Abdominal Pain: Could It Be Irritable Bowel Syndrome? - Gastroenterology and Hepatology

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Abdominal pain related to the gastrointestinal tract?


Hello doctor, I would like to ask you about my condition.
I almost eat fried food every day, and my stools are hard and pellet-like.
There is no blood in my stool, my appetite is good, my weight hasn't changed, and I play basketball regularly, but I often pass gas.
Sometimes I experience a slight pain in my left abdomen and above my navel; at times, it feels more like discomfort, but it resolves in a few seconds to a couple of minutes.
Additionally, I sometimes feel a strong contraction in my abdomen, which also causes slight pain above my navel, but that too goes away quickly.
Could these symptoms possibly indicate irritable bowel syndrome?

Yafei, 10~19 year old female. Ask Date: 2016/02/16

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: It is recommended to avoid eating fried foods every day.
The symptoms you described are not indicative of irritable bowel syndrome; they may be related to the presence of gas or retained stool in the colon, small intestine, or stomach.
The duration of the pain is relatively short, which is still considered normal.
Changhua Hospital cares about your health.
Dr.
Cai Anshun.

Reply Date: 2016/02/16

More Info


Abdominal pain can be a complex issue, and your symptoms suggest that you may indeed be experiencing a form of Irritable Bowel Syndrome (IBS), particularly given the context of your dietary habits and the nature of your symptoms. IBS is a functional gastrointestinal disorder characterized by a combination of abdominal pain and altered bowel habits, which can include constipation, diarrhea, or a mix of both.
Your description of hard, pellet-like stools indicates that you may be experiencing constipation, which is a common symptom of IBS. The fact that you consume a diet high in fried foods may contribute to your symptoms, as such foods can be difficult to digest and may exacerbate gastrointestinal discomfort. Additionally, the presence of gas and the need to pass it frequently can also be associated with IBS, as this condition often leads to increased sensitivity in the intestines.

The intermittent nature of your abdominal pain, particularly the pain that resolves quickly, aligns with the typical presentation of IBS. Many patients report episodes of cramping or discomfort that can vary in intensity and duration. The pain often correlates with bowel movements or changes in bowel habits, which seems to be the case for you as well.

It's important to consider other factors that could be contributing to your symptoms. Stress and anxiety can significantly impact gastrointestinal function and may exacerbate IBS symptoms. If you are experiencing stress or anxiety, addressing these psychological factors can be an important part of managing your abdominal pain.

To further evaluate your condition, it would be beneficial to keep a symptom diary. This diary should include details about your diet, bowel habits, and any associated symptoms, such as pain or bloating. This information can help your healthcare provider determine if your symptoms are indeed consistent with IBS or if further investigation is needed to rule out other conditions.

In terms of management, dietary modifications can be very effective for IBS. Increasing your intake of fiber through fruits, vegetables, and whole grains can help regulate bowel movements and improve stool consistency. Additionally, reducing your consumption of fried and fatty foods may alleviate some of your symptoms. Staying hydrated is also crucial, as adequate fluid intake can help prevent constipation.

If dietary changes do not lead to improvement, your healthcare provider may recommend medications to help manage your symptoms. These can include antispasmodics to relieve cramping, laxatives for constipation, or medications specifically approved for IBS.

In summary, while your symptoms may suggest IBS, it is essential to consult with a healthcare professional for a thorough evaluation and personalized management plan. They may recommend further testing to rule out other gastrointestinal disorders, especially given the complexity of your symptoms and their impact on your quality of life. Remember, effective management often requires a multifaceted approach, including dietary changes, stress management, and possibly medication.

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