HomeAnswersMedical Gastroenterologyabdomen painI have abdominal pain after eating food and it gets worse during bedtime. Is it due to SIBO?

What causes severe abdominal pain after eating food?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At March 28, 2023
Reviewed AtNovember 30, 2023

Patient's Query

Hello doctor,

I have abdominal pain after eating and it gets worse during bedtime. Is it SIBO, disintegrated bowel coil, or anything else? Kindly suggest.

Answered by Dr. Ghulam Fareed

Hello,

Welcome to icliniq.com.

I have reviewed your case and attached reports (attachment removed to protect the patient's identity) of the ultrasound and CT (computed tomography) scan. Ultrasound raised a query of right-sided renal fullness which was cleared on the CT scan, so nothing alarming from that point of view. Bowel loop distention is a nonspecific finding on ultrasound and after a CT scan, I do not think that ultrasound explains anything important. Now, regarding your symptoms, which are after meals, I suggest you take an anti-spasmodic medicine like the tablet Mebeverine (Mebeverine hydrochloride) or Drotaverine half an hour before breakfast and dinner and see the response. You can add probiotics to introduce healthy bacteria into your gut. Changes of SIBO (small intestinal bacterial overgrowth) are less likely but gut sensitivity like IBS (irritable bowel syndrome) is one of the possibilities in young patients like you. I hope there would be no alarming symptoms like rectal bleeding, unintentional weight loss, a family history of gut-related tuberculosis, or cancer.

Thank you.

Patient's Query

Hello doctor,

Thank you for the response. I will follow up with the medicine you suggested. If there is a chance of IBS do I need to change my diet or my lifestyle?

Answered by Dr. Ghulam Fareed

Hello,

Welcome back to icliniq.com.

Avoid fatty and spicy meals. Less eating outside food if possible and avoiding stress will significantly improve your symptoms.

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Ghulam Fareed
Dr. Ghulam Fareed

Medical Gastroenterology

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