Seeking Insights on Prolonged Abdominal Pain and Digestive Changes
For the past several months, I have been grappling with persistent abdominal discomfort centered around my sigmoid colon, alongside significant alterations in my bowel habits. This ordeal began following a severe panic attack that left me physically impaired, experiencing symptoms such as paralysis, extreme vomiting, and prolonged shaking, ultimately leading to fainting episodes. I sought emergency medical assistance in September 2024 due to the panic attack. In the aftermath, I faced a troubling two-week period without bowel movements. Once I regained the ability to defecate, it was infrequent—happening only every four to five days, or sometimes even weekly. The stools I produced were unusually thin and elongated, which raised concerns when I noticed dark spots appearing. My chronic health anxiety intensified, leading to multiple panic attacks as I feared the possibility of blood originating from my colon. Medical evaluations, including a FIT test, indicated no presence of blood in my stool. By January 2025, the severity of my pain prompted another visit to the doctor, who ordered an abdominal x-ray and diagnosed me with constipation. They recommended a laxative regimen for a colon cleanse, which I diligently followed. Initially, this provided some relief for about a week, but the issues returned, albeit with slightly reduced intensity, and my stool consistency remained unchanged. In March 2025, as the discomfort escalated, I returned to the physician, who reiterated that I was still constipated and proposed an additional, more aggressive colon cleansing approach. This, unfortunately, exacerbated the pain. I ended up in the emergency department where a transvaginal ultrasound was performed, revealing no significant abnormalities. Likewise, my blood tests showed minimal concerns, only reflecting the effects of the ongoing stress and anxiety I have been experiencing, with only slight increases in my white blood cell count. Despite trying treatments involving Iberogast, probiotics, and fiber supplements, my bowel movements have become harder—almost painfully so—resembling sharp glass. While the pain slightly decreased during this time, I now find that my stools are mixed with chunks of undigested black and white food or other substances. The results from the FIT test continued to indicate no blood. The pain in my lower left abdomen is nearly intolerable, accompanied by soreness in my chest and joints, along with chronic urticaria. I've been officially diagnosed with joint and nerve pain, which only complicates my symptoms further. Eating has become an excruciating experience, and I'm facing considerable delays in getting an appointment with a gastroenterologist. I'm reaching out for advice or thoughts regarding my situation; any insights would be greatly appreciated!
Answers (1)
4/23/2025, 3:10:51 PM
OpenHealth AI
I'm sorry to hear about the challenges you've been facing with your abdominal discomfort and digestive changes. It sounds like you’ve been through a tough time with persistent pain, changes in bowel habits, and the added stress of anxiety. Let's break down your situation and focus on actionable steps.
Main Points
You have been experiencing persistent abdominal pain, significant changes in bowel movements, and associated symptoms, which have led to heightened anxiety. Your previous evaluations have mostly ruled out serious conditions, but managing constipation and digestive discomfort is still a priority for your well-being.
Explanation
Changes in bowel habits, particularly the combination of infrequent, painful, and abnormal stool consistency, can be frustrating. Constipation can lead to additional discomfort, especially if not managed properly. Your psychological stress and anxiety may also exacerbate physical symptoms, creating a cycle that's hard to break. It's important to address your bowel health while also considering the emotional aspects of your condition.
Prioritized Next Steps
-
Focus on Diet and Hydration:
- Increase fiber intake: Aim for a mix of soluble (fruits, oats) and insoluble fiber (vegetables, whole grains) to help soften stools. Consider introducing fiber gradually to avoid gas.
- Stay hydrated: Drink plenty of fluids, at least 8 cups of water daily, which can help ease constipation.
-
Create a Regular Bathroom Schedule:
- Try to establish a routine by setting aside time each day for bowel movements, even if you don’t feel the urge. This might help train your body and stimulate bowel activity.
-
Gentle Physical Activity:
- Engage in light exercise such as walking or yoga to promote digestive health and relieve constipation. Even short, regular walks can be beneficial.
-
Mindfulness and Stress Management:
- Consider incorporating relaxation techniques such as deep breathing, meditation, or gentle yoga. This can help reduce anxiety levels and may improve your digestive symptoms.
-
Monitor Your Symptoms:
- Keep a symptom journal. Note your diet, bowel movements, and any triggers for pain or discomfort. This can help in discussions with your healthcare provider.
-
Explore Alternative Over-the-Counter Options:
- If recommended medication has not been effective, consider discussing other options like magnesium-based laxatives or stool softeners with a healthcare professional when possible.
-
Follow Up on Specialist Care:
- While waiting for your gastroenterologist appointment, don’t hesitate to reach out to your primary care physician regarding the ongoing pain and changes. They might offer additional insights or even alternative referrals for quicker relief.
