Is it gastroenteritis or a colorectal disease?
Hello, doctor.
In the past week or two, I have been consuming a lot of carbonated drinks, drinking little water, eating few fruits and vegetables, and frequently eating out (fast food, sashimi, etc.).
After experiencing diarrhea last week, I started having persistent stomach pain and bloating for several days.
I then began to eat a lighter diet.
In the past two days, I have been feeling bloating in the upper abdomen (about five fingers above the navel), and pressing on that area causes pain.
I have a frequent urge to use the restroom, but I only pass a small amount of light yellow soft stool.
Now, I almost feel the urge to have a bowel movement all day, but I can't seem to pass anything when I squat on the toilet.
I have never had this kind of trouble with bowel movements before.
Could you please tell me if I have gastroenteritis or some other gastrointestinal disease?
Gǎndào hàipà de qīngnián, 20~29 year old female. Ask Date: 2016/09/09
Dr. Chen Shidian reply Gastroenterology and Hepatology
Sir, you have significant gastrointestinal motility disorders.
Please maintain regular meal times and portion sizes, and take a walk after meals.
If necessary, consider visiting a gastroenterology clinic for further evaluation.
Changhua Hospital cares about your health.
Chen Shidian
Reply Date: 2016/09/09
More Info
Based on your symptoms and dietary habits, it seems you may be experiencing gastrointestinal distress that could be attributed to a combination of factors, including your recent dietary choices and possible underlying gastrointestinal issues.
Firstly, the frequent consumption of carbonated beverages, along with a low intake of water and vegetables, can lead to dehydration and constipation. Carbonated drinks can cause bloating and discomfort due to the gas they contain, which may explain the abdominal pain and pressure you're feeling. Additionally, a diet high in processed foods and low in fiber can disrupt normal bowel function, leading to irregularities in your bowel movements, such as the soft stools you described.
Your symptoms of abdominal pain, particularly in the upper abdomen, along with a feeling of fullness and the urge to defecate without producing much stool, could indicate a few possibilities. One potential issue is gastroenteritis, which is an inflammation of the stomach and intestines often caused by viral or bacterial infections. Symptoms typically include diarrhea, vomiting, abdominal cramps, and sometimes fever. However, your description of ongoing abdominal pain and the specific location of the discomfort may suggest that this is not solely gastroenteritis, especially since you mentioned a prolonged period of gastrointestinal distress.
Another possibility is irritable bowel syndrome (IBS), a functional gastrointestinal disorder characterized by symptoms such as abdominal pain, bloating, and changes in bowel habits (diarrhea and/or constipation). IBS can be triggered by dietary changes, stress, and other factors. Given your recent dietary habits and the stress of experiencing these symptoms, IBS could be a likely consideration.
Additionally, the presence of soft, yellowish stools and the feeling of incomplete evacuation could also suggest a gallbladder issue or pancreatitis, especially if the pain is severe and persistent. These conditions can be exacerbated by a diet high in fats and low in fiber, which is common with fast food and processed meals.
To differentiate between these conditions, it is crucial to seek medical evaluation. A healthcare provider may recommend several diagnostic tests, including:
1. Stool Tests: To check for infections, parasites, or blood in the stool.
2. Blood Tests: To assess for signs of infection, inflammation, or liver function.
3. Abdominal Ultrasound: To evaluate the gallbladder and other abdominal organs for abnormalities.
4. Endoscopy: If symptoms persist, an upper endoscopy may be warranted to visualize the stomach and duodenum.
In the meantime, consider making some dietary adjustments. Increasing your water intake and incorporating more fiber-rich foods such as fruits, vegetables, and whole grains can help regulate your bowel movements and alleviate some of the bloating and discomfort. Avoiding carbonated beverages and processed foods may also be beneficial.
Lastly, managing stress through relaxation techniques or counseling may help alleviate some gastrointestinal symptoms, as stress can significantly impact gut health.
In conclusion, while your symptoms could suggest either gastroenteritis or a more chronic condition like IBS, it is essential to consult a healthcare professional for a thorough evaluation and appropriate management. Early intervention can help prevent complications and improve your overall gastrointestinal health.
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