Lower abdominal bloating?
Hello, doctor.
I sometimes experience tenderness in my lower left abdomen, and sometimes the pain subsides after passing gas or having a bowel movement.
I have a history of constipation, and when I lie flat at night and tap my lower abdomen, I can hear a drumming sound.
Massaging it also helps me pass gas.
Could this bloating be caused by constipation?
Chou, 20~29 year old female. Ask Date: 2022/08/29
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: In most cases, constipation is caused by retained stool.
It is advisable to increase the intake of fruits and vegetables, and you may also consider taking probiotics.
If there is no improvement, it is recommended to consult a gastroenterologist.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.
Reply Date: 2022/08/29
More Info
Constipation can indeed lead to lower abdominal bloating and discomfort. When the bowel movements are infrequent or difficult, it can result in a buildup of stool in the intestines. This buildup can create pressure and discomfort in the abdominal area, particularly in the lower abdomen, where the sigmoid colon is located. The sensation of pressure or pain that you experience, which sometimes alleviates after passing gas or having a bowel movement, is a common symptom associated with constipation.
The "gurgling" or "rumbling" sounds you hear when you lie down and tap your abdomen are likely due to the movement of gas and fluid in the intestines. This is a normal phenomenon, especially in individuals with constipation, as the intestines may be working harder to move the accumulated stool along. When you massage your abdomen and pass gas, you may be helping to relieve some of the pressure and discomfort associated with the buildup of gas and stool.
In addition to the physical discomfort, constipation can also lead to a feeling of fullness or bloating, which can be quite distressing. This feeling is often exacerbated by dietary habits, such as low fiber intake, inadequate hydration, and lack of physical activity. Stress and anxiety can also play a role in digestive health, potentially leading to changes in bowel habits and contributing to constipation.
To address your symptoms, consider the following recommendations:
1. Increase Fiber Intake: Aim to include more fiber-rich foods in your diet, such as fruits, vegetables, whole grains, and legumes. Fiber helps to bulk up stool and promotes regular bowel movements.
2. Stay Hydrated: Drinking plenty of water is essential for preventing constipation. Adequate hydration helps soften stool, making it easier to pass.
3. Regular Physical Activity: Engaging in regular exercise can stimulate bowel function and help alleviate constipation. Even simple activities like walking can be beneficial.
4. Establish a Routine: Try to set aside time each day for bowel movements, especially after meals when the digestive system is most active. This can help train your body to have regular bowel movements.
5. Consider Probiotics: Probiotics may help improve gut health and promote regularity. Foods like yogurt, kefir, and fermented vegetables can be good sources.
6. Consult a Healthcare Provider: If your symptoms persist or worsen, it is important to consult a healthcare provider. They may recommend further evaluation to rule out any underlying conditions, such as irritable bowel syndrome (IBS) or other gastrointestinal disorders.
In summary, constipation can indeed cause lower abdominal bloating and discomfort. By making dietary and lifestyle changes, you may find relief from your symptoms. However, if the discomfort continues or if you experience any alarming symptoms such as severe pain, blood in your stool, or significant changes in bowel habits, it is crucial to seek medical attention for a thorough evaluation.
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