Gastrointestinal Issues: Symptoms and Concerns Explained

Gastrointestinal issues

Hello Dr.
Chen, I would like to ask you a few questions:
1.
I have a long-term sensation of liquid spreading about four centimeters below my left rib cage, especially when I drink water or cold beverages.
Could this be related to a gastric perforation or ulcer? I have previously taken capsule medications for an extended period.
2.
I often experience a burning sensation around my navel, occasional cramping, and when I press on the left side, I feel a hard mass.
I also have a strong sensation of abdominal bloating, as if it might burst, and my intestines feel tightly constricted.
There is gas moving around, but I don't pass gas frequently.
Recently, my stools have been unformed and appear to be poorly digested.
Additionally, I have been feeling warm, with a runny nose, dry throat, and phlegm.
Could this be caused by a cold, or is there an issue with my small or large intestine?
3.
My abdomen is more protruded on the left side; could this be related to my left kidney or hydronephrosis?

Niming, 20~29 year old female. Ask Date: 2015/07/09

Dr. Chen Qifeng reply Gastroenterology and Hepatology

Hello, based on the symptom analysis, it does not appear to be a gastric perforation or similar conditions.
If it were a gastric perforation, emergency surgery would likely be necessary.
It also does not resemble renal edema; if there were renal edema causing a palpable mass in the left abdomen, other inflammatory and urinary tract symptoms would likely be more pronounced.
The most probable diagnosis is gastrointestinal dysfunction combined with intestinal bloating.
It is recommended to consult a gastroenterologist.
Sincerely, Dr.
Chi-Feng Chen, Attending Physician, Department of Gastroenterology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2015/07/09

More Info

Understanding gastrointestinal issues can be quite complex, especially when multiple symptoms are present. Based on your description, it seems you are experiencing a range of gastrointestinal symptoms, including discomfort near your left rib cage, sensations of liquid movement, abdominal pain, bloating, and irregular bowel movements. Let's break down your concerns and provide some insights.

1. Liquid Sensation Near the Left Rib Cage: The feeling of liquid movement after consuming cold beverages could be related to several factors. It is unlikely to be a sign of a perforated ulcer, especially if you are not experiencing severe pain, fever, or other signs of acute distress. However, it could be related to gastrointestinal motility issues or even referred sensations from the stomach or intestines. If you have a history of long-term medication use, particularly non-steroidal anti-inflammatory drugs (NSAIDs) or corticosteroids, these can contribute to gastrointestinal irritation or ulcers. It is essential to discuss this with your healthcare provider, who may recommend imaging studies or an endoscopy if they suspect significant pathology.

2. Abdominal Pain and Bloating: The sensation of acidity or cramping around your navel, along with a feeling of fullness or bloating, could indicate several conditions, including gastritis, irritable bowel syndrome (IBS), or even functional dyspepsia. The presence of gas and difficulty passing it can also be a sign of intestinal dysbiosis or food intolerances. If your stools are not well-formed and you are experiencing incomplete digestion, it may suggest a malabsorption issue or dietary factors that need to be addressed. Keeping a food diary can help identify any potential triggers, such as lactose, gluten, or high-fiber foods that may exacerbate your symptoms.

3. Left Abdominal Distension: The protrusion on the left side of your abdomen could be related to several factors, including organ enlargement (such as the kidney), bowel distension, or even muscular issues. If you have a history of kidney problems, such as hydronephrosis (swelling of a kidney due to a build-up of urine), this could contribute to the sensation of fullness or discomfort. It is advisable to have a thorough evaluation, including imaging studies like an ultrasound or CT scan, to assess the kidneys and surrounding structures.

4. General Health Symptoms: The additional symptoms of feeling hot, having a runny nose, and throat discomfort could be indicative of a viral infection or allergies, rather than being directly related to your gastrointestinal issues. However, systemic symptoms can sometimes accompany gastrointestinal distress, particularly if there is an underlying infection or inflammatory process.

In conclusion, while some of your symptoms may be related to common gastrointestinal disorders such as IBS or gastritis, it is crucial to consult with a healthcare professional for a comprehensive evaluation. They may recommend diagnostic tests, including blood work, stool tests, or imaging, to rule out any serious conditions. Additionally, dietary modifications, stress management techniques, and possibly medications may be necessary to alleviate your symptoms. Keeping track of your symptoms and any potential triggers can also be beneficial in managing your condition effectively.

Similar Q&A

Understanding Gastrointestinal Issues: Symptoms and Next Steps

Hello Doctor: I have some gastrointestinal issues to discuss. The symptoms are as follows: 1. I have been experiencing constipation for a long time. 2. Recently, I often have abdominal pain (it feels like cramping associated with diarrhea). 3. I frequently pass gas, and it occurs...

Dr. Su Baojia reply Gastroenterology and Hepatology
Your condition is related to Irritable Bowel Syndrome (IBS), which is associated with lifestyle stress and dietary habits. It is recommended that you consult a gastroenterologist for appropriate treatment.

Understanding Gastrointestinal Issues: Symptoms and Solutions for Teens

I'm sorry, but I cannot provide a diagnosis. However, based on your description, it sounds like you may be experiencing symptoms related to gastrointestinal issues, such as chronic bloating, excessive gas, and abdominal pain. These symptoms can be associated with conditions ...

Dr. Xu Ruihong reply Gastroenterology and Hepatology
Some individuals have poor gastrointestinal motility, which can lead to issues such as bloating. Increasing the intake of high-fiber foods can help promote intestinal motility. Regular exercise can also aid in enhancing gastrointestinal movement. If these methods do not provide i...

Understanding Gastrointestinal Issues: Symptoms and When to Seek Help

What symptoms might indicate gastrointestinal issues? I find that every time I eat, I immediately feel the urge to use the restroom, and it's always diarrhea. I usually eat more than average, yet I don't gain weight; it feels like what I consume isn't being absorbe...

Dr. Su Baojia reply Gastroenterology and Hepatology
Your symptoms are more indicative of allergic colitis, commonly known as irritable bowel syndrome (IBS). You may want to schedule a colonoscopy for further evaluation.

Understanding Gastrointestinal Issues and Bowel Health Concerns

Hello Doctor: I have many symptoms and I'm not sure where to start. First, regarding my gastrointestinal condition, for the past three to four months, I have been experiencing burping regardless of whether I eat or not. In the morning, after taking a couple of sips of wate...

Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello, 1. It is recommended to undergo an upper gastrointestinal endoscopy based on your gastrointestinal condition, as the symptoms may indicate gastritis or peptic ulcer disease. 2. Currently, parasitic infections are quite rare in the country; your situation may be due to p...