Gastrointestinal Issues: Diarrhea and Stomach Distension

Q: Gastrointestinal Issues: Diarrhea and Stomach Distension

Hello： The likelihood of experiencing gastric torsion in a clinical setting is quite low, and your symptoms do not align with it. <br>Typically, gastric torsion leads to obstruction, not just bloating. <br>Instead, the probability of poor gastric emptying is higher. <br>It is rec

Diarrhea with significant abdominal bloating?

Since Monday, I have been experiencing diarrhea and a constant urge to use the bathroom, but when I actually get to the toilet, I can only pass small, fragmented stools.
This cycle has continued, and aside from the sudden abdominal pain that prompts the urge to go, I haven't had many other symptoms.
However, after a few days, I decided to visit a gastroenterologist at An-X Hospital.

After discussing my symptoms, the doctor recommended an X-ray, which revealed that my stomach is significantly distended, although I don't feel any bloating (I occasionally experience bloating but am usually aware of it).
The doctor mentioned a condition called "gastric volvulus," which seems somewhat similar to my situation, and suggested that it might be slowly resolving.

I asked the doctor if this could be related to my lifestyle or diet, but he said it could be due to various reasons, such as anxiety or growths in the stomach (though he indicated that the latter is unlikely).
He casually asked if I wanted to undergo an endoscopy, but I was taken aback and looked a bit frightened.
The doctor then suggested that we start with medication and reassess later, including another X-ray and blood tests during my follow-up.
The nurse noticed my anxiety and tried to comfort me after I left the office.
Initially, I thought I was just dealing with a common gastroenteritis, but after seeing the doctor, I felt quite scared.
When I got home, I researched gastric volvulus online, and it seems that this condition is more commonly seen in dogs.

Doctor, if I truly have gastric volvulus, what should I do?

Hua, 20~29 year old female. Ask Date: 2016/03/18

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: The likelihood of experiencing gastric torsion in a clinical setting is quite low, and your symptoms do not align with it.
Typically, gastric torsion leads to obstruction, not just bloating.
Instead, the probability of poor gastric emptying is higher.
It is recommended to eat smaller, more frequent meals and to consume easily digestible foods.
If you feel the urge to burp, it would be more comfortable to release the gas.
If necessary, it is advisable to undergo an endoscopy.
Changhua Hospital cares about your health.
Dr.
Cai Anshun.

Reply Date: 2016/03/18

More Info

Understanding gastrointestinal issues such as diarrhea and stomach distension can be quite complex, especially when symptoms are persistent and uncomfortable. Based on your description, it seems you have been experiencing diarrhea, a sense of urgency to use the restroom, and a feeling of stomach distension without the typical accompanying symptoms like gas or bloating. This can be distressing, and it’s understandable that you sought medical attention.

From what you’ve shared, the doctor performed an X-ray and noted that your stomach appeared enlarged, which can sometimes indicate a condition known as gastric distension. This condition can occur for various reasons, including but not limited to, dietary choices, stress, or underlying gastrointestinal disorders. The mention of "gastric volvulus" (or gastric torsion) is concerning, as it is a serious condition where the stomach twists on itself, potentially leading to obstruction and compromised blood flow. However, it is important to note that gastric volvulus is relatively rare in adults and often presents with more severe symptoms such as intense abdominal pain, vomiting, and inability to pass gas or stool.

Your doctor’s recommendation to start medication and follow up with another X-ray and blood tests is a prudent approach. Medications may include antacids, proton pump inhibitors, or medications to manage diarrhea, depending on the underlying cause. It’s also essential to monitor your symptoms closely. If you experience worsening pain, inability to eat or drink, or any signs of severe distress, you should seek immediate medical attention.

In terms of dietary and lifestyle factors, while your doctor indicated that your symptoms might not be directly related to your diet or routine, it’s still beneficial to maintain a balanced diet and stay hydrated. Avoiding foods that are known to irritate the stomach, such as spicy foods, caffeine, and alcohol, can help. Additionally, managing stress through relaxation techniques or counseling can also be beneficial, as stress can exacerbate gastrointestinal symptoms.

If your symptoms persist despite medication and dietary adjustments, further investigations may be warranted. This could include an endoscopy (gastroscopy) to visually inspect the stomach lining and check for any abnormalities such as ulcers, inflammation, or tumors. It’s essential to communicate openly with your healthcare provider about your concerns and any new symptoms that arise.

In summary, while the prospect of gastric volvulus can be alarming, it’s crucial to follow your doctor’s advice, take the prescribed medications, and monitor your symptoms closely. If you have any doubts or if your condition worsens, do not hesitate to seek further medical evaluation. Your health and peace of mind are paramount, and staying informed and proactive about your health is the best course of action.

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