Abnormal Stool Shapes: Is It Gastroenteritis or IBS? - Gastroenterology and Hepatology

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Abnormal stool shape?


Hello Doctor: Last week, after eating ice, I noticed that my stool was loose or mushy the next morning, and I experienced some bloating along with audible stomach sounds.
This has been going on for a week.
I visited a clinic, and the doctor diagnosed me with gastroenteritis.
After taking medication, my stool appeared formed on the fourth day, but the next day it returned to being loose.
I would like to ask if gastroenteritis is difficult to resolve? I do not have stomach pain, and I only have a bowel movement once in the morning.
The stool color is normal, and my diet is quite light.
Could it be possible that I have irritable bowel syndrome?

James, 10~19 year old female. Ask Date: 2016/08/31

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: The damage to the intestinal mucosa caused by gastroenteritis requires a period of time for repair, which varies depending on the individual and the condition.
It is recommended to maintain a light diet during this recovery period.
Additionally, irritable bowel syndrome (IBS) is characterized by periodic and recurrent symptoms; if the symptoms are only temporary, it cannot be definitively diagnosed as IBS.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2016/08/31

More Info


Based on your description, it seems you are experiencing a combination of gastrointestinal symptoms that could be indicative of either gastroenteritis or irritable bowel syndrome (IBS). Let's break down the symptoms and possible causes.

Gastroenteritis, often referred to as a stomach virus, is characterized by inflammation of the stomach and intestines. It can lead to symptoms such as diarrhea, vomiting, abdominal cramps, and sometimes fever. In your case, the fact that you experienced loose or mushy stools after eating ice cream could suggest a reaction to something in that food, especially if it was rich or contained dairy, which can be difficult for some people to digest. Gastroenteritis typically resolves within a few days to a week, but it can linger if the underlying cause is not addressed or if there is a sensitivity to certain foods.

On the other hand, IBS is a chronic condition that affects the large intestine and can cause symptoms such as abdominal pain, bloating, gas, and changes in bowel habits, including diarrhea and constipation. IBS can be triggered by various factors, including stress, dietary changes, and certain foods. The fact that your stool has varied in consistency, sometimes being formed and other times loose, aligns with the symptoms of IBS. Additionally, the presence of abdominal sounds and bloating can also be associated with this condition.

Given that you have been experiencing these symptoms for a week, it is essential to consider a few factors:
1. Dietary Triggers: Since you mentioned eating ice cream, consider whether you might have lactose intolerance or sensitivity to certain ingredients. Dairy products can cause digestive issues in some individuals, leading to symptoms similar to those of gastroenteritis or IBS.

2. Hydration and Rest: Ensure you are staying hydrated, especially if you are experiencing diarrhea. Dehydration can exacerbate gastrointestinal symptoms. Rest is also crucial for recovery.

3. Monitoring Symptoms: Keep track of your symptoms, including the frequency and consistency of your stools, any accompanying symptoms (like fever or vomiting), and any dietary changes. This information can be helpful for your healthcare provider.

4. Consulting a Healthcare Provider: If your symptoms persist beyond a week, worsen, or if you experience additional symptoms such as significant weight loss, blood in your stool, or severe abdominal pain, it is essential to seek medical attention. A healthcare provider may recommend tests to rule out infections, inflammatory bowel disease, or other gastrointestinal disorders.

5. Potential for IBS: If gastroenteritis is ruled out and your symptoms continue, it may be worthwhile to discuss the possibility of IBS with your doctor. They can provide guidance on dietary modifications, stress management techniques, and possibly medications that can help manage your symptoms.

In summary, while gastroenteritis can resolve relatively quickly, IBS is a chronic condition that may require ongoing management. Given your symptoms, it is advisable to monitor your condition closely and consult with a healthcare professional for a thorough evaluation and personalized treatment plan.

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