Your Mother's Symptoms: Is It Gastroenteritis or Something More? - Surgery

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What are the symptoms that mom is experiencing?


My mother is in her 50s and has been experiencing diarrhea for a week.
After each bowel movement, she feels the urge to go again, and she has a feeling of discomfort and pain in her abdomen.
She mentioned that she hasn't eaten any unsanitary food; she has only been drinking beverages from convenience stores due to the hot weather, not from bubble tea shops.
A few days ago, she visited a doctor who suggested that she might have gastroenteritis or an allergy.
After taking medication, her watery stools have changed to softer stools, but she remains very anxious, fearing that there might be something wrong.
However, she is also afraid to undergo a colonoscopy.
I would like to ask if this situation is likely gastroenteritis or if there could be something more serious in her gastrointestinal tract?

Chelsea, 20~29 year old female. Ask Date: 2016/05/13

Dr. Ke Fangxu reply Surgery


If it is gastroenteritis, symptoms should improve within a week after medication.
However, if there are still intermittent changes in bowel habits after more than a week, it is advisable to undergo a colonoscopy.
If there is concern about pain during the procedure, there is also the option of a painless colonoscopy.

Reply Date: 2016/05/13

More Info


Your mother's symptoms of persistent diarrhea and abdominal discomfort for over a week are concerning and warrant careful consideration. Given her age and the duration of her symptoms, it's essential to differentiate between gastroenteritis and other potential gastrointestinal issues.

Gastroenteritis, commonly known as stomach flu, is often caused by viral or bacterial infections and can lead to symptoms such as diarrhea, abdominal pain, nausea, and vomiting. In your mother's case, the fact that she has been experiencing diarrhea for a week, along with a feeling of incomplete evacuation, suggests that she may indeed be suffering from gastroenteritis. The transition from watery diarrhea to softer stools indicates that her condition might be improving, but the persistence of symptoms is unusual and should not be overlooked.

It's also important to consider other potential causes of her symptoms. For instance, food intolerances, allergies, or even stress can lead to gastrointestinal disturbances. Since your mother mentioned drinking beverages from convenience stores, it's possible that she may have consumed something that didn't agree with her, even if she believes the food was safe. Additionally, the hot weather can sometimes exacerbate gastrointestinal issues, especially if hydration is not adequate.

Your mother's anxiety about the possibility of a more serious condition, such as a tumor or other abnormalities in the gastrointestinal tract, is understandable, especially given her age and family history. While gastroenteritis is a common cause of such symptoms, other conditions, including inflammatory bowel disease (IBD), irritable bowel syndrome (IBS), or even malignancies, could present similarly.
The recommendation from her doctor to consider a colonoscopy is prudent, especially since her symptoms have persisted beyond the typical duration for gastroenteritis. A colonoscopy can help rule out serious conditions such as colorectal cancer, polyps, or inflammatory bowel diseases. If she is apprehensive about the procedure, it's worth discussing options for sedation or even non-invasive alternatives that may provide some reassurance.

In summary, while your mother's symptoms could indeed be indicative of gastroenteritis, the duration and her anxiety about potential underlying issues suggest that further evaluation is warranted. Encouraging her to follow up with her healthcare provider for a thorough assessment, including possibly a colonoscopy, would be a wise course of action. Additionally, maintaining hydration and monitoring her diet for any triggers can help manage her symptoms in the meantime. It's crucial to address both her physical health and her mental well-being during this time, as anxiety can exacerbate gastrointestinal symptoms.

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