Differential Diagnosis for Feeling Gas Moving Above Pubic Bone
- Single most likely diagnosis
- Irritable Bowel Syndrome (IBS): This condition is characterized by abdominal pain, bloating, and changes in bowel movements, which could explain the sensation of gas moving above the pubic bone due to the proximity of the intestines to this area.
- Other Likely diagnoses
- Gastroesophageal Reflux Disease (GERD): Although GERD primarily affects the upper gastrointestinal tract, severe cases can lead to bloating and discomfort that might be felt in the lower abdominal region.
- Small Intestine Bacterial Overgrowth (SIBO): This condition involves an abnormal increase in the bacteria population of the small intestine, leading to bloating, gas, and abdominal discomfort that could be perceived above the pubic bone.
- Constipation: Hard stools or difficulty passing stools can lead to bloating and gas, potentially causing the sensation described.
- Do Not Miss (ddxs that may not be likely, but would be deadly if missed.)
- Ovarian Torsion: A rare but emergency condition where the ovary twists around its ligaments, cutting off blood supply. It can cause severe abdominal pain and might be accompanied by a feeling of movement or pressure in the lower abdomen.
- Ectopic Pregnancy: Although typically presenting with severe pain and possibly vaginal bleeding, an ectopic pregnancy could potentially cause abdominal discomfort or a feeling of gas movement due to the location of the embryo.
- Appendicitis: Inflammation of the appendix can cause abdominal pain that might start near the navel and then move to the lower right abdomen, potentially feeling like gas movement above the pubic bone in early stages.
- Rare diagnoses
- Intestinal Obstruction: A blockage that prevents normal flow of the products of digestion, which can cause severe abdominal pain, bloating, and a feeling of gas or movement.
- Inflammatory Bowel Disease (IBD): Conditions like Crohn's disease or ulcerative colitis can cause chronic inflammation of the GI tract, leading to symptoms including abdominal pain, bloating, and changes in bowel habits.
- Abdominal Hernia: A protrusion of an organ or tissue through a weakened area in the abdominal wall, which could potentially cause discomfort or a feeling of movement in the lower abdomen.