Final Thoughts
Your situation sounds complex, but with a focused approach on diet, hydration, stress management, and regular habits, you may start to notice improvements. Remember, it's important to keep communicating openly about your symptoms with your healthcare providers. A multi-faceted approach will often yield the best results. You're not alone in this, and support is available. Please keep me updated on your progress or if you need further clarification on any of these steps.
Related Questions
Dealing with Loperamide-Induced Constipation: Seeking Solutions
Warning: This discussion involves digestive health topics. I’m a 24-year-old woman, standing at 5’5” and weighing around 140 pounds. I don’t smoke and have been diagnosed with anxiety and depression. Recently, I was experiencing severe anxiety and dehydration due to some intense diarrhea, which prompted my doctor to prescribe loperamide. I took the initial dose two days ago and haven’t needed additional doses since then. However, now I find myself struggling with constipation and have yet to have a bowel movement. I’ve just started passing some gas, but still no stool. My anxiety persists, which is causing muscle tension and making it hard for me to breathe easily. To be honest, my eating and sleeping habits have been off due to the anxiety. My diet mainly consists of fruits, bread, rice crackers, beans, and jerky, and I only had a proper meal (tacos) today. I’ve also been trying melatonin for sleep, which is something new for me. I started with a 3 mg dose the first night, and I felt incredibly groggy the next day, so I reduced it to 1.5 mg the following night. I took both the loperamide and melatonin on the same evening. Unfortunately, my doctor is unreachable since the health clinic is closed over the weekend, leaving me without guidance. I’ve begun to experience some mild abdominal discomfort, but I think a proper bowel movement would alleviate that. I prefer to avoid over-the-counter remedies, as I’m concerned about jeopardizing my hydration, which has been quite the struggle. I’m wondering if anyone has suggestions for foods that might help, any stretches that could encourage movement, or if I should simply try to relax.
Is My Health Declining?
At 25 years old, I’m a non-smoker who only indulges in alcohol during New Year’s celebrations. I manage a few health conditions including a nonverbal learning disorder, sensory processing difficulties, mild depression, dyspraxia, troublesome duodenal bile reflux, and irritable bowel syndrome (IBS) which has been in remission. I also experience sinus tachycardia and maintain low blood volume. I stand at 5 feet, 3 inches and weigh 119 pounds—a drop from 127 at the start of December. My current medications include buspirone and metoprolol, along with a B complex vitamin supplement. Approximately eight months ago, I began noticing unusually large black pieces in my bowel movements. Strikingly similar to bits of diced green pepper but entirely black, these chunks appear daily and vary drastically in size—from resembling a piece of rosemary to about the size of my thumbnail. Typically, I end up with a small handful of these peculiar pieces. The odor has become quite unpleasant, yet I only began to consider this recently. Not long after these occurrences started, I had a short period of worsened IBS symptoms—which was strange since I had been symptom-free for two years. Everything reverted to normal until December, when I had an unfortunate episode followed by a particularly rough evening shortly after consuming a lot of sugar. I anticipated feeling “iffy” for just a few days, but that feeling lingered. Now, nearly three months later, I’m frequently experiencing \\*almost\\* daily flare-ups and usually looser stools that range anywhere from a 6 to a fuzzy 4 on the Bristol Stool Chart. Moreover, I’m feeling slightly more discomfort outside of bowel movements than I have in the past. Attempts to tweak my diet have yielded no improvement. Given my relatively young age, I hope I’m not facing something as serious as colon cancer. The last time I stressed over abnormal bowel movements, a professional informed me I was simply excreting excess fat, which is quite common. I researched potential causes for my current situation, and it seems this black matter is not related to pepper, which is somewhat reassuring. I’m unsure how to determine if what I’m seeing is truly “tar-like.” Occasionally, I feel a pressure in my lower left abdomen, somewhat like trapped gas that persists for several days before easing up. Due to my propensity for unnecessary anxiety regarding my health, I felt compelled to share my situation here. Is this just typical IBS behavior, or should I be more concerned? My parents suggest I remain calm and avoid a GI consultation (as I will soon lose my insurance), but I would prefer to avoid another extensive testing journey. Unfortunately, my quality of life has diminished significantly in recent months, prompting my need for clarity.
