Digestive Issues: Causes of Abdominal Discomfort and Irregular Bowel Movements

Q: Digestive Issues: Causes of Abdominal Discomfort and Irregular Bowel Movements

Hello： Please pay attention to whether there are signs of retained stool or constipation. <br>If it is related to the menstrual cycle, it may be discomfort caused by the menstrual cycle. <br>You can supplement with fluids and fruits and vegetables. <br>If there is no improvement,

Bowel issues

Hello doctor, I am a ninth-grade student.
Recently, my bowel movements have been loose.
Some are formed but float on the water, while others start floating and then sink before breaking apart.
Some come out as small lumps (very soft, like mud but shaped).
The color is mostly yellow-brown (some are broken apart).
I have a bowel movement every morning, but during these recent times, I feel like I can't fully empty my bowels (but I don't feel the urge to sit on the toilet).
I also need to sit for a while before I can pass it.
For the past few days, I've had some discomfort in my lower abdomen (not very painful), more like a dull ache (similar to menstrual cramps) (sometimes I feel the urge to go, sometimes I don't).
Sometimes, passing gas (which has no strong odor) relieves the discomfort, but other times, even after passing gas, I still feel the need to go.
Previously, I noticed blood when wiping after a bowel movement, but after drinking more water these past few days, that situation has improved.
I often feel discomfort in my lower abdomen.
What could be the cause of the lower abdominal pain? Thank you very much.

Niming, 10~19 year old female. Ask Date: 2016/10/01

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: Please pay attention to whether there are signs of retained stool or constipation.
If it is related to the menstrual cycle, it may be discomfort caused by the menstrual cycle.
You can supplement with fluids and fruits and vegetables.
If there is no improvement, you may consult a gastroenterologist.
If it is related to the menstrual cycle, please consult an obstetrician-gynecologist.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2016/10/01

More Info

Based on your description, it seems that you are experiencing a range of digestive issues, including irregular bowel movements, abdominal discomfort, and some pain in the lower abdomen. These symptoms can be indicative of several underlying conditions, and it’s important to approach them with a comprehensive understanding.

Firstly, the irregularity in your bowel movements, where you describe stools that are sometimes well-formed and other times loose or soft, can be attributed to a condition known as Irritable Bowel Syndrome (IBS). IBS is a common gastrointestinal disorder characterized by symptoms such as abdominal pain, bloating, and changes in bowel habits, which can include diarrhea, constipation, or alternating between the two. The fact that you sometimes feel like you cannot fully empty your bowels is also a common complaint among those with IBS.

The abdominal discomfort you mentioned, described as a dull, cramp-like pain that can feel similar to menstrual cramps, can also be associated with IBS. This discomfort often arises from the contractions of the intestines as they move food through the digestive tract. Additionally, the sensation of needing to pass gas or feeling bloated after eating can further contribute to the discomfort.

The presence of mucus in your stool, which you mentioned previously, can also be a sign of irritation in the intestines. Mucus is a normal component of stool, but an increase in mucus production can indicate inflammation or irritation in the bowel, which can occur in conditions like IBS or even infections.

You also noted that you previously experienced blood in your stool, which is a concerning symptom. While you mentioned that this has improved with increased water intake, it’s crucial to monitor any recurrence of this symptom. Blood in the stool can be caused by several factors, including hemorrhoids, anal fissures, or more serious conditions such as inflammatory bowel disease (IBD) or colorectal cancer, especially given your family history of colorectal cancer.
The lower abdominal pain you are experiencing could be related to several factors, including gas buildup, constipation, or even the effects of stress and anxiety, which can exacerbate IBS symptoms. It’s also worth noting that lifestyle factors, such as diet and hydration, play a significant role in digestive health. A diet low in fiber can lead to constipation and irregular bowel movements, while a high-fiber diet can help regulate bowel function.

Given your symptoms and their potential implications, it is advisable to consult a healthcare professional for a thorough evaluation. This may include a physical examination, a review of your medical history, and possibly diagnostic tests such as a colonoscopy, especially considering your family history of colorectal cancer.
In the meantime, here are some general recommendations that may help alleviate your symptoms:
1. Dietary Adjustments: Increase your intake of fiber-rich foods, such as fruits, vegetables, whole grains, and legumes. Fiber can help regulate bowel movements and improve overall digestive health.

2. Hydration: Ensure you are drinking plenty of water throughout the day, as adequate hydration is essential for healthy digestion.

3. Regular Exercise: Engage in regular physical activity, which can help stimulate bowel function and reduce stress.

4. Stress Management: Since stress can exacerbate digestive issues, consider incorporating relaxation techniques such as yoga, meditation, or deep-breathing exercises into your routine.

5. Monitor Symptoms: Keep a diary of your symptoms, dietary habits, and any triggers you notice. This information can be valuable for your healthcare provider in diagnosing and managing your condition.

In summary, while your symptoms may suggest a common condition like IBS, it is essential to seek medical advice to rule out any serious underlying issues, especially given your family history. Early intervention can lead to better management of your symptoms and overall digestive health.

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