OpenHealth Q&A

Get answered by medical professionals

Seeking Advice for Persistent Stomach Distress

3/29/2025, 10:30:31 PMMale25-34

I’m a 19-year-old female experiencing some seriously uncomfortable stomach problems, and I could really use some guidance. A few days ago, I noticed I hadn’t had a bowel movement in what felt like two days. While I initially thought this was manageable, my stomach began making unusual noises accompanied by cramping sensations towards the lower abdomen and even a bit towards my back. I could actually feel the movement within my gut, like a buildup that was causing a lot of turbulence at the lower end of my intestines. When I finally went to the restroom, I found myself letting out some remarkably loud, wet gas. I assumed I was about to have a bowel movement but was met with just the flatulence. To my surprise, there was some liquid involved that resembled a clear mucus-like substance when I wiped. So odd! Despite this, I still couldn’t actually poop. That night, the strange bubbling continued in my stomach, but I naively thought I could just sleep it off and wake up feeling better. However, the following morning set a grim tone. Thinking I could safely relieve myself, I let out what I thought was just gas, only to discover that some liquid had escaped and trickled down my leg. The bathroom was occupied, so I hastily grabbed some tissues from my room to clean myself up and fretted over whether my space would stink permanently. Fortunately, it didn’t smell as bad as I feared. Finally, when the bathroom was free, I rushed in and was greeted by more loud, wet gas. After having breakfast and preparing for school, I still felt an unsettling bubbling in my stomach and found myself back in the bathroom facing yet more flatulence. I took a tiny puff from a vape, which I suspect might have triggered what unfolded next. Suddenly, I was drenched in a cold sweat as I pondered if it was finally time for a real bowel movement or just more gas. I felt utterly defeated. Eventually, I did have a bowel movement, but it was far from solid – more like an unrelenting waterfall. The ache in my stomach was so intense it left me feeling nauseated, and the intense pain hit me in waves that felt similar to contractions. The whole episode lasted only a couple of minutes but left me feeling worn out and shaky. Fortunately, the bubbling in my stomach subsided after that. The next day I didn’t go at all, and then on the day following, I had a couple of loose bowel movements but with hardly anything coming out. Yesterday was a repeat of no bowel activity, and today, I still haven’t gone but can feel a bubbling sensation that fills me with dread. I intended to move past this embarrassing incident and forget about it, but it seems to be rearing its ugly head again. Today, I found myself back in the restroom with some mild wetness, not as explosive compared to my previous experiences, but still noticeable and certainly concerning. I really can’t handle going through this ordeal again. I’ve attempted to eat foods that are typically deemed easy on the stomach, as suggested by searches online. But I must ask – what is going on here? Am I facing constipation, diarrhea, or some combination of both? Normally, I have daily bowel movements each morning without issue. Reflecting on my past, I’ve had some tummy troubles before. As a child and before hitting puberty, my stomach would act up drastically to the point where I would feel so nausea-stricken I’d tremble until I fell asleep from exhaustion. This usually followed indulgent meals loaded with fatty foods like pizza and chips. Although the severity of this has decreased since puberty, I still hesitate to eat certain rich foods. During my teenage years, between ages 14 and 15, anxiety issues would compel me to constantly seek out the bathroom. Later, through struggles with anorexia, I faced ongoing constipation for about a year. However, in more recent times, my bowel movements have stabilized and become relatively routine. At this point, I truly don’t know where to turn for help. Please feel free to ask any questions, and thank you so much in advance for your assistance!

DiarrheaStomach PainConstipation

Answers (1)

Cony

3/29/2025, 10:30:48 PM

OpenHealth AI

It sounds like you're experiencing a challenging combination of digestive issues, including episodes of constipation, loose bowel movements, and stomach discomfort. Given your history and current symptoms, it's understandable to feel anxious about what's happening in your body.

Summary of Your Situation:

  1. Symptoms: Unusual bowel sounds, cramping, difficulty passing stools, episodes of liquid bowel movements, and overall stomach discomfort.
  2. History: Past issues with digestion, including constipation and anxiety-related bowel urgency, as well as specific triggers like rich foods.

Possible Explanations:

  • Constipation: Your symptoms suggest that there may be episodes of constipation, where you have difficulty moving your bowels. This can lead to gas buildup, cramping, and discomfort.
  • Diarrhea: The liquid, loose bowel movements indicate diarrhea, which can occur as your body tries to relieve the constipation or respond to irritation in the digestive tract.
  • Food Sensitivities: Given your past experiences with fatty foods, it’s possible that certain foods are triggering your symptoms, contributing to both constipation and diarrhea.
  • Stress and Anxiety: Since you’ve noted past anxiety issues linked to digestive health, stress could also play a role in your current condition.

