Abdominal Pain: Possible Gastrointestinal Issues in College Students - Gastroenterology and Hepatology

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Abdominal pain related to intestinal issues?


Hello Doctor, I would like to ask you: My bowel movements are generally normal (once a day, at least once every two days), and most of the time my stools are well-formed, although sometimes they can be loose like diarrhea.
I frequently experience flatulence and belching.
I have always been underweight, my appetite is normal, but my eating schedule is irregular and I often consume fast food like McDonald's.
However, I experience abdominal pain (not in the stomach) about two to three times a week, and this has been ongoing for some time.
I am currently a college student and would like to know what kind of condition this might indicate.
Thank you!

277, 20~29 year old female. Ask Date: 2016/09/21

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: There may not necessarily be any disease, but it is advisable to pay attention to dietary and lifestyle adjustments.
If necessary, consult a gastroenterologist.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2016/09/21

More Info


Abdominal pain in college students can be a common issue, often linked to various gastrointestinal problems. Based on your description, it seems you are experiencing intermittent abdominal pain, occasional changes in stool consistency, and symptoms like excessive gas and belching. These symptoms can be indicative of several underlying conditions, and understanding them can help you manage your discomfort more effectively.

Firstly, the fact that you have normal bowel movements most of the time, with occasional loose stools, suggests that you may be experiencing functional gastrointestinal disorders. One common condition that fits this profile is Irritable Bowel Syndrome (IBS). IBS is characterized by abdominal pain and changes in bowel habits, which can include diarrhea, constipation, or alternating between the two. Stress, dietary choices, and irregular eating patterns can exacerbate IBS symptoms. Given that you mentioned consuming fast food regularly and having an irregular eating schedule, these factors could contribute to your gastrointestinal discomfort.

Another possibility is that your symptoms could be related to dietary intolerances or sensitivities. For instance, lactose intolerance can lead to gas, bloating, and diarrhea after consuming dairy products. Similarly, gluten sensitivity can cause similar gastrointestinal symptoms. If you notice that your symptoms worsen after consuming certain foods, it may be worth keeping a food diary to identify potential triggers.

Additionally, the presence of excessive gas and belching can indicate that your digestive system is struggling to break down certain foods, which can lead to fermentation in the gut and the production of gas. This can be exacerbated by eating quickly, consuming carbonated beverages, or eating high-fiber foods without adequate hydration.

To manage your symptoms effectively, consider the following recommendations:
1. Regular Eating Schedule: Try to establish a consistent eating routine. Eating at regular intervals can help regulate your digestive system and reduce the likelihood of discomfort.

2. Balanced Diet: Aim for a balanced diet rich in fruits, vegetables, whole grains, and lean proteins. Reducing your intake of fast food and processed foods can significantly improve your gastrointestinal health.

3. Stay Hydrated: Drink plenty of water throughout the day, especially if you are increasing your fiber intake. Proper hydration is essential for healthy digestion.

4. Mindful Eating: Practice mindful eating by slowing down during meals, chewing your food thoroughly, and avoiding distractions. This can help reduce the amount of air you swallow, which may decrease gas and bloating.

5. Identify Triggers: Keep a food diary to track what you eat and any symptoms that arise. This can help you identify specific foods that may be causing your discomfort.

6. Stress Management: Since stress can significantly impact gastrointestinal health, consider incorporating stress-reducing activities into your routine, such as exercise, meditation, or yoga.

7. Consult a Healthcare Professional: If your symptoms persist or worsen, it is essential to consult a healthcare professional. They may recommend further evaluation, such as blood tests, stool tests, or imaging studies, to rule out any serious underlying conditions.

In conclusion, while your symptoms may be indicative of functional gastrointestinal issues, lifestyle and dietary modifications can often lead to significant improvements. However, it is crucial to seek medical advice if you experience severe pain, significant changes in bowel habits, or any alarming symptoms, such as weight loss or blood in your stool. Taking proactive steps to understand and manage your gastrointestinal health can lead to a better quality of life during your college years and beyond.

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