Bloating and Constipation: Causes and Treatment Options

Abdominal bloating and constipation?

Doctor, I have a question.
Recently, I went to see a doctor due to abdominal pain and changes in my bowel habits.
The doctor only performed an X-ray, which indicated severe gas in my stomach and right intestine, as well as fecal impaction in the rectum and slow gastrointestinal motility.
I was prescribed MGO, Gaster, and Mopride Gascon.
After taking the medication for a few days, my bowel movements increased significantly, but the stool consistency has been thin and soft, sometimes flat, or only slightly larger.
Is this normal, or could it be a side effect of the medication? Could you please check the X-ray for any other abnormalities that may have been overlooked, or if there is any possibility of a tumor? Thank you.

kiki, 20~29 year old female. Ask Date: 2022/02/09

Dr. Hong Yuanbin reply Internal Medicine

Hello, this X-ray shows a higher amount of fecal matter, but no other abnormalities are noted.
Regarding concerns about tumors, X-rays cannot detect them.
It is recommended to first perform a fecal occult blood test.
If the results are abnormal, a colonoscopy will be necessary to confirm the presence of any tumors.
If the occult blood test is normal, it indicates that it is simply constipation.
I suggest increasing physical activity, consuming more vegetables, and maintaining a regular routine to alleviate the condition.
Thank you for your inquiry.

Reply Date: 2022/02/09

More Info

Bloating and constipation are common gastrointestinal issues that can significantly affect a person's quality of life. Understanding their causes and treatment options is crucial for effective management.

Causes of Bloating and Constipation:
1. Dietary Factors: A diet low in fiber can lead to constipation, as fiber is essential for promoting regular bowel movements. Foods that are high in fat and sugar can also contribute to bloating. Additionally, certain foods, such as beans, lentils, and cruciferous vegetables (like broccoli and cabbage), can cause gas and bloating due to their high fiber content and specific carbohydrates that are difficult to digest.

2. Dehydration: Insufficient fluid intake can lead to hard stools, making them difficult to pass. Staying hydrated is essential for maintaining healthy bowel function.

3. Sedentary Lifestyle: Lack of physical activity can slow down the digestive system, leading to constipation. Regular exercise helps stimulate intestinal activity.

4. Medications: Certain medications, including opioids, antacids containing aluminum, and some antidepressants, can cause constipation as a side effect. The medications you mentioned—Mgo (magnesium oxide), Gaster (an acid reducer), and Mopride (a prokinetic agent)—can have varying effects on bowel movements. While Mopride is intended to enhance gastrointestinal motility, the combination of these medications may lead to changes in stool consistency.

5. Underlying Health Conditions: Conditions such as irritable bowel syndrome (IBS), hypothyroidism, and gastrointestinal obstructions can lead to bloating and constipation. If there are concerns about more serious conditions, such as tumors or structural abnormalities, further diagnostic imaging or tests may be warranted.

Treatment Options:
1. Dietary Adjustments: Increasing fiber intake through fruits, vegetables, whole grains, and legumes can help improve bowel regularity. Gradually increasing fiber is important to prevent gas and bloating. Additionally, ensuring adequate hydration is crucial.

2. Physical Activity: Regular exercise can help stimulate bowel movements and reduce bloating. Even simple activities like walking can be beneficial.

3. Medications: Over-the-counter options like stool softeners or laxatives may be used for occasional constipation. However, it's essential to consult with a healthcare provider before starting any new medication, especially if you are already on prescribed medications.

4. Probiotics: These can help balance gut bacteria and may improve digestive health. Foods like yogurt, kefir, and fermented vegetables are good sources of probiotics.

5. Monitoring Symptoms: Keeping a food diary to track what you eat and how it affects your symptoms can provide valuable insights. If you notice a pattern, it may help in identifying specific triggers.

6. Follow-Up with Healthcare Provider: If symptoms persist or worsen, it is crucial to follow up with your healthcare provider. They may recommend further testing, such as additional imaging or endoscopy, to rule out any serious underlying conditions.

In your case, the changes in your bowel movements and stool consistency after starting the medications could be a result of the medications' effects on your gastrointestinal motility. It is not uncommon for medications to alter stool shape and consistency, especially if they are designed to address bloating and constipation. However, if you have concerns about the possibility of other abnormalities, such as tumors, it is essential to communicate this with your healthcare provider. They can review your X-ray results and determine if further investigation is necessary.

In summary, while bloating and constipation can often be managed with lifestyle and dietary changes, persistent or severe symptoms warrant further evaluation by a healthcare professional to ensure that there are no underlying issues that need to be addressed.

Similar Q&A

Managing Bloating and Constipation: Natural Solutions Beyond Medication

Hello, Doctor: Three years after my surgery, I have become prone to bloating, constipation, and excessive flatulence. Recently, my abdomen has become excessively distended (even though my weight has not increased). The doctor performed an X-ray and said my abdomen is filled with ...

Dr. Lin Minghui reply Gastroenterology and Hepatology
After abdominal surgery, the intestines are more prone to adhesions. It is important to pay extra attention to your diet, avoiding fried and irritating foods that are difficult to digest. Chew your food thoroughly and increase your intake of fiber-rich foods, such as fresh fruits...

Understanding Bloating and Constipation: Causes and Solutions

Hello, doctor. Since early yesterday morning, I have been experiencing severe bloating and persistent gas, along with difficulty in bowel movements. I feel the urge to defecate but cannot do so. Please advise.

Dr. Hong Hongchang reply Internal Medicine
To avoid gastrointestinal bloating and belching, it is advisable to limit the intake of milk, legumes, and easily fermentable foods such as bread and steamed buns. Additionally, increasing the consumption of high-fiber foods and engaging in moderate exercise is recommended. If ab...

Understanding Bloating and Constipation: Causes and Solutions

Hello, I have been experiencing frequent bloating and constipation, but in the past few months, the bloating has escalated to stomach pain, vomiting, and chest tightness. Sometimes it feels like my gastrointestinal tract is completely inactive; food I eat in the morning comes bac...

Dr. Chen Shidian reply Gastroenterology and Hepatology
Please cooperate with the gastroenterologist to manage your lifestyle and diet, as well as medication control.

Managing Bloating and Constipation: Insights for Young Adults

Hello Dr. Ke, I am 19 years old and have been experiencing issues with irritable bowel syndrome and bloating, but they haven't been too severe, so I haven't paid much attention to them. When I was in sixth grade, I was diagnosed with a longer and twisted intestine (thro...

Dr. Ke Fangxu reply Surgery
Chronic constipation in young women is a common issue. It is generally recommended to maintain good lifestyle and dietary habits; however, many patients report that these measures are ineffective. Consequently, they often resort to medications to assist with bowel movements. The ...