Lower Abdominal Pain: Causes and Concerns in Digestive Health

Lower abdominal pain?

In the past few days, after finishing any meal, I have been experiencing dull pain in the lower abdomen about 5 to 10 minutes later.
Sometimes it feels like cramping, but the pain goes away immediately after having a bowel movement.
However, the stools have been soft, and wiping feels similar to having diarrhea, although the stool in the toilet is shaped like a log.
Is this normal? Additionally, there was a period when I frequently experienced pain in the upper right abdomen.
Lying on my left side would intensify the pain, while lying on my right side would provide some relief.
Could this indicate a problem with my gallbladder? I would appreciate your insights on these two issues.
Thank you.

Una, 10~19 year old female. Ask Date: 2021/07/19

Dr. Lin Minghui reply Gastroenterology and Hepatology

Hello, a 16-year-old female is experiencing abdominal pain after meals, which improves after bowel movements.
This could be due to gastroenteritis or irritable bowel syndrome, and follow-up is recommended.
Additionally, there is a concern regarding pain in the right upper abdomen that alleviates when lying on the right side, raising suspicion for gallbladder issues.
Typically, gallstones or biliary problems can cause postprandial pain, while pancreatic pain does not allow for lying flat.
Dietary recommendations include regular meals with low-fat content.
An ultrasound can be performed to check for gallstones and assess liver, gallbladder, and pancreatic issues.
Furthermore, duodenitis or ulcers may cause right upper abdominal pain; if the pain recurs frequently or if there is black stool, an upper gastrointestinal examination is advised.
Wishing you safety and health! Sincerely, Dr.
Ming-Hui Lin, Attending Physician, Gastroenterology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2021/07/19

More Info

Lower abdominal pain can be a complex issue with various potential causes, particularly when it is accompanied by changes in bowel habits and discomfort after eating. Based on your description, it seems you are experiencing a combination of symptoms that could be related to digestive health issues, and it is essential to consider both gastrointestinal and possibly other systemic factors.

Potential Causes of Lower Abdominal Pain
1. Gastrointestinal Disorders:
- Irritable Bowel Syndrome (IBS): This is a common functional gastrointestinal disorder characterized by abdominal pain, bloating, and changes in bowel habits, including diarrhea and constipation. The pain often improves after a bowel movement, which aligns with your experience of relief after defecation.

- Gastritis or Peptic Ulcers: Inflammation of the stomach lining or ulcers can cause pain after eating, particularly if the food irritates the stomach lining.

- Gallbladder Issues: Given your previous pain in the upper right abdomen, gallbladder disease, including gallstones or cholecystitis, could be a concern. Pain may worsen after eating fatty meals and can radiate to the back or right shoulder.

- Constipation: Soft stools do not necessarily indicate that you are not constipated. If you are having infrequent bowel movements or straining, this could lead to abdominal discomfort.

2. Musculoskeletal Issues: Sometimes, abdominal pain can stem from muscle strain or injury, especially if you have recently changed your exercise routine or engaged in activities that could lead to muscle fatigue.

3. Infections or Inflammatory Conditions: Conditions such as appendicitis, diverticulitis, or pelvic inflammatory disease (in females) can cause significant abdominal pain and require immediate medical attention.

4. Anxiety and Stress: Psychological factors can also contribute to gastrointestinal symptoms. Anxiety can lead to increased gut motility or sensitivity, resulting in pain and changes in bowel habits.

Concerns Regarding Your Symptoms
- Timing of Pain: The fact that your pain occurs shortly after eating suggests a possible connection to your digestive process. If the pain is severe or persistent, it is crucial to seek medical evaluation.

- Bowel Movements: The description of your stools as soft but still having a feeling of urgency or discomfort may indicate that your bowel habits are affected by underlying gastrointestinal issues. It is essential to monitor for any changes in stool consistency, frequency, or the presence of blood.

- Previous Upper Abdominal Pain: The history of pain in the upper right abdomen that worsens with certain positions could suggest gallbladder issues or other upper gastrointestinal problems.

Recommendations
1. Consult a Healthcare Provider: Given the complexity of your symptoms, it is advisable to consult a healthcare professional who can perform a thorough evaluation, including a physical examination and possibly imaging studies or laboratory tests to rule out serious conditions.

2. Keep a Symptom Diary: Documenting your symptoms, including the timing of pain, dietary habits, and bowel movements, can provide valuable information to your healthcare provider.

3. Dietary Modifications: Consider keeping a food diary to identify any potential triggers for your symptoms. A diet low in fat and high in fiber may help alleviate some gastrointestinal discomfort.

4. Stress Management: If anxiety is a contributing factor, exploring stress management techniques such as mindfulness, yoga, or counseling may be beneficial.

In summary, lower abdominal pain can arise from various causes, and understanding the context of your symptoms is crucial for effective management. It is essential to seek medical advice to ensure that any underlying conditions are appropriately addressed.

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