OpenHealth Q&A

Get answered by medical professionals

Abdominal Discomfort

8/1/2025, 12:10:27 PMMale25-34

I'm a 20-year-old female, and recently I suspect that a meal I consumed has led to some stomach discomfort. It's quite unusual for me to experience such pain after eating, so this was a bit puzzling. Unfortunately, the discomfort escalated into severe cramps, and I felt an urgent need to visit the restroom, yet nothing happened. The following day, I found myself unable to eat much; any food intake would trigger more pain, although overall, I felt fine otherwise. Currently, I'm waking up during the night needing to go to the bathroom, but again, there's no result. I've also noticed that my bowel movements have not been particularly regular leading up to this point. Is it possible that this is simply a case of having consumed something problematic while also dealing with constipation, or could there be another underlying issue?

Stomach PainIndigestionConstipation

Answers (1)

Cony

8/1/2025, 12:10:53 PM

OpenHealth AI

It sounds like you’re experiencing significant discomfort related to your gastrointestinal system, which could be due to several factors, including a reaction to a specific meal combined with constipation. Here’s a breakdown of the situation and how to address your symptoms.

Summary of Main Points

  1. Your symptoms could stem from food sensitivity or intolerance, possibly exacerbated by constipation.
  2. There may also be factors like dietary choices or stress contributing to your bowel irregularity.
  3. Immediate self-care options can help ease your discomfort.

Explanation

When you experience abdominal pain after eating, it can indicate a number of issues, including food intolerance (like lactose or gluten sensitivity), or simply poor digestion of certain types of food. Severe cramps and an urgent need to use the restroom—even without producing stool—could signal constipation or irritation in the gastrointestinal tract.

The fact that you've noticed irregular bowel movements suggests possible constipation, which can be influenced by factors like diet (low fiber intake), hydration levels, and stress. If you've been unable to eat due to discomfort, that can also further exacerbate constipation, creating a challenging cycle.

Prioritized Next Steps

  1. Hydrate Well: Start increasing your water intake to soften stools and support digestion. Aim for at least 8 glasses of water a day.

  2. Gentle Diet: Transition to a bland diet while your stomach is upset. Consider foods like bananas, rice, applesauce, and toast (the BRAT diet), which can help settle your stomach and provide easily digestible energy.

  3. Increase Fiber Gradually: Once you feel ready to resume normal eating, include high-fiber foods (like fruits, vegetables, and whole grains) to promote regular bowel movements. However, introduce fiber slowly to avoid further discomfort.

  4. Monitor Symptoms: Keep a diary of your food intake and any symptoms you experience to identify potential triggers over the next week. Pay attention to any worsening symptoms or new symptoms.

  5. Gentle Movement: Engage in light physical activity, like walking, as it can stimulate bowel movement and improve digestion.

  6. Avoid Irritants: Stay away from foods that are spicy, fatty, or known to cause digestive issues (like dairy or gluten if you're sensitive) until your symptoms improve.

If your symptoms persist for more than a few days or worsen significantly (such as high fever, severe abdominal pain, or blood in stool), it would be wise to reassess the situation and seek further evaluation when necessary.

Take care of yourself, and remember that it's okay to give your body time to recover. If you have any other questions, feel free to ask!

Related Questions

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.

Stomach PainConstipationAcid Reflux
Male25-34
35 minutes ago

Could This Be IBS or Something Else?

Greetings! I’m a 27-year-old male, standing at 172 cm and of European descent, currently using Iqos. My medical troubles began roughly four months ago, around October 5, 2025. Initially, I experienced intense back pain lasting for two days, which I recognized as kidney stone pain. To alleviate this discomfort, I took NSAIDs, predominantly Metamizole-Natrium. Afterward, I visited urgent care, where I was given Diclofenac and Monural, an antibiotic for urinary tract infections. I took one of each at night. **A couple of days later, I started experiencing several troubling symptoms:** - Frequent diarrhea (4-5 times a day, often watery) - Significant gas and belching - Persistent nausea that greeted me each morning, sometimes relieved by eating - A general sense of malaise - A loss of 5 kg (I dropped from 63 kg) because I lacked appetite, especially under stress. These symptoms developed quickly and intensified through October, fluctuating over time. Blood tests showed no abnormalities, with normal CRP levels. Then in November, I underwent a colonoscopy and gastroscopy. - I had three very small erosions, about 1-2 mm, in the terminal ileum, but no signs of inflammation. Histology revealed no pathological issues, all was well. - There was one small erosion in the sigmoid colon, with minor inflammation around it. Histological findings indicated small infiltration in the lamina propria but no chronic signs, leading to a diagnosis suggesting a high likelihood of infection. - The areas were healing, with fibrin present. The rest of my colon appeared healthy. The doctor attributed the ulcers to NSAID-induced damage. I was later diagnosed with LA-A GERD. Due to my anxiety about health, I spent the month consumed by fears of complications such as colon cancer, PC, or Crohn's disease. I finally found some relief and felt symptom-free for the subsequent two weeks. However, in December the troubles resurfaced, though to a lesser degree, with occasional loose stools—2-3 times for a few days— and lingering gas. My anxiety about Crohn's returned, and I mistakenly took Algopyrin Complex, which triggered additional stress. **In December, my primary worries included:** - Loose stools resembling Bristol type 5-6, mainly occurring once each morning - Excessive gas often felt trapped in my rectum - My weight stabilized at 62 kg **I underwent various tests:** - Negative results for Giardia and E. coli - Negative FIT tests - Negative MRI (everything appeared normal) - Negative MRE (all normal) - Calprotectin level measured at 18.7 - I was found to have low levels of B9 and Vitamin D, with B12 at 320 and LDL at 5.9 **Moving into January:** - I only had one bowel movement each morning, sometimes loose, but mostly firm in the past three weeks (Bristol 4), compared to my usual Bristol 2. - After meals, I often felt gas building in my rectum, sometimes getting stuck before eventually releasing. This gas, thankfully, rarely had an odor. - Mornings have been troublesome, as I needed to pass gas 2-4 times, and in bed at night, I felt bloated with gas movements. **What I have observed:** - No signs of blood in my stools - No pain - No nocturnal symptoms affecting my sleep - No extraintestinal symptoms - My weight has stabilized without additional loss after recovering some weight Overall, I feel fine, yet the worry about my condition persists in my mind. Previously, I would have bowel movements twice weekly, with little to no gas. It baffles me that I often wake up feeling this uncomfortable. My primary concern is whether I should be worried about Crohn's disease (which occupies my thoughts constantly) or if my symptoms might stem solely from anxiety. Currently, I'm taking the following medications and supplements: - Itopride (doctor suggested it for motility issues) - L-Glutamine - Curcumin - A B-complex supplement - Ashwagandha - I briefly tried rifaximin for three days, but it did not yield significant changes. - I had also experimented with antacids previously, though they proved ineffective. Thank you for your assistance in advance!

IBSIndigestionConstipation
Male25-34
2 hours ago

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
8 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
9 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
13 hours ago