Severe Abdominal Pain and Constipation Concerns

Question #23491

4 hours ago

Severe Abdominal Pain and Constipation Concerns - #23491

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I have been having bad abdominal pain started on my right side now its all over my stomach it hurts to rub it hurts to walk sit use bathroom .could this be something serious or just need to pass bowls I do have constipation issues for years but never ever had this pain

How long have you been experiencing this abdominal pain?:

- 1-3 days

On a scale of 1 to 10, how severe is your pain?:

- 7-9 (severe)

Have you noticed any changes in your bowel movements recently?:

- Yes, less frequent

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Doctors' responses

Dr. Bharat Joshi

I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.

2 hours ago

Hello dear
See it can be gastric issue or combination of diarrhoea with uti
Iam suggesting some tests for confirmation
Please share the result with general physician medicine or gastroenterologist for better clarity.
For safety please donot take any medication without consulting the concerned physician
Stomach USG
Esr
Cbc
Rft
Lft
Urine analysis
Culture
Albumin globulin ratio
PCR
Colonoscopy or anascopy if recommended by gastroenterologist
Regards

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Dr. Shayeque Reza

I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.

2 hours ago

CBC blood test
• Ultrasound abdomen (or CT scan if needed)
• Stool/bowel assessment
This pattern can be seen with:
• Severe constipation or fecal impaction
• Appendicitis
• Intestinal infection/inflammation
• Bowel obstruction
• Other abdominal emergencies
Because the pain:
is severe
hurts with movement/touch
is different from your usual constipation
You should not wait at home.
What to do now
Please go to:
• Emergency room or urgent care today

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Dr. Arsha K Isac

I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.

1 hour ago

Hello
This could be serious and should not be assumed to be just constipation.
Red flags:
Severe pain (7–9/10)
Started on the right side and spread
Pain with movement, touch, and using the bathroom
New pain, different from your usual constipation
This needs urgent medical evaluation today to rule out things like appendicitis, bowel obstruction, or infection.
Go to the ER or consult a gastroenterologist especially if there’s fever, vomiting, bloating, or worsening pain.
This needa evaluation and then treat accordingly
I trust this helps
Thank you !
Take care

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Dr. Prasannajeet Singh Shekhawat

I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.

1 minute ago

Hello
Thanks for sharing these details. Severe abdominal pain that started on the right side and now affects your whole stomach, especially when it hurts to walk, sit, use the bathroom, or even rub your belly, is definitely concerning—especially since you have a history of constipation but have never felt pain like this before.
While constipation can cause significant discomfort, pain this severe and spreading, especially with reduced bowel movements, could also signal something more serious, like:
- Severe constipation or fecal impaction
- Appendicitis (especially if pain started on the right side)
- Other causes like infection, obstruction, or inflammation
What you should do:
- If you develop fever, vomiting, cannot pass urine or stool at all, see blood in stool, or the pain gets worse, you need to see a doctor immediately.
- Even without those, with pain this severe (7–9/10), it’s safest to get checked by a doctor soon—preferably today. They may need to examine you and possibly do an ultrasound or X-ray.
In the meantime:
- Try to sip water and rest.
- Avoid forcing yourself to use the bathroom.
- Don’t take any painkillers or laxatives without a doctor’s advice.
- Go with tab Rifaximin 400 mg once a day after food ( it will help if it is related to infection)
Cap Pantop dsr - once a day before breakfast
Thank you and get well soon

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Severe Abdominal Pain and Constipation Concerns - #23491

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