Abdominal Pain and Unusual Bowel Symptoms - Gastroenterology and Hepatology

Abdominal pain with unusual bowel movements?

Sometimes when wiping after a bowel movement, I notice a white, slippery, and sticky substance.
This phenomenon has been ongoing for quite some time (not constantly, but it has persisted for about a year).
Last Wednesday, after dinner, I immediately experienced abdominal pain, but there was no bowel movement.
Later, I went to play basketball.
On Thursday night, I also inexplicably had abdominal pain.
This morning, I woke up due to stomach pain and found a puddle of water in my underwear.
Initially, what came out was a murky puddle of water, followed by intermittent abdominal pain and a feeling of constipation.
After a while, I had a successful but wet bowel movement with small stools (still experiencing abdominal pain).
Doctor, what is happening to my body? Thank you, doctor~~~

Li Xiaojie, 10~19 year old female. Ask Date: 2016/04/23

Dr. Chen Shidian reply Gastroenterology and Hepatology

Hello, it seems you have abnormal peristalsis (Irritable Bowel Syndrome).
Please reduce your intake of oil and dairy, and maintain regular meal times and portion sizes.
If you continue to have issues, you may visit the gastroenterology clinic for further evaluation.
Changhua Hospital cares about your health.
- Chen Shidian

Reply Date: 2016/04/23

More Info

Abdominal pain and unusual bowel symptoms can be concerning and often indicate underlying gastrointestinal issues. Based on your description, it seems you are experiencing a combination of abdominal pain, changes in bowel habits, and the presence of mucus in your stool. Let's break down these symptoms and explore potential causes and solutions.

Possible Causes of Your Symptoms
1. Irritable Bowel Syndrome (IBS): Given your history of abdominal pain and changes in bowel habits, IBS could be a likely cause. IBS is a functional gastrointestinal disorder characterized by symptoms such as abdominal pain, bloating, and altered bowel habits (diarrhea, constipation, or alternating between both). Stress and anxiety can exacerbate IBS symptoms, and it often requires a multifaceted approach to management, including dietary changes, stress management, and sometimes medication.

2. Mucus in Stool: The presence of mucus in your stool can be a normal occurrence, but if it is persistent, it may indicate an underlying issue. Conditions such as IBS, inflammatory bowel disease (IBD), or infections can lead to increased mucus production. In IBD, for example, the intestines become inflamed, which can result in mucus and other symptoms like diarrhea and abdominal pain.

3. Gastroenteritis: The sudden onset of abdominal pain after eating, followed by diarrhea, could suggest gastroenteritis, which is an inflammation of the stomach and intestines often caused by viral or bacterial infections. This condition typically resolves on its own but requires hydration and rest.

4. Constipation: Your mention of experiencing constipation and the sensation of incomplete bowel movements can contribute to abdominal pain. When stool builds up in the intestines, it can lead to discomfort and changes in bowel habits.
5. Food Intolerances or Allergies: Sometimes, specific foods can trigger gastrointestinal symptoms. Keeping a food diary to track what you eat and any subsequent symptoms can help identify potential triggers.

6. Anxiety and Stress: As you noted, you are prone to anxiety, which can significantly impact gastrointestinal function. Stress can lead to increased gut sensitivity and exacerbate symptoms of IBS or other gastrointestinal disorders.

Recommendations for Management
1. Dietary Modifications: Consider adopting a low-FODMAP diet, which has been shown to help many individuals with IBS. This diet involves reducing certain fermentable carbohydrates that can cause bloating and discomfort. Keeping a food diary can help identify any specific foods that trigger your symptoms.

2. Hydration: Ensure you are drinking plenty of fluids, especially if you experience diarrhea. Dehydration can worsen abdominal pain and lead to further complications.

3. Stress Management: Engage in stress-reducing activities such as yoga, meditation, or regular exercise. These practices can help alleviate anxiety and improve gastrointestinal symptoms.

4. Consult a Gastroenterologist: Given the persistence of your symptoms, it would be wise to consult a gastroenterologist. They may recommend further testing, such as a colonoscopy or stool tests, to rule out conditions like IBD or infections.

5. Medications: Depending on the diagnosis, medications such as antispasmodics, laxatives, or anti-diarrheal agents may be prescribed to manage your symptoms effectively.

6. Follow-Up: Regular follow-ups with your healthcare provider are essential to monitor your symptoms and adjust your treatment plan as necessary.

Conclusion
Your symptoms of abdominal pain, changes in bowel habits, and the presence of mucus in your stool warrant a thorough evaluation. While conditions like IBS and gastroenteritis are common, it is crucial to rule out more serious gastrointestinal disorders. By adopting dietary changes, managing stress, and seeking professional medical advice, you can work towards alleviating your symptoms and improving your overall gastrointestinal health. Remember, it’s essential to listen to your body and seek help when symptoms persist or worsen.

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