Concerning Stool Changes and Abdominal Discomfort
I am a 30-year-old female, standing at 5’7” and weighing 140 pounds, currently not taking any medications. Lately, I've been experiencing a sense of heaviness in my abdomen, even when I haven’t consumed any food, and I don’t have issues with constipation. My diet remains consistent, and I haven't traveled anywhere recently. Though I’m not experiencing nausea or a fever, my lower abdomen seems bulky and feels unusually large. Despite my recent weight loss, which I still aim to continue, my lower belly appears excessively distended, and it doesn’t seem to be solely due to fat. Additionally, I've noticed changes in my bowel movements; I’ve been having some diarrhea that initially seemed fluffy. Now, it has taken on a concerning red hue. I have undergone some blood work, which returned normal results, with only a slight drop in my hemoglobin levels, about 15 points lower than my last test in May, yet still within the typical range. I plan to share further details in the comments.
Answers (1)

8/15/2025, 3:50:42 AM
OpenHealth AI
It sounds like you're dealing with some concerning abdominal symptoms and changes in your bowel movements that deserve careful attention. The combination of a feeling of heaviness, abdominal distension, and the recent appearance of red-colored stool can indicate a need for further evaluation.
Summary of Key Points:
- You're experiencing abdominal heaviness and distension with recent changes in bowel habits, particularly the fluffy, red-hued stool.
- Although your blood work is mostly normal, your hemoglobin level is somewhat lower, which could be relevant.
Explanation:
The heaviness and distension in your abdomen, especially if it's not linked to eating, may have several underlying causes including digestive issues, fluid retention, or even inflammatory bowel conditions. The presence of red in your stool can be particularly important as it might indicate bleeding in the lower gastrointestinal tract, which should not be overlooked.
Even a normal hemoglobin level can mean you are still experiencing some underlying issues, especially with your symptoms. The changes in your stool could be related to diet, stress, or potentially an underlying gastrointestinal disorder.
Actionable Next Steps:
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Monitor Your Symptoms: Keep a detailed diary of your symptoms, noting the frequency and characteristics of your bowel movements, abdominal discomfort, and any other changes in your health.
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Hydration: Since you have experienced diarrhea, staying hydrated is crucial. Aim for plenty of water throughout the day, and consider electrolyte drinks if fluid loss is significant.
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Dietary Adjustments: Consider keeping a food diary to identify any foods that may be causing discomfort or changes in your stool patterns. Avoid high-fat foods or overly processed foods, which can irritate the digestive system.
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Seek Immediate Attention: Given the concerning red hue in your stool, it is advisable to consult a healthcare professional soon. They may recommend further tests such as stool tests, imaging studies, or a colonoscopy to rule out any serious conditions.
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Note Other Symptoms: Be vigilant about any new symptoms or changes, such as increased abdominal pain, fatigue, or if your stool changes in color or frequency suddenly.
Reassurance:
It’s understandable to feel anxious about these changes, but keeping track of your symptoms and seeking appropriate care can help address your concerns effectively. You are not alone in this, and taking these steps will provide clarity on the situation. If you have any further details or questions, feel free to share.
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