Changes in Bowel Habits: Gastrointestinal Issues - Surgery

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Changes in bowel habits


Hello, doctor.
Recently, I've noticed that my bowel habits have changed.
My bowel movements have decreased in frequency and the caliber of my stools has become smaller.
I used to have a bowel movement once a day, but now it sometimes takes two days.
I recently went to an all-you-can-eat barbecue restaurant, and after eating there, I didn't have a bowel movement the next day.
I also did intense abdominal exercises that day, and the following day I felt pain in my lower abdomen.
My stools have been watery, and after taking Japanese Wakara gastrointestinal tablets, I started experiencing these symptoms, which have persisted for about a week.
Could there be a problem with my gastrointestinal system? Is there a way to improve this situation?

Cai Xiansheng, 20~29 year old female. Ask Date: 2016/03/31

Dr. Ke Fangxu reply Surgery


Based on your description, it seems to be typical gastrointestinal symptoms.
It is recommended to start with a light diet and maintain a good daily routine.
Increasing your intake of dietary fiber may also be beneficial.
If the symptoms persist without improvement, you can consult a physician for medication.
If there is still no improvement or if you are very concerned, a colonoscopy can be arranged.

Reply Date: 2016/03/31

More Info


Changes in bowel habits can often indicate underlying gastrointestinal issues, and your recent experiences suggest that you may be dealing with a combination of factors affecting your digestive health. Let's break down your symptoms and explore potential causes and solutions.

Firstly, you mentioned a change in your bowel habits, specifically a decrease in the frequency of your bowel movements, smaller stool caliber, and the occurrence of watery stools. These changes can be attributed to several factors, including dietary habits, physical activity levels, and stress.
1. Dietary Factors: You noted that you recently indulged in an all-you-can-eat barbecue. Such meals can be high in fat and protein, which may lead to digestive discomfort, especially if your body is not accustomed to processing large amounts of these foods. Additionally, if your diet lacks sufficient fiber, it can lead to constipation, which may explain the smaller stool caliber and reduced frequency. Fiber is crucial for promoting regular bowel movements and maintaining stool consistency.

2. Physical Activity: Engaging in intense abdominal exercises can sometimes lead to temporary gastrointestinal disturbances. While exercise is generally beneficial for digestion, excessive or unfamiliar physical activity can cause abdominal discomfort or changes in bowel habits. It’s essential to balance exercise with adequate recovery and hydration.

3. Hydration: Water intake plays a significant role in digestion. If you are not drinking enough fluids, it can lead to harder stools and constipation. Conversely, if you are experiencing diarrhea, it is crucial to replenish lost fluids and electrolytes.

4. Stress and Anxiety: Psychological factors can significantly impact gastrointestinal function. If you are experiencing stress or anxiety, it can lead to changes in bowel habits, including constipation or diarrhea. This is often referred to as "nervous stomach" or irritable bowel syndrome (IBS), which can manifest as alternating episodes of constipation and diarrhea.

5. Medications: You mentioned taking a Japanese gastrointestinal medication. While such medications can help alleviate symptoms, they can also cause side effects, including changes in bowel habits. It’s essential to monitor how your body responds to any medication and consult with a healthcare provider if symptoms persist.


Recommendations for Improvement:
1. Dietary Adjustments: Focus on a balanced diet rich in fiber, including fruits, vegetables, whole grains, and legumes. This can help regulate bowel movements and improve stool consistency. Avoid excessive intake of fatty or processed foods, especially after a heavy meal.

2. Hydration: Ensure you are drinking enough water throughout the day. Aim for at least 8-10 cups of water daily, and more if you are active or experiencing diarrhea.

3. Regular Exercise: Incorporate moderate physical activity into your routine, such as walking or light aerobic exercises, which can help stimulate digestion and promote regular bowel movements.

4. Stress Management: Practice relaxation techniques such as deep breathing, yoga, or meditation to help manage stress levels, which can positively impact your gastrointestinal health.

5. Monitor Symptoms: Keep a diary of your food intake, bowel habits, and any symptoms you experience. This can help identify triggers and patterns that may be contributing to your gastrointestinal issues.

6. Consult a Healthcare Provider: If your symptoms persist or worsen, it’s essential to seek medical advice. A healthcare provider can perform a thorough evaluation, including potential tests or imaging, to rule out any underlying conditions.

In summary, changes in bowel habits can be multifactorial, and addressing dietary, lifestyle, and psychological factors can significantly improve your gastrointestinal health. If you continue to experience issues, do not hesitate to consult with a healthcare professional for personalized advice and treatment options.

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