Left Lower Abdominal Discomfort and Increased Bowel Movements

Q: Left Lower Abdominal Discomfort and Increased Bowel Movements

Hello： According to the Rome III criteria for Irritable Bowel Syndrome (IBS), abdominal pain or discomfort must occur at least three days per month over the last three months. <br>Additionally, there should be two or more of the following symptoms： (1) relief of symptoms after de

In the past few days, I have experienced a feeling of fullness and bloating in the lower left abdomen, along with an increased frequency of bowel movements?

Hello, doctor.
Recently, I've been experiencing a noticeable feeling of discomfort in my lower left abdomen that I can't quite describe as pain.
Sometimes, when I exert myself, it feels a bit bloated.
My bowel movements have significantly increased to more than three times a day, and the stools are mostly soft, with some being formed.
I particularly feel the urge to use the restroom after eating.
Could this be irritable bowel syndrome, or could there be other symptoms?

KL, 20~29 year old female. Ask Date: 2012/05/08

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: According to the Rome III criteria for Irritable Bowel Syndrome (IBS), abdominal pain or discomfort must occur at least three days per month over the last three months.
Additionally, there should be two or more of the following symptoms: (1) relief of symptoms after defecation, (2) a change in stool form (lumpy/hard, loose, or watery), and (3) a change in stool frequency.
Furthermore, these symptoms must meet the three-month criteria and have been present for at least six months.
Based on the timeline, your symptoms do not currently meet the diagnostic criteria for IBS.
However, it may be necessary to wait and see if they align with the diagnostic standards over time.
Many gastrointestinal infections can also present symptoms similar to what you described, so please consider your recent travel history, animal exposure, dietary habits (spicy, unclean, or stale foods), and medications.
Inform your primary care physician to facilitate the most accurate diagnosis.
Changhua Hospital cares about your health.
Dr.
Tsai An-Shun.

Reply Date: 2012/05/08

More Info

Left lower abdominal discomfort, especially when accompanied by changes in bowel habits such as increased frequency and softer stools, can be indicative of several gastrointestinal issues. Based on your description, it is plausible that you may be experiencing symptoms related to Irritable Bowel Syndrome (IBS), but other conditions should also be considered.

Understanding Your Symptoms:
1. Location of Discomfort: The left lower abdomen is primarily associated with the sigmoid colon and part of the descending colon. Discomfort in this area can arise from various gastrointestinal issues, including inflammation, spasms, or even structural abnormalities.

2. Increased Bowel Movements: An increase in bowel movements, especially if they are soft or loose, can be a sign of increased intestinal motility. This can occur in conditions like IBS, where the bowel becomes more sensitive and reactive to stimuli, leading to symptoms such as cramping, urgency, and changes in stool consistency.

3. Postprandial Urgency: The fact that you feel a strong urge to defecate after eating is also a common symptom in IBS. This phenomenon is often referred to as the "gastrocolic reflex," where the act of eating stimulates the colon, leading to increased bowel activity.

Potential Causes:
- Irritable Bowel Syndrome (IBS): This is a functional gastrointestinal disorder characterized by abdominal pain or discomfort associated with changes in bowel habits. Symptoms can include bloating, gas, and altered bowel movements (diarrhea, constipation, or alternating between both).

- Dietary Factors: Certain foods can trigger symptoms in individuals with IBS. Common culprits include high-fat foods, dairy products, caffeine, alcohol, and foods high in sugar or artificial sweeteners. Keeping a food diary may help identify specific triggers.

- Infections or Inflammation: Gastroenteritis or other infections can lead to increased bowel movements and abdominal discomfort. If you have recently experienced any gastrointestinal infections, this could be a contributing factor.

- Stress and Anxiety: Psychological factors can significantly impact gastrointestinal function. Stress and anxiety can exacerbate symptoms of IBS and lead to increased bowel activity.

Recommendations:
1. Dietary Modifications: Consider adopting a low-FODMAP diet, which has been shown to help many individuals with IBS. This diet involves reducing certain carbohydrates that can ferment in the gut and cause symptoms.

2. Hydration: Ensure you are drinking plenty of fluids, especially if you are experiencing increased bowel movements, to prevent dehydration.

3. Stress Management: Engage in stress-reducing activities such as yoga, meditation, or regular exercise, which can help alleviate symptoms.

4. Consultation with a Healthcare Provider: If your symptoms persist or worsen, it is essential to consult a healthcare provider. They may recommend further evaluation, such as blood tests, stool tests, or imaging studies, to rule out other conditions like inflammatory bowel disease (IBD) or infections.

5. Medication: In some cases, medications may be prescribed to help manage symptoms, including antispasmodics for cramping or medications specifically for IBS.

In conclusion, while your symptoms may suggest IBS, it is crucial to consider a comprehensive evaluation to rule out other potential causes. Keeping track of your symptoms, dietary habits, and any stressors can provide valuable information for your healthcare provider in diagnosing and managing your condition effectively.

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