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
Severe abdominal pain (7–9/10) that started on the right side and spread across the abdomen, especially with pain on movement, sitting, or using the bathroom, could be something serious such as appendicitis or bowel inflammation, not just constipation. Since this pain is different from your usual constipation discomfort and has lasted 1–3 days with reduced bowel movements, it requires urgent medical evaluation. Please go to the nearest Emergency Department or consult a General Surgeon immediately, especially if you develop fever, vomiting, worsening pain, or inability to pass gas.
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
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
Given the severity and spread of your abdominal pain, especially since it’s worsened from the right side to your entire stomach, it’s important to consider a range of possible causes. This could potentially be serious, and it’s crucial to address it promptly. While it’s possible that this is related to your ongoing constipation issue, the intensity and movement of the pain raise the need for a more comprehensive evaluation. Conditions like appendicitis, a bowel obstruction, or diverticulitis, among others, can present with similar symptoms and require swift medical attention. As the pain is affecting your everyday activities like walking and sitting, and given that it hurts to use the bathroom, I would strongly advise consulting a healthcare provider as soon as possible. They might recommend imaging studies like an ultrasound or CT scan to identify any underlying concerns. In the meantime, avoid any remedies or medications that could worsen an unknown condition, like laxatives, which might not be appropriate in the case of an obstruction. Stay hydrated, avoid heavy meals, and try to keep track of any other symptoms such as fever, nausea, or vomiting, as these would need to be communicated to your doctor. If the pain becomes unbearable or is accompanied by alarming symptoms like a high fever, persistent vomiting, or blood in the stool, seek immediate medical care through an emergency room visit.
Hello, thank you for sharing your concern. The intensity of abdominal pain is little worrisome. I advise you to get done an Ultrasound of your whole abdomen and share the report.
Till then, take these medications-
-Tab. Drotaverine + Aceclofenac twice daily. - Cap. Pantop + DSR before breakfast. - Tab. Albendazole 400mg single dose. - Syrup Lactulose 15ml at night.
Regards, Dr. Nirav Jain MBBS, D.Fam.Medicine
