Bowel Issues: When to Seek Medical Advice - Gastroenterology and Hepatology

Q: Bowel Issues: When to Seek Medical Advice

Hello： Start by improving your diet, paying attention to your intake of fruits and vegetables, as well as hydration. <br>If the situation does not improve, you may consult a gastroenterologist for an initial examination, including a routine stool test to check for any abnormaliti

Bowel issues

I have noticed that for over a month, my bowel movements have decreased in frequency, become thinner, and softer.
I visited a doctor in early March, who diagnosed me with a gastrointestinal virus.
However, since then, my bowel habits have not returned to normal; sometimes I experience constipation, and other times I have diarrhea.
I tend to drink less water, and recently, due to the stress of my internship, I have been having bowel movements only every two to three days.
My intestines feel quite stubborn, and there is no blood in my stool, which is a clay-yellow color.
There is no family history of colorectal cancer.
Should I see a doctor about this?

Ms. Wu, 20~29 year old female. Ask Date: 2016/04/10

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: Start by improving your diet, paying attention to your intake of fruits and vegetables, as well as hydration.
If the situation does not improve, you may consult a gastroenterologist for an initial examination, including a routine stool test to check for any abnormalities.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2016/04/10

More Info

When it comes to bowel issues, understanding when to seek medical advice is crucial for maintaining gastrointestinal health. Based on your description, it sounds like you've been experiencing a range of symptoms, including changes in bowel habits, such as decreased frequency, thinner stools, occasional constipation, and diarrhea. These symptoms can be concerning, especially when they persist over a month, and it's wise to consider consulting a healthcare professional.

Firstly, let's break down your symptoms. The fact that your bowel movements have become less frequent and softer, coupled with episodes of constipation and diarrhea, suggests a potential disruption in your gastrointestinal function. While your doctor initially diagnosed you with a gastrointestinal virus, the ongoing nature of your symptoms warrants further investigation. It's important to note that gastrointestinal symptoms can arise from various causes, including infections, dietary changes, stress, and even underlying conditions such as irritable bowel syndrome (IBS) or inflammatory bowel disease (IBD).

Given that you mentioned increased stress due to your internship, it's worth considering the impact of stress on your digestive health. Stress can significantly affect gut motility and function, leading to symptoms like constipation or diarrhea. Additionally, you noted that you drink less water, which can contribute to constipation and harder stools. Hydration is essential for maintaining healthy bowel function, so increasing your fluid intake could be beneficial.

While you do not have a family history of colorectal cancer, which is reassuring, it is still essential to monitor your symptoms closely. The absence of blood in your stools is a positive sign, but any persistent changes in bowel habits, especially those lasting more than a few weeks, should be evaluated by a healthcare provider. They may recommend tests such as stool analysis, blood tests, or imaging studies to rule out any underlying conditions.

In summary, given the duration and variability of your symptoms, it would be prudent to seek medical advice. A healthcare professional can provide a thorough evaluation, help identify any underlying issues, and recommend appropriate treatment options. Early intervention can often lead to better outcomes and help alleviate any discomfort you may be experiencing. Remember, it's always better to err on the side of caution when it comes to your health, especially with gastrointestinal issues that can significantly impact your quality of life.

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