Diagnose it Yourself – DIY – Bloaty

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Warning: flatus
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You are in a GP surgery.
A 48 year old lady presents with a 12 month history of vague abdominal symptoms including bloating, increased amounts of flatus, intermittent loose stools, vague abdominal cramping pains. Symptoms seem to be worse in the first few hours after eating.
Her trousers have become very tight.

She also notes feeling lethargic. She is a keen amateur athlete and normally goes to the gym several times a week, as well as running and cycling several times a week. However, she has been unable to do her usual exercise routine as she has felt too tired.

She also notes that she has put on about 2-3 kgs of weight unintentionally in the last 3-6 months. She puts this down to exercising less often because she doesn’t feel up to it.

Her periods have not changed. They have always been light and remain the same now.
She has no previous significant abdominal or gynaecological history, except that she has two healthy teenage children.


What is the most likely differential diagnosis?

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Dr Tom Leach

Dr Tom Leach MBChB DCH EMCert(ACEM) FRACGP currently works as a GP and an Emergency Department CMO in Australia. He is also a Clinical Associate Lecturer at the Australian National University, and is studying for a Masters of Sports Medicine at the University of Queensland. After graduating from his medical degree at the University of Manchester in 2011, Tom completed his Foundation Training at Bolton Royal Hospital, before moving to Australia in 2013. He started almostadoctor whilst a third year medical student in 2009. Read full bio

This Post Has 2 Comments

  1. Lola

    Love these! Thank you!

  2. shyamal kr chatterjee

    thanks for upgrading my knowledge

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