Next Steps:

  1. Dietary Adjustments:

    • Focus on a balanced diet rich in fiber (fruits, vegetables, whole grains) to promote regular bowel movements. However, increase fiber gradually to prevent gas.
    • Avoid trigger foods that have caused problems in the past, particularly high-fat or processed foods.
    • Stay hydrated by drinking plenty of water throughout the day, which can help with constipation.
  2. Monitor Your Symptoms:

    • Keep a symptom diary for a week to identify any food triggers or patterns related to your bowel movements. Note what you eat, your stress level, and any digestive symptoms.
  3. Gentle Movement:

    • Engage in regular physical activity, even if it’s just a short daily walk. Exercise can stimulate digestion and help relieve constipation.
  4. Mindfulness and Stress Relief:

    • Consider trying stress-reduction techniques such as deep breathing, meditation, or yoga to help manage anxiety that may contribute to your symptoms.
  5. Over-the-Counter Solutions:

    • If constipation prevails, consider a fiber supplement or a mild laxative (like polyethylene glycol or senna) for short-term relief, but avoid overuse.
  6. Avoid Irritants:

    • Reduce or eliminate vaping and any excessive alcohol or caffeine, as these can irritate the digestive system.

Follow-Up:

If your symptoms persist for more than a week, or if you experience severe pain, fever, blood in your stool, or significant changes to your digestive patterns, it would be prudent to consult with a healthcare professional for further evaluation and management.

You’re not alone in this, and many people go through similar digestive issues—understanding your body’s response is key. Keep track of your symptoms and take care of yourself, and reach out if you need more assistance.

Related Questions

Can Eating More Fiber Alleviate Menstrual Cycle-Related Constipation?

Every month, during the week and a half leading up to my menstrual period, I experience constipation. I'm curious if boosting my fiber consumption might ease this issue. I already ensure that I drink plenty of water throughout the day. I am a woman in my mid-20s.

Stomach PainNutritionConstipation
Male25-34
6 hours ago

Seeking Relief from Mild Fecal Impaction: Should I Go to the ER?

At 20 years old, I find myself dealing with a frustrating issue: fecal impaction. It's not something I've faced before, or at least I can’t recall, but I’ve had chronic stomach difficulties throughout my childhood, including constipation from ages four to twelve. Recently, I've been experiencing more digestive challenges after a few years of feeling normal. Currently, I’m under the care of a gastroenterologist, and we’re working on diagnosing the underlying problems. For about five days now, I haven't been able to relieve myself. While I’ve had considerable gas, that’s been the only symptom. Today has been particularly difficult; I’ve spent the last 11 hours in the bathroom grappling with severe discomfort and impaction. Each attempt to relieve the situation is excruciating, to the point where my body is resisting the effort—it’s so painful that I find myself in tears. I imagine this is what birth must feel like. I suspect this intense fear and pain are remnants of my past struggles, as for many years I’ve feared using the bathroom due to the agony it causes. Despite trying various remedies like Miralax mixed with coffee, a bullet suppository, and even a manual approach with gloves, nothing is yielding results. I’m genuinely tempted to head to the emergency room and ask them to put me under so they can help me without the pain. My mother suggests they would likely opt for a liquid suppository treatment like they did during my childhood, which was quite traumatic. I’m torn—it feels like the ER might be my last resort, but I'm concerned they won’t take me seriously since my situation doesn’t seem dire. How foolish would it be to bring up wanting sedation? I desperately want to avoid this pain; it’s becoming increasingly difficult, and I’m fighting back tears from the frustration. Can they truly provide sedation for this type of issue even when it isn’t severe? I worry that my parents might react negatively to my quest for relief and think I’m being dramatic. I’m utterly drained and don’t know where to turn. When there’s no painful push against my body, I can’t even sense the severity of the issue, yet, I am experiencing leakage, leaving me unsure. Would it be unreasonable to pose this question to the doctors in the ER? I apologize if this message is jumbled; I’m also dealing with a migraine, making it hard to focus. For context, my daily medications include phentermine, iron supplements, and vitamin D. I stand at 5’4” and currently weigh 204 pounds as part of my ongoing weight loss journey.

Stomach PainGastroenterologyConstipation
Male25-34
6 hours ago

Did My Appendectomy Resolve My Digestive Issues?

I’m a 27-year-old non-binary person who had their appendix surgically removed due to appendicitis early last October. Since that procedure, I’m experiencing something I never thought possible: regular bowel movements. Remarkably, this newfound routine hasn’t faded away, contrary to what my doctors predicted. Historically, I have struggled with constipation throughout my life. As a child, I often felt compelled to mislead healthcare professionals about my bowel habits, claiming I had daily movements out of fear that something was amiss. In reality, I would only have a bowel movement every three to five days. I also live with autism, ADHD, dysthymia, and PTSD. Given my history of burnout, it would be logical to attribute my digestive struggles to stress. However, these issues persisted even during holidays and rarely intensified during particularly stressful times. Most of the medications I tried, including SSRIs and various birth control options, had no impact, except for Ritalin, which occasionally provided some relief when not taken consistently. Prior to the appendectomy, I underwent two surgeries: one for a fractured arm and the other a double procedure to remove my uterus and breasts. Unfortunately, neither operation had any effect on my bowel function. Since my surgery, my dietary, hydration, exercise, and substance use habits have remained unchanged. A bit of additional context: My thyroid hormone levels are normal, although I occasionally have low Vitamin D, for which I take supplements. I receive B12 injections to address low levels since dietary sources aren’t effective for me. Additionally, I deal with a persistent mystery of chronic fatigue that shows no signs of improvement post-surgery. This leads to my question: Could my appendix have been the source of my gastrointestinal issues? Alternatively, did the surgery trigger some other change that resolved my long-standing problem? I’m curious if anyone else has encountered similar experiences. What are the chances that I’ll revert back to my past issues with constipation? Any insights on this would be greatly appreciated, mostly out of interest.