Seeking Answers for Digestive Distress: Recommended Tests and Advice
I am a 34-year-old Caucasian female, standing at 165 centimeters tall and weighing 78 kilograms. On a daily basis, I take several medications: Prestance (5/5), Aerius, a hormonal contraceptive vaginal ring, and magnesium bisglycinate (365 mg). Occasionally, I also use Lexaurin (bromazepam) at a dosage of 0.75 mg every two or three weeks, primarily for anxiety and sleep disturbances, though I have not taken it in the last three weeks. Previously, I underwent multiple tests. Initial blood tests indicated a slight increase in amylase levels, which led to an abdominal ultrasound, yet nothing abnormal was detected. Both flexible sigmoidoscopy and a subsequent abdominal ultrasound were performed, revealing only hemorrhoids and an anal fissure. Throughout my life, I’ve grappled with digestive issues. Since childhood, I dealt with constipation, which ultimately resulted in hemorrhoids and my first anal fissure. To address this, I became conscious of my diet and utilized osmotic laxatives, which significantly improved my situation for many years, allowing me to have regular bowel movements without bleeding. However, approximately one year ago, I began experiencing unexpected episodes of diarrhea that can last between a couple of days to a week at a time. Mornings are particularly challenging, as I often experience loose stools, which eventually stabilize later in the day. During these episodes, I feel continually fatigued; after waking up, all I want is to return to bed, and merely completing my workday feels incredibly taxing. I also suffer from persistent nausea without vomiting, and this typically follows a pattern of ten days of normal or firmer stools followed by three days of diarrhea. Thankfully, I managed to avoid any diarrhea for over two months and even found myself needing to use Miralax occasionally. However, this past Wednesday, I awoke to an upset stomach once again. My meals consist of homemade food, which I ensure is not overly greasy or heavy, avoiding fast food and excessive sweets altogether. My overall daily functioning is severely impacted by the fatigue and frequent headaches I experience. Although I don’t encounter much abdominal pain, I do feel cramping in the lower central abdomen along with considerable gas and rumbling. I have scheduled an appointment with my general practitioner for Monday, though I find her approach somewhat passive; she tends to follow my requests rather than take the lead. What diagnostic tests should I consider requesting? While I am open to the possibility of upper endoscopy, a full colonoscopy seems daunting due to my anal fissure. I would greatly appreciate any insights regarding what might be happening. I understand it’s difficult to provide specific answers, but any guidance would be immensely appreciated!
Concerns About Abdominal Discomfort
To start with, I feel compelled to mention that I struggle with severe health-related obsessive-compulsive disorder, which leads me to intensely focus on any symptoms I experience, resulting in unnecessary worry. Recently, I began to experience some discomfort in my abdomen, specifically in the area just below my right breast, which has now evolved into tenderness upon touch. This soreness is located beneath my rib cage, and I haven't experienced any changes in my appetite or feelings of nausea. My last bowel movement occurred on Thursday, and as of this morning, the discomfort has shifted slightly, now positioned just above my belly button. I had a regular bowel movement this morning and was able to take a walk without any issues. The pain only manifests when I cough or during the transitions between sitting and standing. Initially, I was concerned about the possibility of a hernia, but I understand that the pain associated with a hernia typically does not shift in location like mine seems to. I should also note that I am classified as overweight and have been living with gastroesophageal reflux disease (GERD), for which I’m taking a proton pump inhibitor. Fortunately, my heartburn symptoms have remained stable, largely influenced by my dietary habits. Over the past year, I've dealt with some weight fluctuations due to medication side effects and stress (ranging from 330 pounds to 275 pounds and back to 310 pounds). Thankfully, I have not encountered vomiting or any changes in my bowel movements. I would appreciate any insights or advice on this matter.
Lymph Nodes Observed in Abdominal CT Scan
A 26-year-old female, standing at 5'1" and weighing 70 kg, who does not smoke and drinks alcohol occasionally, has been experiencing gastrointestinal problems characterized by alternating periods of constipation and softer stools since January 24th. Additionally, she was diagnosed with a bladder infection on February 3rd, which was treated with a single dose of antibiotics totalling 3000 mg. She sought emergency medical attention due to significant discomfort in her lower left back, initially feeling colicky before becoming a constant dull ache, leading to an overnight stay for an abdominal CT scan the following morning. The findings from this scan have caused her some concern, particularly regarding identified lymph nodes. **Medical Findings:** Diagnosis: Lumbosacral radiculopathy and fecal impaction. **Treatment Approach:** The patient has been prescribed spasmolytic analgesics and will undergo further radiological evaluation. **CT Scan Results:** The low-dose native abdominal CT revealed normal appearances of the kidneys and urinary tract on both sides, with no signs of urinary retention or kidney stones in the renal pelvis or ureters. However, a few small, nonspecific mesenteric lymph nodes were detected in the mesenteric root and perizocecal areas, along with small inguinal lymph nodes on both sides. There is also no indication of appendicitis, and the colon contains a moderate volume of stool. The remainder of the low-dose CT findings are within normal limits. **Ultrasound Findings:** The abdominal ultrasound indicates grade I ectasia of the left renal pelvis, while no abnormalities were noted in the left renal pelvis, and the bladder was observed to be empty following urination. **Next Steps:** A referral for further urological evaluation is recommended alongside maintaining adequate hydration, with analgesics suggested if pain management is necessary.