Digestive Discomfort: Symptoms and Diagnosis Tips - Gastroenterology and Hepatology

I have been feeling unwell lately?

Hello, doctor: During the New Year period, I ate more than usual.
Since around February 10th, I feel like even a normal meal portion (like a bento box) makes me feel almost full to the throat, similar to the feeling of being overly full during the New Year.
I've been experiencing frequent burping, and sometimes it feels like something in my throat is about to come up, which has a sour taste.
Additionally, I feel bloated, but I don't have any stomach pain or discomfort in other areas.
My flatulence is manageable, and I don't feel the urge to have a bowel movement very often.
When I do go, it feels difficult, and the amount is small and somewhat hard, but there is no blood in the stool, and the color hasn't changed significantly.
I visited a doctor, who diagnosed me and prescribed GASCON (Kascoal) 50mg, LACTOBACILLUS, and NEO-VIS "SWISS." I did not eat out or travel during the New Year, and the doctor suspects a viral infection.
I would like to ask how to determine if there is a mass in the abdomen? How should I palpate it? What constitutes a mass? Thank you.

Nick, 20~29 year old female. Ask Date: 2008/02/16

Dr. Zhang Siyuan reply Gastroenterology and Hepatology

Dear Nick,
Your symptom description is very clear.
Based on the information provided, it appears to be an issue related to the upper gastrointestinal tract, particularly abnormal gastric motility.
The slow motility may lead to a relative decrease in the contents received by the colon, resulting in mild constipation with reduced stool volume.
In addition to your doctor's diagnosis of a viral infection (typically caused by a gastroenteritis virus similar to the flu) leading to decreased gastric motility, other factors such as stress affecting the motility function of the gastric fundus and retrograde peristalsis causing acid reflux may also be involved.

It is also possible that there is no significant abnormality, but rather that the gastric function is insufficient to digest a large volume of food.
However, this condition usually does not last long, as the body will automatically suppress appetite (a physiological protective mechanism).

When examining for abdominal masses through palpation, it is generally necessary to use both hands simultaneously to assist each other in various ways (for example, using a back-and-forth motion is one method) to feel the contours of the internal organs as much as possible.
If any abnormalities are detected, an ultrasound examination should be arranged to better determine whether there is indeed an abdominal mass.
From Dr.
Zhang, Gastroenterology Department, Lesheng Nursing Home

Reply Date: 2008/02/16

More Info

Digestive discomfort can manifest in various ways, and your symptoms suggest a combination of gastrointestinal issues that may be related to dietary changes, stress, or even a viral infection, as your doctor indicated. Let’s break down your symptoms and discuss how to assess for abdominal masses, as well as provide some insights into potential underlying causes.

Symptoms Breakdown
1. Early Satiety and Bloating: Feeling full after a small meal and experiencing bloating can indicate several conditions. These symptoms are often associated with gastritis, gastroesophageal reflux disease (GERD), or even functional dyspepsia. The sensation of fullness could be due to inflammation of the stomach lining or esophagus, which can occur after overeating or consuming rich foods.

2. Belching and Acidic Taste: Frequent belching and an acidic taste in your throat suggest that stomach acid may be backing up into the esophagus, a condition known as acid reflux. This can happen when the lower esophageal sphincter (LES) does not close properly, allowing stomach contents to flow back up.

3. Constipation: The difficulty in having bowel movements, along with hard stools, points towards constipation. This can be exacerbated by dietary changes, dehydration, or a lack of fiber in your diet. It’s essential to maintain a balanced diet rich in fiber and stay hydrated to promote regular bowel movements.

4. Absence of Pain: The absence of pain is a positive sign, as many serious gastrointestinal conditions often present with discomfort or pain. However, persistent symptoms should not be ignored.

Diagnosis and Assessment of Abdominal Masses
To determine whether there is an abdominal mass, a physical examination is typically performed by a healthcare provider. Here’s how you can assess your abdomen:
1. Palpation: This involves gently pressing on different areas of your abdomen with your fingers. You should be lying down in a relaxed position. Feel for any unusual lumps or areas that feel firmer than the surrounding tissue.
2. Identifying a Mass: A mass may feel like a distinct lump that is different from the surrounding tissue. It may be mobile or fixed, and its consistency can vary (soft, firm, or hard). If you feel something that does not seem to belong, it is essential to consult a healthcare professional for further evaluation.

3. Signs of Concern: If you notice any of the following, seek medical attention:
- A mass that grows in size
- Associated symptoms like weight loss, fever, or changes in bowel habits
- Pain or discomfort in the area of the mass

Next Steps
Given your symptoms and the medications prescribed (GASCON, Lactobacillus, and Neo-Vis Swiss), it seems your doctor is addressing potential gastrointestinal dysbiosis and discomfort. Here are some additional tips:
- Dietary Adjustments: After a period of overeating, gradually return to a balanced diet. Incorporate fiber-rich foods (fruits, vegetables, whole grains) and stay hydrated.

- Monitor Symptoms: Keep a diary of your symptoms, noting when they occur and any potential triggers (certain foods, stress, etc.).

- Follow-Up: If symptoms persist or worsen, consider a follow-up appointment with your healthcare provider. They may recommend further tests, such as imaging studies or endoscopy, to rule out any underlying conditions.

In conclusion, while your symptoms may be related to dietary habits or a viral infection, it’s crucial to monitor your condition and consult with your healthcare provider for any concerning changes. Understanding your body and recognizing when to seek help is key to maintaining digestive health.

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