Gastrointestinal Issues: A Teen's Experience with Stomach Problems - Gastroenterology and Hepatology

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Gastric issues?


Hello, I am a high school freshman.
In the second year of middle school, I had gastroenteritis, which has led to my current gastrointestinal issues.
I feel discomfort when pressing on the lower left side of my abdomen, and sometimes when I laugh, I feel like vomiting.
I often experience bloating and diarrhea.
I usually eat dinner at 8 PM, but I have regular meal times for breakfast and lunch.

Yi, 10~19 year old female. Ask Date: 2016/10/16

Dr. Lin Minghui reply Gastroenterology and Hepatology


Frequent discomfort in the lower left abdomen, bloating, and diarrhea may indicate indigestion, irritable bowel syndrome, or post-gastroenteritis changes in bowel function.
It is important to pay attention to gastrointestinal care by avoiding greasy and irritating foods, and practicing slow and thorough chewing to reduce the chances of abdominal pain and bloating.
If symptoms persist, along with weight loss and abdominal pain, it is advisable to seek outpatient follow-up.

Reply Date: 2016/10/16

More Info


Gastrointestinal issues are quite common among teenagers and young adults, often stemming from a combination of dietary habits, lifestyle choices, and stress. Your experience with stomach problems, particularly after having gastroenteritis, is not unusual. Gastroenteritis can disrupt the normal functioning of the gastrointestinal (GI) tract, leading to lingering symptoms such as discomfort, bloating, and changes in bowel habits.

From your description, it seems you are experiencing discomfort in the left lower abdomen, which can be indicative of several conditions. The discomfort when pressing on that area could be related to gas buildup, which is common in individuals who experience bloating. Bloating can occur for various reasons, including dietary choices, eating habits, and even stress. When you laugh or engage in physical activity, the movement can exacerbate the feeling of nausea or discomfort if your stomach is already sensitive.

Your eating schedule, where you have dinner quite late at 8 PM, could also contribute to your symptoms. Eating late can lead to issues such as acid reflux or indigestion, especially if you go to bed shortly after eating. It is generally recommended to have your last meal at least two to three hours before bedtime to allow for proper digestion.

Here are some strategies to help manage your gastrointestinal issues:
1. Dietary Adjustments: Focus on a balanced diet rich in fiber, which can help regulate bowel movements and reduce constipation. Incorporate fruits, vegetables, whole grains, and legumes into your meals. Avoid foods that are known to cause gas, such as beans, carbonated beverages, and certain cruciferous vegetables like broccoli and cabbage.

2. Eating Habits: Try to eat smaller, more frequent meals rather than large meals. This can help reduce bloating and discomfort. Chewing your food thoroughly and eating slowly can also aid digestion.

3. Hydration: Ensure you are drinking enough water throughout the day. Staying hydrated is crucial for digestive health and can help prevent constipation.

4. Regular Exercise: Physical activity can stimulate digestion and help alleviate bloating and discomfort. Aim for at least 30 minutes of moderate exercise most days of the week.

5. Stress Management: Stress can significantly impact gastrointestinal health. Consider incorporating relaxation techniques such as deep breathing, meditation, or yoga into your routine to help manage stress levels.

6. Sleep Hygiene: Establish a regular sleep schedule to improve your overall health. Aim for 7-9 hours of sleep per night and try to go to bed at the same time each night.

7. Medical Consultation: If your symptoms persist or worsen, it is essential to consult a healthcare professional. They may recommend further evaluation, such as imaging studies or endoscopy, to rule out any underlying conditions like irritable bowel syndrome (IBS), gastritis, or other gastrointestinal disorders.

In summary, while your symptoms may be related to the aftermath of your previous gastroenteritis, they can also be influenced by your current lifestyle and dietary habits. By making some adjustments and seeking medical advice if necessary, you can work towards improving your gastrointestinal health and overall well-being. Remember, it's essential to listen to your body and seek help when needed.

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