Exploring Abdominal Bloating: Could a Floating Kidney Be the Cause?

Abdominal bloating. Free kidney?

Thank you for your response, doctor.
I am the patient from the article https://adoctor.tw/article/183186 &sat=1#183186, and I would like to ask you a question.
I have undergone small bowel endoscopy and small bowel biopsy, which did not reveal Crohn's disease.
However, a Meckel's diverticulum was found, and the doctor mentioned that it is unlikely to be the cause of my abdominal bloating.
Could it be related to a floating kidney, as I have been experiencing a foreign body sensation in my right abdomen? This sensation improves somewhat with passing gas or having a bowel movement.
I would like to know if performing a laparoscopic exploration would be helpful for my symptoms.
Some doctors have suggested that it might be a functional issue with my intestines, while others have recommended proceeding with laparoscopic exploration if no other causes are found.
I am curious about your thoughts and any advice you could provide to help me.
I have tried medications such as Abdominal Ning Long, Gas-X, magnesium oxide, probiotics, enzymes, and antibiotics, but none have resolved my bloating.
Initially, I weighed 170/67 kg and dropped to 41 kg.
I have now gained weight back to 54.8 kg.
Could a lack of intestinal or abdominal fat be contributing to my symptoms?

Zhang Ke O, 30~39 year old female. Ask Date: 2022/06/24

Dr. Chen Ronghong reply Surgery

Hello Mr.
Chang, have we found the cause of the thickening and inflammation of the small intestine wall after excluding Crohn's disease? If the Meckel's diverticulum is not inflamed, then it is likely unrelated to your discomfort.
It has been six months since your last CT scan, so it would be advisable to schedule another one to determine if there has been improvement or deterioration.
Currently, I do not recommend laparoscopic surgery; it would be better to wait until the aforementioned lesions have resolved, and consider it again if symptoms persist.
Since you mentioned that symptoms improve after passing gas or having a bowel movement, theoretically, medications like simethicone could help the intestines expel excess fluid and gas, or adding some laxatives should also be beneficial.
Your height is 170 cm, and if your weight is below 53.5 kg (BMI < 18.5), you are considered underweight, so I advise against further weight loss.
The free kidney may be related to weight loss, but this is a condition I am not familiar with, so I apologize for not being able to provide an answer.

Reply Date: 2022/06/24

More Info

Abdominal bloating can be a frustrating and uncomfortable experience, and it’s understandable that you’re seeking answers regarding its potential causes. Given your medical history, including the discovery of a Meckel's diverticulum and the absence of Crohn's disease, it’s important to consider various factors that could contribute to your symptoms.

One possibility you mentioned is the condition known as a "floating kidney," or nephroptosis. This occurs when the kidney descends from its normal position in the abdomen when a person stands up. While nephroptosis can lead to symptoms such as flank pain or discomfort, it is less commonly associated with abdominal bloating. However, if the kidney is causing irritation to surrounding structures or if there are associated complications, it could potentially contribute to your symptoms.

The sensation of an "alien" or foreign body feeling in your right abdomen that improves with gas release or bowel movements could suggest a functional gastrointestinal issue rather than a structural one. Conditions such as irritable bowel syndrome (IBS) can lead to bloating and discomfort, often exacerbated by dietary factors or stress. Given that you have tried various medications and supplements without significant relief, it may be beneficial to explore dietary modifications or consult with a gastroenterologist specializing in functional gastrointestinal disorders.

Regarding the suggestion of laparoscopic exploration, this is a minimally invasive surgical procedure that can provide direct visualization of the abdominal cavity. It can be helpful in diagnosing conditions that are not easily identified through imaging or endoscopy. If your symptoms persist and significantly impact your quality of life, this could be a reasonable option to consider. However, it’s essential to weigh the potential benefits against the risks associated with surgery.

Your weight loss journey and subsequent weight gain could also play a role in your symptoms. Rapid weight loss can lead to changes in gastrointestinal motility and function, potentially contributing to bloating. Additionally, insufficient fat in the abdominal cavity can affect how your body processes food and gas. It’s crucial to maintain a balanced diet that supports your overall health and digestive function.

In conclusion, while a floating kidney could be a contributing factor to your abdominal bloating, it is more likely that your symptoms are related to functional gastrointestinal issues or dietary factors. A thorough evaluation by a gastroenterologist, possibly including laparoscopic exploration if deemed necessary, could provide further insights. It’s also advisable to continue monitoring your diet and lifestyle, as these can significantly impact your gastrointestinal health. If you haven’t already, consider working with a registered dietitian who can help tailor a nutrition plan to address your specific symptoms and needs.

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