Abdominal Sounds and Hardness: Possible Gastrointestinal Issues

Borborygmi and abdominal rigidity?

Hello, Director Chen.
In the past three days, I have experienced noticeable bowel sounds in my lower right abdomen, and I can feel gurgling when I place my hand on it, while the left side is unaffected.
Additionally, the lower right abdomen feels slightly harder.
On the first day, I went to the bathroom three times and had a bowel movement once; the second and third days were normal, but my stools have become thinner.
The discomfort sometimes shifts, occasionally felt just to the right of my navel, but mostly it is located in the lower right abdomen, approximately at the level of the pelvis.
Could you please advise what symptoms this might indicate? Also, I would like to ask if movements such as stretching or rolling over could potentially cause issues like bowel obstruction or hernias, as I have experienced pain in the lower right abdomen after feeling my intestines move.

Jim, 20~29 year old female. Ask Date: 2021/03/19

Dr. Chen Shidian reply Gastroenterology and Hepatology

It may be a short-term abnormality in gastrointestinal motility; further rest and observation are recommended.
Normal activities should not cause intestinal volvulus or hernia.

Reply Date: 2021/03/19

More Info

Based on your description, it seems you are experiencing several gastrointestinal symptoms, including noticeable abdominal sounds, localized hardness in the right lower abdomen, changes in bowel habits, and occasional discomfort that shifts in location. These symptoms could indicate a variety of gastrointestinal issues, and it is essential to consider them in context.

The presence of pronounced bowel sounds, especially in the right lower quadrant, can be associated with increased intestinal activity, which may occur due to several factors, including dietary changes, stress, or gastrointestinal disorders. The fact that you have experienced changes in your bowel movements, such as increased frequency and the consistency of your stools becoming thinner, can also be significant. This could suggest a possible underlying issue such as irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), or even an infection.

The localized hardness in your right lower abdomen could indicate several possibilities. One common cause is the presence of gas or stool accumulation, which can lead to distension and a feeling of fullness. However, it is also important to consider other conditions such as appendicitis, diverticulitis, or even an intestinal obstruction, especially if the hardness is persistent and accompanied by pain.

Regarding your concern about whether stretching or certain movements could lead to issues like intestinal twisting (volvulus) or hernias, it is generally unlikely that normal stretching or turning would cause such conditions in a healthy individual. However, if there is pre-existing weakness in the abdominal wall or other risk factors, certain activities could potentially exacerbate these issues. If you have a history of hernias or have experienced significant abdominal trauma, it would be wise to consult a healthcare professional for a thorough evaluation.

Given the complexity of your symptoms, it is crucial to seek further medical evaluation. A healthcare provider may recommend imaging studies, such as an ultrasound or CT scan, to assess the abdominal organs and rule out any serious conditions. Additionally, blood tests may be necessary to check for signs of infection or inflammation.

In the meantime, consider keeping a detailed diary of your symptoms, including the timing of abdominal sounds, bowel habits, and any associated discomfort. This information can be invaluable for your healthcare provider in diagnosing your condition. Furthermore, maintaining a balanced diet rich in fiber, staying hydrated, and managing stress through relaxation techniques may help alleviate some of your symptoms.

In conclusion, while your symptoms may be indicative of a functional gastrointestinal disorder, it is essential to approach this with caution and seek professional medical advice for a proper diagnosis and treatment plan. Your health is paramount, and addressing these concerns with a qualified healthcare provider will ensure you receive the appropriate care.

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