Long-Term Bloating: When to Seek Medical Advice - Gastroenterology and Hepatology

Chronic bloating

Hello Doctor, I am 23 years old and have been experiencing bloating and pain on the left side of my abdomen near the navel for the past four years.
Sometimes I also have pain in the upper left abdomen.
I visited a major hospital for examination, and during an ultrasound, a hepatic hemangioma was found, but I was told to just have regular follow-ups.
An endoscopy revealed mild mucosal erosion and gastroesophageal reflux disease (GERD).
Although my bloating has improved and I no longer need medication to relieve it, it has recently recurred, and I also feel that my skin has a slight yellow tint, as well as the whites of my eyes.
Could this indicate a liver issue? Should I seek further evaluation? (My mother has hepatitis B.)

Chen, 20~29 year old female. Ask Date: 2021/05/21

Dr. Lin Minghui reply Gastroenterology and Hepatology

Hello,
A 23-year-old female presents with abdominal bloating, left upper abdominal pain, and a history of esophageal reflux with gastric mucosal erosion.
In addition to gastrointestinal disorders, differential diagnoses should also consider liver, gallbladder, and pancreatic diseases.
The patient exhibits jaundice, with yellowing of the skin and sclera; it is important to monitor for dark urine resembling tea-colored urine, and it is recommended to seek medical attention to evaluate for jaundice and potential liver or gallbladder diseases.
Additionally, hepatic hemangiomas should be monitored.
Given that there is a family history of Hepatitis B, and the patient is 23 years old, it is likely she has received the Hepatitis B vaccine; it is essential to confirm the presence of Hepatitis B antibodies.
This response is for your reference.
Wishing you safety and health.
Sincerely,
Dr.
Ming-Hui Lin
Attending Physician, Department of Gastroenterology
Taoyuan General Hospital, Ministry of Health and Welfare

Reply Date: 2021/05/21

More Info

Long-term bloating can be a distressing symptom, and it is essential to understand when to seek medical advice, especially given your history and current symptoms. At 23 years old, experiencing bloating and abdominal pain, particularly on the left side, warrants careful evaluation. You have already undergone some diagnostic tests, including an ultrasound that revealed a hepatic hemangioma, which is generally benign and often requires only periodic monitoring. However, the recent resurgence of bloating, along with the yellowing of your skin and eyes (jaundice), raises significant concerns that should not be overlooked.

Jaundice is a clinical sign that indicates an excess of bilirubin in the bloodstream, which can occur due to various liver conditions. Given your family history of hepatitis B, it is crucial to consider that you may be at an increased risk for liver-related issues. Hepatitis B can lead to chronic liver disease, cirrhosis, or even hepatocellular carcinoma over time, especially if left untreated. The presence of jaundice, in conjunction with your previous gastrointestinal symptoms, suggests that further evaluation of your liver function is necessary.

You should definitely seek medical advice promptly. Here are some steps you can take:
1. Consult a Gastroenterologist: Given your symptoms and history, a specialist in gastrointestinal disorders can provide a more comprehensive evaluation. They may recommend additional tests, such as liver function tests (LFTs), hepatitis serologies, or even a CT scan or MRI of the abdomen to assess the liver and surrounding structures more thoroughly.

2. Monitor Symptoms: Keep a detailed record of your symptoms, including the frequency and severity of bloating, any changes in bowel habits, and the timing of your abdominal pain. Note any other symptoms such as fatigue, weight loss, or changes in appetite, as these can provide valuable information to your healthcare provider.

3. Lifestyle Modifications: While awaiting further evaluation, consider dietary changes that may help alleviate bloating. Avoiding gas-producing foods (such as beans, carbonated beverages, and certain vegetables) and eating smaller, more frequent meals may provide some relief. Staying hydrated and engaging in regular physical activity can also support digestive health.

4. Follow-Up on Liver Health: Since you have a family history of hepatitis B, it is essential to discuss with your doctor the possibility of getting tested for hepatitis B and C if you haven't already. Regular monitoring of liver enzymes and function is crucial, especially if you have any risk factors for liver disease.

5. Consider Psychological Factors: Chronic gastrointestinal symptoms can sometimes be exacerbated by stress or anxiety. If you find that your symptoms worsen during stressful periods, consider discussing this with your healthcare provider, as they may recommend counseling or other therapeutic interventions.

In summary, while some causes of bloating can be benign, the combination of your symptoms—especially the jaundice—indicates that it is time to seek further medical evaluation. Early intervention can be key in managing potential liver issues and ensuring your overall health. Don't hesitate to reach out to a healthcare professional who can guide you through the necessary steps for diagnosis and treatment.

Similar Q&A

Understanding Chronic Bloating: When to Seek Further Medical Evaluation

Hello Doctor, for the past six months, I have been experiencing frequent bloating, flatulence, and burping in my lower left abdomen. The bloating can last all day, but it seems to subside while I sleep. However, sometimes I wake up in the morning feeling it gradually returning. I...

Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello, long-term abdominal bloating, frequent belching, and the presence of blood in acid reflux are concerning. It is recommended to undergo an upper gastrointestinal endoscopy. Sincerely, Dr. Lin Ming-Hui, Attending Physician, Department of Gastroenterology, Taoyuan General Hos...

Persistent Abdominal Bloating: When to Seek Medical Attention?

Hello doctor, I have a bulging area above my navel that has persisted for about two weeks, resembling a feeling of fullness after eating. Along with this, I have experienced constipation and excessive stomach acid. I have visited a clinic four times, and after auscultation, the d...

Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: It is recommended to eat small, frequent meals and monitor your bowel movements. If you continue to feel unwell, please consult a gastroenterologist to determine if there is a need for an urgent endoscopy. Changhua Hospital cares about your health. Dr. Tsai An-shun.

Managing Bloating: Seeking Solutions for Persistent Gastric Issues

Hello, recently my stomach has been bloated to the point where it feels like I'm pregnant. I had an endoscopy, and the doctor diagnosed me with gastritis and reflux. I was prescribed medication, but after taking it for two months, my symptoms have not improved. After my foll...

Dr. Zhang Kebin reply Gastroenterology and Hepatology
Hello Ms. Su: You reported abdominal bloating and have undergone an endoscopy, but there has been no improvement after medication. You previously had a chocolate cyst and would like to inquire if there are any recommendations. There are many causes of abdominal bloating, which ma...

Chronic Bloating: Understanding Causes and Effective Solutions

Hello Doctor: For the past two to three years, I have been experiencing intermittent bloating issues. I have seen many doctors and taken various medications, but none have provided a cure. Over the past six months, regardless of whether it is morning or evening, fasting or after ...

Dr. Yuan Hongdao reply Gastroenterology and Hepatology
Hello, if your bloating symptoms are severe, persistent, and causing you significant distress, I recommend undergoing an upper gastrointestinal endoscopy, abdominal ultrasound, and blood tests to rule out any potential pathological conditions. Otherwise, frequently worrying about...