adequate hydration.
Another possibility to consider is the presence of a hernia, particularly if you have noticed any bulging or swelling in the abdominal area. Hernias can occur when an internal organ pushes through a weak spot in the abdominal wall, and they can cause discomfort, especially when moving or straining.
In terms of organ displacement, while it is less common, certain anatomical variations or conditions can lead to a feeling of displacement. For example, individuals with a very low body mass index (BMI) may have less abdominal fat, which can make the organs feel more prominent or mobile. However, significant organ displacement typically requires a more serious underlying condition, such as trauma or congenital abnormalities.
Given your symptoms, it is crucial to consult with a healthcare professional who can perform a thorough evaluation. This may include a physical examination and possibly imaging studies such as an ultrasound or CT scan to assess the position of your organs and rule out any significant issues. Blood tests may also be warranted to check for signs of infection or inflammation.
In summary, while your concerns about organ displacement or injury are valid, there are several benign explanations for your symptoms. It is essential to seek medical advice to determine the underlying cause of your discomfort and to receive appropriate treatment. In the meantime, focus on maintaining a balanced diet, staying hydrated, and managing stress, as these factors can significantly impact gastrointestinal health and overall well-being.
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