Digestive Issues: Symptoms and Solutions for Constipation

My stomach feels a bit strange?

I previously had a severe constipation issue, where I could only have a bowel movement about once a week during class.
I usually went to the bathroom late at night, around one to three in the morning, so I thought it might be because I was too tired to go.
When I saw the doctor, I mentioned that I noticed red stuff when wiping, but I didn't tell him that the red was attached to a yellowish stool with a transparent mucus.
Later, I researched online and found out that this might also be a symptom of a condition.
The doctor prescribed me some medication to soften my stool, as he diagnosed me with hemorrhoids.
I took that medication for two or three days and increased my vegetable intake, which resulted in more frequent bowel movements, allowing me to go once a day.
However, sometimes my stool was a bit soft, and other times it was like a mushy consistency.
After about two weeks, I stopped taking the medication because the doctor had given me a large container of over-the-counter medicine, but it was expensive, and I didn't want to rely on it.
Yesterday, I could only pass a few thin and short stools.
I started pressing on my abdomen to see what was going on, and I noticed a tubular structure about one to two inches above my navel; could that be my colon? Previously, when wiping, I also noticed a yellow, jelly-like substance, and the day before yesterday, I found a small amount of white, mucus-like substance at the beginning of my stool, about the size of a bean.
What exactly is wrong with me? Additionally, when I stand up, I feel pain when pressing about two to three inches below my xiphoid process.
Is this related to my gastrointestinal issues?

Feng Tongxue, 10~19 year old female. Ask Date: 2016/08/19

Dr. Ke Fangxu reply Surgery

Based on your description, it seems more like Irritable Bowel Syndrome (IBS).
I recommend starting with a light diet and maintaining a good daily routine.
If the symptoms persist without improvement, you may consult a physician for medication.
The band-like structure located about one to two inches above the navel is likely the round ligament of the liver, not the colon.
Upper abdominal pain is mostly related to liver, gallbladder, or gastric issues, so please have a specialist examine and evaluate you further.

Reply Date: 2016/08/19

More Info

Constipation is a common digestive issue that can significantly impact your quality of life. It is characterized by infrequent bowel movements, difficulty passing stool, or a feeling of incomplete evacuation. Your description indicates that you have experienced severe constipation, with bowel movements occurring only once a week, which is well below the normal frequency of three times a week to three times a day.
The symptoms you mentioned, such as seeing red on the toilet paper and the presence of mucus in your stool, can be concerning. The red color could indicate the presence of blood, which is often associated with hemorrhoids (as your doctor suggested) or anal fissures, especially if you have been straining during bowel movements. The yellowish, jelly-like mucus can be a sign of irritation in the intestines or could be related to dietary factors or infections.

The fact that you have been able to improve your bowel movements by increasing your fiber intake is a positive step. A high-fiber diet, which includes fruits, vegetables, whole grains, and legumes, can help soften the stool and promote regularity. However, it is essential to increase fiber gradually and ensure adequate hydration, as fiber works best when it absorbs water.

Regarding the soft or "mud-like" stools you mentioned, this can occur when there is a sudden increase in fiber intake or when the digestive system is adjusting. It is also possible that the medications you were taking to soften your stool may have contributed to this inconsistency. It is crucial to find a balance in your diet and possibly consult with a healthcare provider to determine the best approach for your situation.

The pain you feel when pressing below your ribcage could be related to several factors. It might be associated with your gastrointestinal tract, such as gas buildup, constipation, or even issues with the organs located in that area, such as the stomach or intestines. If the pain persists or worsens, it would be wise to seek further evaluation from a healthcare professional.

In summary, here are some recommendations to help manage your constipation and related symptoms:
1. Dietary Changes: Continue to consume a high-fiber diet, aiming for at least 25-30 grams of fiber daily. Incorporate a variety of fruits, vegetables, and whole grains.
2. Hydration: Drink plenty of water throughout the day. Aim for at least 8-10 cups of fluids daily, as hydration is crucial for softening stool.

3. Regular Exercise: Engage in regular physical activity, as exercise can help stimulate bowel movements.

4. Bowel Habits: Try to establish a regular time for bowel movements, ideally after meals when the digestive system is most active. Avoid straining and give yourself enough time in the bathroom.

5. Monitor Symptoms: Keep track of any changes in your bowel habits, the consistency of your stool, and any pain or discomfort. If you notice blood in your stool or persistent pain, seek medical attention promptly.

6. Consult a Specialist: If your symptoms persist despite dietary changes and lifestyle modifications, consider consulting a gastroenterologist. They can perform further evaluations, such as imaging studies or endoscopy, to rule out any underlying conditions.

7. Avoid Over-reliance on Laxatives: While laxatives can be helpful in the short term, relying on them long-term can lead to dependency and worsen constipation.

By addressing these factors, you can work towards improving your digestive health and alleviating your symptoms. Remember that it is essential to communicate openly with your healthcare provider about your symptoms and any concerns you may have.

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