I am sorry to hear you are having excruciating abdominal pain for nearly two years now. Abdominal pain is a common complaint that doctors hear and it can be difficult to diagnose because there are so many potential sources for the pain. For this reason, I encourage you to visit your doctor
who can perform a thorough physical examination and better identify the source of your pain given your medical history. Your symptoms could be a sign of a number of different things. Fatty foods can often exacerbate conditions such as ulcers within the stomach or gallstones. Ulcers can be caused by overuse of non steroidal anti-inflammatory medications such as Advil, Aleve or can be caused by the presence of a bacteria in the stomach. The risk of developing gallstones seems to be linked to women who are in their 40s and who are overweight. Gallstones typically cause pain in the upper right part of the abdomen and are associated with nausea and vomiting. Pain in the lower right abdomen is often concerning for appendicitis
. Usually this pain starts across the lower part of the belly and then eventually localizes to the right lower abdomen. Typically, those with appendicitis will have nausea and vomiting and be unable to hold down food. Appendicitis presents very quickly and is a surgical emergency that must be addressed immediately for fear of rupture of the appendix. Finally, your symptoms might be linked to chronic constipation. Constipation can be a risk factor for developing hemorrhoids which are veins in the rectum that can become swollen and inflamed, leading to rectal bleeding that can range from blood on the toilet paper to blood that coats the stool. Please visit your primary care physician
who can help you to manage your abdominal pain.