Immediate bloating/distention after eating

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SilverSky
Regular Member


Date Joined Dec 2007
Total Posts : 36
   Posted 8/20/2011 8:31 PM (GMT -6)   
Has anyone else had immediate abdominal bloating and distention after eating?

I have a thickened rectum and sigmoid and this could be causing the partial obstruction. I did also have colon stool impaction on CT scan. So, this could certainly be a cause.

My question for those who may have also had some colon (or small bowel) narrowing and obstruction like symptoms, did you feel bloated and distended immediately after eating?

I'm just trying to rule out a stomach or small bowel (or even medication) issue, since it certainly feels as though there is also something going on a bit higher up.

How can one even tell small and large bowel obstruction apart? I know scans always help (unfortunately mind was inconclusive) and I'm trying to get some perspectives from anyone who's had obstructive-like symptoms. Thanks! :)

esoR
Veteran Member


Date Joined Jan 2007
Total Posts : 4147
   Posted 8/20/2011 9:19 PM (GMT -6)   
A small bowel obstruction presents as intense waves of colicky pain around the naval. This progresses to projectile vomiting. At first bowel sounds may be high pitched and squeely and then they get very quiet. Severe distension then occurs as bowel contents back up behind the obstruction. Emergency NG decompression or at least nothing by mouth, an IV, and antinausea meds are needed. Rosemary

bananagirl
Veteran Member


Date Joined May 2011
Total Posts : 4331
   Posted 8/20/2011 9:46 PM (GMT -6)   
if it's right after you eat, maybe you should have an endoscopy of your upper g.i. so see if there's stomach inflammation.
Diagnosed with Ulcerative Colitis at 21 (Jan 2011) and now pancolitis (May 2011).
medications: 35 mg prednisone (no taper), 50 mg 6mp, prilosec, zofran, a crapload of vitamins and minerals, starting remicade very soon. i'm such a druggie right now!!

main goal- gain as much weight as i can. weight right now is 92 lbs at 5'5". i'd like to be up to 110 lbs by october so i'm pigging out.

SilverSky
Regular Member


Date Joined Dec 2007
Total Posts : 36
   Posted 8/20/2011 11:04 PM (GMT -6)   
Hi, eso. Thanks for the info on small bowel obstruction. I'm pretty familiar with that classic presentation. Many of those more severe symptoms I think occur with more of a complete obstruction picture. Fortunately, I don't think I'm there yet.

Also, as many will attest, peri-umbilical pain can sometimes be "referred" and present diffusely throughout the bowel. So, it's often difficult to tell apart from transverse colon ulceration, narrowing, etc. which is in a similar anatomic region. Even most GIs shrug when questioned on large vs. small bowel "partial" obstructive symptoms. It's a difficult diagnosis when the distention and bloating is more vague and diffuse. But, it's definitely worth knowing what the complete picture looks like (as you so well described).

Hey, banangirl. Yes, I think first stop may be colonoscopy or at least a flex sig to see how many the lower bowel narrowing is. Then, right to an upper endoscope or small bowel series to look elsewhere (if the sigmoid/rectum doesn't look "too" narrowed).

I'm hoping I don't here the dreaded "you might also have IBS" line from the GI if he doesn't think the rectal narrowing is responsible for the stomach/small bowel bloating and the stomach/duodenum/ileum, etc. otherwise looks clear (no inflammation, ulcer, bacterial overgrowth, etc.). I'm always hopeful there's more of a definitive diagnosis to help many of us dealing with these more general "bloating" and "distention" issues, especially when they come on fairly suddenly :)
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