Stomach PainConstipationAcid Reflux
Male25-34
10 hours ago

Exploring Probiotic Effects and Antibiotic Strategies in Gut Health

Greetings, M30. Is it possible that consuming an excess of probiotics could lead to SIBO or a similar condition? Earlier this summer, I suffered from a campylobacter infection, and in an attempt to remedy that without realizing its full extent, I resorted to high doses of probiotics. This approach, however, only aggravated my situation. I experienced severe bloating, intensified brain fog—especially after consuming carbohydrates—and following a comprehensive examination of possible causes, including an initially misleading negative test for c. jejuni that later revealed IgG antibodies in my blood, I was prescribed rifaximin (200mg four times a day). Unfortunately, after five days of rifaximin treatment, my symptoms escalated dramatically, resulting in excruciating lower abdominal pain and a marked intolerance to carbohydrates. Through my research, I discovered that the probiotic strains I had been using were sensitive to antibiotics, so I requested that my physician switch my medication to amoxicillin, which promptly resolved the issues I was facing. Complicating matters, I later learned that I had been contending with an acute bartonella infection, which likely contributed to my motility problems. As the year progressed, I indulged in kimchi after having been on antibiotics for bartonella treatment for about a month. However, I had to stop the antibiotics over the Christmas holidays when I developed rashes from herpes on my face and required alternative treatment. Following my kimchi overindulgence, I began to experience bloating again, cognitive fog intensified, and I felt a toxin-like sensation after consuming larger amounts of carbohydrates, alongside a newfound intolerance to wheat products. My doctor once again prescribed rifaximin as the primary treatment, but I am starting to notice that familiar acidic sensation in my abdomen returning. Is this reaction indicative of die-off symptoms, or could it mean that rifaximin is targeting competitors of the kimchi bacteria in my gut, resulting in their proliferation and creating a cycle where lactic acid bacteria alter the colon's pH, promoting further growth of lactic acid producers? I suspect this situation mirrors what transpired during the summer months. Would switching back to amoxicillin be advisable, or might I need to consider amoxiclav instead, given that the kimchi contained fish sauce which might be a source of beta-lactamase? Best wishes,

BloatingStomach PainIndigestion
Male25-34
15 hours ago

Seeking Guidance for Persistent Abdominal Pain and Bowel Issues

I am a 54-year-old male reaching out to seek advice regarding ongoing complications related to bowel movement and abdominal discomfort. I have been experiencing a tendency for stools to become backed up in the ascending and transverse sections of my colon, coupled with persistent, diffuse pain in the central right side of my abdomen, particularly at the junction of the terminal ileum and cecum. The discomfort around the ileocecal valve manifests itself with noticeable grunting noises, especially after eating and during movement or when sitting upright. The pain intensifies with physical activity and tends to alleviate when I lie down. I frequently experience a nagging pressure in my lower abdomen, especially while standing or sitting. Following meals, I notice pain in the midgut area and at the terminal ileum-cecal juncture, surfacing about 30 to 60 minutes post-ingestion, alongside a late-day increase in tenderness in the ascending colon, which is exacerbated by movement or bending sideways. In a previous visit to the emergency department, a CT scan with contrast was performed, and the attending physician indicated that I was experiencing stool buildup without any obstruction. They noted an unusual angle concerning my terminal ileum's alignment with the cecum, suggesting it appeared taut. Unfortunately, this evaluation did not lead to any conclusive treatment or diagnosis, which leads me to wonder if there might be a congenital or mechanical issue at play in the ileocecal region. My medical tests have indicated elevated calprotectin levels of 804 and 360, alongside a C-reactive protein reading of 26. A CT angiogram on September 25 revealed the presence of stool in the terminal ileum, contributing to my concerns. I am inquiring whether there are additional tests I should consider beyond a supine CT. Thus far, I have undergone a CT scan with contrast, a CT enterography (which did not reveal Crohn’s disease), a pill camera test (the results were inconclusive), abdominal X-rays, and a Sitzmarker test (which passed through successfully). I have also had three colonoscopies; two of them were unable to navigate to the terminal ileum, while the last one managed to reach enough depth to perform a biopsy that revealed some minor erosions, supposedly related to stool buildup. I have not yet undergone any dynamic imaging or barium studies. My primary concern is that my symptoms are consistently recurring without any periods of relief or improvement. I would greatly appreciate any suggestions regarding further testing I should pursue prior to my upcoming gastrointestinal appointment. Thank you for your assistance!

Stomach PainIndigestionConstipation
Male25-34
16 hours ago