Left Abdominal Bloating: When to Seek Medical Attention?

Left abdominal bloating, right abdomen normal?

Hello Doctor, I have grade C gastroesophageal reflux disease and was diagnosed with atrophic gastritis last year.
In the past few weeks, I've noticed a feeling of bloating in the left abdomen, parallel to the navel, which produces a drumming sound when tapped.
When lying flat, the left abdomen feels more bloated, while the right abdomen is normal and I have regular bowel movements.
I often experience bloating, but should I go to the hospital for further examination given these symptoms? Thank you for your time in responding.

Miss Wang, 30~39 year old female. Ask Date: 2023/04/28

Dr. Hu Guozheng reply Gastroenterology and Hepatology

Hello, it is recommended that you visit the Gastroenterology and Hepatology outpatient clinic for evaluation.
Thank you.

Reply Date: 2023/04/28

More Info

When it comes to left abdominal bloating, especially in the context of a medical history that includes gastroesophageal reflux disease (GERD) and atrophic gastritis, it is essential to approach the situation with caution. Your symptoms, particularly the sensation of bloating and the audible sounds when tapping on your abdomen, warrant further evaluation.
Bloating can arise from various causes, including gastrointestinal issues, dietary factors, or even structural abnormalities. Given your existing conditions, it is crucial to consider how they may contribute to your current symptoms. For instance, atrophic gastritis can affect digestion and nutrient absorption, potentially leading to bloating. Additionally, GERD can cause discomfort that may be perceived as bloating, especially if there is an overlap with other gastrointestinal symptoms.

The fact that you experience bloating specifically in the left abdomen, parallel to the navel, could indicate several possibilities. It may be related to the colon, as the descending colon is located on the left side of the abdomen. Conditions such as diverticulitis, irritable bowel syndrome (IBS), or even constipation can lead to localized bloating and discomfort. Furthermore, if there is any underlying obstruction or mass, it could also present with similar symptoms.

Given that your right abdomen feels normal and you have regular bowel movements, this may suggest that the issue is localized rather than systemic. However, the presence of bloating, especially if it is new or has changed in character, should not be overlooked. It is advisable to seek medical attention if you experience any of the following:
1. Persistent Symptoms: If the bloating continues for an extended period or worsens, it is essential to consult a healthcare provider.

2. Accompanying Symptoms: If you experience additional symptoms such as severe abdominal pain, changes in bowel habits (diarrhea or constipation), unexplained weight loss, or blood in your stool, you should seek immediate medical attention.

3. Dietary Changes: If you notice that certain foods exacerbate your bloating, it may be helpful to keep a food diary and discuss this with your doctor.

4. Family History: If there is a family history of gastrointestinal diseases, it may warrant a more proactive approach to evaluation.

In terms of next steps, it would be prudent to schedule an appointment with a gastroenterologist. They can perform a thorough evaluation, which may include a physical examination, imaging studies (such as an abdominal ultrasound or CT scan), and possibly endoscopic procedures if indicated. These assessments will help rule out any serious conditions and guide appropriate management.

In conclusion, while bloating can often be benign and related to dietary habits or minor gastrointestinal disturbances, your medical history and the nature of your symptoms suggest that further evaluation is warranted. Seeking medical attention will not only provide peace of mind but also ensure that any potential underlying issues are addressed promptly.

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