Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

184 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Having abdominal pain, constipation and feeling bloated. What are the treatment options?

Answered by
Dr. Charles S Narasi


Practicing since :1962

Answered : 693 Questions

Posted on Tue, 18 Dec 2012 in Digestion and Bowels
Question: I am female, 45yrs of age, 5’6” 180 pounds…initial symptoms started over 6 weeks ago, unspecified abdominal pain, upper abdominal distention, slight constipation, over the next few weeks it has developed into intermittent mild pain on both sides of upper abdomen (which is still distended) with lower ribs tender if I push on them, all the way around to my back. Thin yellow stool that does not float (back to being regular) excess foul flatulence, feels like in “squishing” my insides when I bend over to the side. Used miralax for two days in the beginning, helped clear the constipation, made a few dietary changes, no fatty foods, no dairy, it did not seem to make a difference, actually had a big cheeseburger a week ago and felt better!
Answered by Dr. Charles S Narasi 37 minutes later
The location of the pain that you mention is the upper
abdomen almost across the belly. Also you mention
bloating or distension and also intermittent constipation
relieved by taking Miralax which is a PEG solution that is
effective for constipation.
I would recommend getting a sonogram of the upper
abdomen to check your liver and gallbladder to look
for stones. The yellow stool that you mention may
mean more bile in your intestine.
If you have not had an upper GI series (X-rays) , I
would recommend that also to rule out Hiatus Hernia
which can give similar symtoms although acid reflux
is more common with this.
It is very possible that you are in the beginning stages
of Lactose intolerance, Celiac disease
can give similar symtoms. Special blood tests can rule this
out and breath test can detect lactose intolerance. It is
possible to develop these late in adult life.
I think sonogram will be the first test I would go with.
Wish you well.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. Charles S Narasi 52 minutes later
I thought that gallbladder pain was sharp and lasting 4-15 hrs, but this pain is very mild, more of a nuisance and has been with me now for six weeks. Some days I feel fine, other days it is very noticeable. The pain does not actually extend across the belly more like the side areas where my colon bends. Would that still make you think gallbladder problems? That being said, In your opinion, would be ok for me to wait until after the holidays to start testing or could this be the start of something more serious that needs attending to?
Answered by Dr. Charles S Narasi 56 minutes later
If the gallbladder attack is mild you may not have all
the typical symptoms like severe right upper quadrant
pain, nausea,vomiting,fever and chills and yellow
jaundice. Vague symptoms like bloating and mild
abdominal pain could indicate the presence of gallstones.
So long as the symtoms are not very severe, you can wait
to have those tests.
Happy holidays and wish you well.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. Charles S Narasi 24 minutes later

Dr Narasi,

Thank you for all your help, happy holidays to you and yours.
Answered by Dr. Charles S Narasi 2 hours later
Thank you very much XXXXXXX !
I just want to tell you XXXXXXX is my
favorite name !
God Bless !
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,   ,   ,   ,   ,   ,   ,   ,   ,  
Medical Topics

Recent questions on  Gallstone

doctor1 MD

Sorry it s so long! I am 27 yo female, 5 8, 135lbs. I have been dealing with nausea and pain between my rib cage near my LES on a daily basis for about 2 years. I gag daily, however, am rarely able to throw anything up. My original dr told me it was reflux and sent me home with prevacid, which did nothing. My symptoms are not consistent with food intake. I am an SLP and performed an informal barium swallow test on myself to see if I could see any reflux. My stomach appeared to be sagging near my hip bones and radiologist suggested a CT or ultrasound to rule out any tumors, etc. Ultrasound found gallstones, which my GI dr immediately assumed was the problem. My symptoms were not consistent with gallstones so I asked to have a few more tests run to rule out any other disorder. EGD came back positive for H.Pylori which was treated with no relief. Otherwise no remarkable findings. I reluctantly had my gallbladder removed May 28, 2010. I had no nausea for 2 weeks, but it has since returned. GI dr yesterday wanted to have another EGD and if nothing was found, said he would just treat symptoms. I find this unnecessary as nothing has changed since my last EGD in March. Drs wants to label me with the most common disorders they see. It s obviously something that may require a little critical thinking. I have frequent headaches, fatigue and hypothyroidism. PLEASE HELP!

doctor1 MD

Hi, My 10 year old son is in agony in all likelyhood with gallstones, confrimed by two GPs, ultrasound pending.. myself and my mother had gallstones removed in our childhood years, which is why we are fairly certain about him having gallstones. He currently takes codeinphosphate and ibopofen and paracetamol as painkillers (which all do not appear to work). We now suggested him also being described mebeverine which he takes. Is this commonly used for dealing with spasms? can it be recommended for kids...

doctor1 MD

I have lower right abdominal pain and i bloat to the point where i look pregnant and have severe gas every time i eat. the pain is almost always there but a few times a day it goes away for a little bit. I have had all the upper gi tests done and all came back normal except a hiatal hernia. i had surgery for endometreosis last september and i was told that my pain has something to do with my intestines or small bowel because of where my pain is. is it possible to have formed adhesians from abdominal surgery even though its not right nest to the incision spot. ive been in alot of pain for a few months and the hospital admits me and then lets me go. i was treated for pancreantitis 2 months ago because my lypo enzymes were high and i also at the time had pain in the upper quadrent (which i still do when i eat and after i eat) and they said that the cts and all test came back normal. And my white blood cells keep going up and then back to normal and the up again. and they say my gallbladder looks normal even though i have all the signs of gallbladder stones but no stones and in aditition the lower right pain that pain meds only take the edge off the pain and sometimes make it worse. my bowel movements are very strange i go to the bathroom a few times a day because only a little bit comes out and i cant have a normal one time bowel movement and it comes out soft and sometimes really dark brown almost black. can you help me find the right dr that will listen to me and not send me home with treatments like nexium and protonix and carafate like my family dr is doing becuase i want my life back and im getting depressed that im getting no awnsers except from the gyno i saw in the hospital who said it could be adhesions from my surgery. does that sound right?

doctor1 MD

I have been scanned and discovered to have gallstones. I am on medication which includes Pantozol for stomach hyperacidity and duspatalin retard as an antispasmodic for the gall bladder. lately my stool has been grey in colour and my urine a dark almost brownish or medium yellow colour. I am schheduled for a gall bladder op in 3 weeks. Are these stool and urine colours normal under this medication?

doctor1 MD

What is the surgery for gallbladder removal like these days?

doctor1 MD

Have a 9mm gallstone lodged in the neck of the gallbladder . I have had some pain and nausea . Should I have surgery?

doctor1 MD

I'm male and 48 years old. I had blood work for a physical last week and everything was perfect except for a moderately elevated Alkaline Phosphatase at 214. All other liver enzymes, blood work, and urine were perfectly normal. I have no symptoms...