Abnormal Bowel Movements: Causes and Concerns - Gastroenterology and Hepatology

Q: Abnormal Bowel Movements: Causes and Concerns

Hello： Stomach pain combined with diarrhea may indicate acute gastroenteritis. <br>If the condition does not improve, please consult a gastroenterologist. <br>Changhua Hospital cares about your health. <br>Dr. <br>Tsai An-Shun.

Bowel irregularity

About three to four days ago, I suddenly experienced severe stomach pain (the pain is located in the upper abdomen).
The stool I passed resembled the color of a soft drink, and it was unformed, similar to mud or water.
On the first day, I went to the bathroom at least 5 to 6 times within half a day.
In the following days, the frequency decreased somewhat, but my abdomen still feels slightly uncomfortable.
I noticed that after flushing the toilet, the water appeared oily! (I usually suffer from severe constipation and rely on enemas for bowel movements.
I am currently being treated with Baraclude for hepatitis B, which is stable, and I take medication for a herniated disc, including Chlorzoxazone, Baiyan tablets, and Tong'an tablets, once or twice a day.) What could be causing my condition? Thank you.

ken, 30~39 year old female. Ask Date: 2016/04/12

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: Stomach pain combined with diarrhea may indicate acute gastroenteritis.
If the condition does not improve, please consult a gastroenterologist.
Changhua Hospital cares about your health.
Dr.
Tsai An-Shun.

Reply Date: 2016/04/12

More Info

Understanding abnormal bowel movements can be complex, as they can arise from a variety of causes, including dietary factors, infections, gastrointestinal disorders, and even emotional stress. Based on your description, it seems you are experiencing significant changes in your bowel habits, including abdominal pain, watery and unformed stools, and unusual stool characteristics such as oily appearance. Let's break down these symptoms and explore potential causes and concerns.

Symptoms Overview
1. Abdominal Pain: The pain you describe, located in the upper abdomen, could be related to several gastrointestinal issues. It may indicate irritation or inflammation in the stomach or intestines, possibly due to an infection, dietary indiscretion, or a flare-up of a chronic condition.

2. Changes in Stool Consistency and Color: The watery, unformed stools suggest diarrhea, which can be caused by infections (viral, bacterial, or parasitic), food intolerances, or inflammatory bowel diseases. The mention of your stool resembling "维大力汽水" (a type of soda) and having an oily appearance is particularly concerning. Oily stools can indicate malabsorption, which occurs when the body does not adequately absorb nutrients from food. This can happen in conditions like pancreatitis, celiac disease, or infections affecting the intestines.

3. Increased Frequency: Having to run to the bathroom multiple times a day is a hallmark of diarrhea. This can lead to dehydration, especially if the diarrhea is severe or prolonged.

4. Underlying Conditions: You mentioned having a history of severe constipation and reliance on enemas, as well as treatment for hepatitis B. These factors can complicate your gastrointestinal health. Chronic constipation can lead to changes in bowel habits, and the use of laxatives or enemas can sometimes disrupt normal bowel function.

Potential Causes
1. Infections: Gastroenteritis, often caused by viral infections (like norovirus) or bacterial infections (like Salmonella or E. coli), can lead to sudden onset diarrhea and abdominal pain. If you have recently consumed contaminated food or water, this could be a possibility.

2. Dietary Factors: Changes in diet, such as increased fat intake or consumption of certain trigger foods, can lead to diarrhea and abdominal discomfort. If you have introduced new foods or increased your intake of fatty foods, this could explain your symptoms.

3. Malabsorption Syndromes: Conditions like celiac disease or pancreatic insufficiency can lead to oily stools due to the inability to absorb fats properly. Given your symptoms, it may be worth discussing these possibilities with your healthcare provider.

4. Medication Side Effects: The medications you are taking for hepatitis B and your back condition could potentially contribute to gastrointestinal side effects. Some medications can alter gut motility or lead to diarrhea.

Recommendations
1. Hydration: It is crucial to stay hydrated, especially if you are experiencing diarrhea. Consider oral rehydration solutions to replenish lost fluids and electrolytes.

2. Dietary Adjustments: Avoid fatty, greasy, or spicy foods that may exacerbate your symptoms. A bland diet (such as bananas, rice, applesauce, and toast) may help stabilize your bowel movements.

3. Medical Evaluation: Given the severity and duration of your symptoms, it is essential to consult with a healthcare provider. They may recommend stool tests to check for infections, blood tests to assess for malabsorption, or imaging studies if necessary.

4. Monitor Symptoms: Keep track of your symptoms, including any changes in bowel habits, abdominal pain, or the presence of blood in your stool. This information will be valuable for your healthcare provider.

Conclusion
Abnormal bowel movements can indicate a range of underlying issues, from infections to chronic conditions. Your symptoms warrant further evaluation to determine the exact cause and appropriate treatment. It is essential to communicate openly with your healthcare provider about your symptoms, medical history, and any medications you are taking to ensure a comprehensive approach to your care.

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