Is It a Stomach or Intestinal Issue? Gastrointestinal Discomfort - Gastroenterology and Hepatology

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I'm not sure if it's a stomach issue or an intestinal issue?


Hello doctor, last Sunday night I had a late-night snack (fried food) along with milk.
Later that night, I felt some discomfort in my stomach, and I ended up vomiting.
After two days, I felt some gastrointestinal discomfort and had watery stools.
I went to see a doctor, and the initial diagnosis was gastritis, as I felt a heaviness in my stomach.
After taking medication for a few days, I didn’t notice much improvement.
During these days, I have mostly had soft stools, and they are not very long.
On some days, I also noticed food remnants in my stool, which made me feel like I wasn’t digesting properly.
I can go to the bathroom 3-4 times a day, but sometimes I feel the urge to go, and when I get to the bathroom, nothing comes out.
I haven’t felt nauseous, but at night when I’m about to sleep, I can feel my stomach churning.
Sometimes my stomach makes noises, but I don’t feel too uncomfortable; it just feels odd.
I did some research and it seems like it could be chronic gastritis, but I’m not sure if it’s a stomach issue or an intestinal issue.

Xiao Ke, 20~29 year old female. Ask Date: 2016/03/27

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: The possibility of simultaneously having gastritis and rapid intestinal motility is quite high.
If the symptoms do not improve, it is recommended to consult a gastroenterologist to adjust the medication.
If necessary, undergo an endoscopy and stool examination.
Changhua Hospital cares about your health.
Dr.
Tsai An-Shun.

Reply Date: 2016/03/27

More Info


It sounds like you're experiencing a complex set of gastrointestinal symptoms that can be quite distressing. Based on your description, it seems that you may be dealing with a combination of gastric and intestinal issues, possibly exacerbated by dietary choices and stress on your digestive system.

Firstly, the symptoms you describe—such as feeling discomfort in your stomach after eating fried food and milk, experiencing nausea, and subsequently vomiting—suggest that your stomach may be reacting negatively to certain foods. Fried foods can be particularly hard on the stomach, especially if consumed in large quantities or in combination with dairy, which can be difficult to digest for some individuals. The fact that you vomited after eating could indicate that your stomach was overwhelmed and unable to process the food properly.

Following this, your experience of soft stools and the presence of undigested food particles in your stool could point towards a few potential issues. One possibility is that your body is not adequately digesting food, which can happen if there is an underlying issue with your digestive enzymes or if your gastrointestinal tract is inflamed. This could be consistent with gastritis, which is inflammation of the stomach lining, and can lead to symptoms such as bloating, discomfort, and changes in bowel habits.

The increased frequency of your bowel movements (3-4 times a day) and the presence of watery stools suggest that you may also be experiencing some form of gastrointestinal upset, possibly acute gastroenteritis, which can be caused by infections, food intolerances, or even stress. Chronic conditions like Irritable Bowel Syndrome (IBS) could also be a consideration, especially if you have a history of gastrointestinal issues.

The sensation of your stomach "gurgling" or "churning" at night, along with the feeling of your stomach being in motion, is often associated with increased intestinal activity, which can be a sign of irritation or inflammation in the gastrointestinal tract. This could be due to dietary choices, such as consuming spicy or greasy foods, or it could be a response to stress or anxiety.

Given your symptoms and their persistence, it would be prudent to consult with a gastroenterologist for a thorough evaluation. They may recommend further diagnostic tests, such as blood tests, stool tests, or imaging studies, to rule out any serious conditions and to better understand the underlying cause of your symptoms.
In the meantime, consider keeping a food diary to track what you eat and how it affects your symptoms. This can help identify any specific triggers that may be contributing to your discomfort. Additionally, adopting a bland diet that avoids spicy, greasy, or dairy-heavy foods may help alleviate some of your symptoms.

In summary, your symptoms could be indicative of both gastric and intestinal issues, potentially influenced by your recent dietary choices. A comprehensive evaluation by a healthcare professional is essential to determine the exact cause and to develop an appropriate treatment plan. Remember to stay hydrated, especially if you are experiencing diarrhea, and seek medical attention if your symptoms worsen or do not improve.

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