Right Side Abdominal Pain and Bloating: Causes and Solutions - Gastroenterology and Hepatology

More Info

---

Right-sided abdominal pain and bloating can be distressing symptoms that may arise from various underlying conditions. Based on your description, let's break down your concerns into three main areas: the sharp pain after bowel movements, post-meal bloating, and the burning sensation in the upper right abdomen.

1. Sharp Pain After Bowel Movements: The stabbing pain you experience in the right side of your abdomen after defecation could be indicative of several conditions. One possibility is Irritable Bowel Syndrome (IBS), which is characterized by abdominal pain and changes in bowel habits. However, since you mentioned that the pain is localized and consistent, it may also suggest a more specific issue such as diverticulitis or appendicitis, especially if the pain is severe and sudden. Other potential causes could include inflammatory bowel disease (IBD), such as Crohn's disease, which can cause localized pain and discomfort. Given that your pain is severe and has a specific location, it would be prudent to undergo further diagnostic testing. A colonoscopy could be beneficial in visualizing the colon and identifying any abnormalities, such as polyps, inflammation, or diverticula.

2. Post-Meal Bloating: The bloating and discomfort you experience after eating, along with the X-ray findings of retained stool and gas, suggest that your digestive system may be struggling to process food effectively. This could be due to dysmotility, where the intestines do not move food through the digestive tract efficiently, leading to gas buildup and bloating. Additionally, if you have a history of constipation, this can exacerbate the feeling of fullness and discomfort after meals. It’s also possible that certain foods may be triggering these symptoms, particularly those high in fiber or fat, which can be harder to digest. Keeping a food diary to track what you eat and when symptoms occur may help identify any dietary triggers.
3. Burning Sensation in the Upper Right Abdomen: The burning sensation you describe could be related to several factors. One possibility is gastroesophageal reflux disease (GERD), where stomach acid flows back into the esophagus, causing discomfort. Another consideration is biliary colic, which can occur if there are gallstones present, leading to pain after eating fatty foods. Your low BMI (17.9) could also contribute to gastrointestinal discomfort, as a lack of body fat can sometimes lead to increased sensitivity in the abdominal area. If you have recently lost weight rapidly, this could also lead to changes in your digestive health, including potential adhesions or changes in gut motility.

Given the complexity of your symptoms and their potential interrelatedness, it is advisable to consult with a gastroenterologist. They may recommend further imaging studies, such as a CT scan or MRI, to rule out structural issues, and possibly a gastrointestinal motility study to assess how well your intestines are functioning. Additionally, a barium swallow or enema could provide insights into your digestive tract's condition.

In summary, your symptoms warrant a thorough evaluation to determine the underlying causes. It is essential to communicate all your symptoms clearly to your healthcare provider, including any changes in bowel habits, dietary habits, and weight fluctuations. This comprehensive approach will help in diagnosing and managing your condition effectively.