Gastrointestinal Issues: Tips for Managing Digestive Health

Gastrointestinal issues

Hello Doctor, I would like to ask for your help.
I have been staying up late almost every day since college, which has been about seven to eight years now, often until around three in the morning.
I also frequently eat late-night snacks, sometimes in larger quantities and sometimes less.
My bowel movements are quite regular; I usually go once a day, and at most every two days.
However, I’ve heard that this could be considered mild constipation.
After increasing my vegetable intake, my bowel movements have become smoother, but I still often notice stool sticking to the toilet bowl.

Regarding my stomach, I previously consulted a doctor who diagnosed me with gastroesophageal reflux disease (GERD) and prescribed medication.
Currently, I sometimes experience a feeling of tightness or pain in the area below my chest when I stay up late.
I am trying to change my routine by going to bed earlier and have also started exercising for 30 minutes after work.
Will this lead to improvement?
I am considering undergoing gastroscopy and colonoscopy, but I am afraid of the pain, so I haven’t done it yet.
What symptoms should prompt me to get these procedures done? Thank you for your assistance!

A-Zhi, 20~29 year old female. Ask Date: 2016/10/24

Dr. Chen Shidian reply Gastroenterology and Hepatology

Hello, based on your age and the information provided, there is currently no risk.
It is important to develop healthy habits regarding your daily routine and diet, and medication adjustments can be made if necessary.
You should only consider undergoing an endoscopy if you experience symptoms such as blood in your stool, black stools, weight loss, or waking up in pain at night.
Changhua Hospital cares about your health.
Sincerely, Chen Shih-Tien.

Reply Date: 2016/10/24

More Info

Understanding gastrointestinal issues is crucial for maintaining overall health, especially for individuals who have experienced symptoms like yours over an extended period. Your concerns about gastrointestinal health, including symptoms of gastroesophageal reflux disease (GERD) and potential constipation, are valid and warrant careful consideration.

Firstly, let's address your experience with what you describe as "light constipation." While you are having regular bowel movements, the fact that you sometimes see stool sticking to the toilet bowl can indicate that your stool may be harder or less formed than ideal. This can be a sign of mild constipation, which can occur even if you are having daily bowel movements. Factors such as diet, hydration, and physical activity play significant roles in stool consistency and regularity. Increasing your intake of fiber-rich foods, such as fruits, vegetables, and whole grains, can help improve stool consistency and promote smoother bowel movements. Additionally, staying well-hydrated is essential, as water helps soften stool.

Regarding your history of GERD, it's important to manage this condition effectively to prevent complications. The symptoms you describe, such as chest discomfort and a feeling of pressure, can be associated with GERD, especially if they occur after eating or when lying down. Lifestyle modifications can significantly impact GERD symptoms. These include avoiding large meals, reducing intake of spicy and fatty foods, and limiting caffeine and alcohol. Since you mentioned that you have been trying to improve your sleep schedule and incorporate exercise, these changes can also help alleviate GERD symptoms over time. Regular physical activity can promote digestive health and help manage weight, which is beneficial for reducing GERD symptoms.

As for your concerns about undergoing endoscopic procedures like gastroscopy (upper endoscopy) and colonoscopy, it’s understandable to feel apprehensive about these tests. However, they are valuable diagnostic tools that can help identify underlying issues such as ulcers, polyps, or other gastrointestinal conditions. Generally, these procedures are performed under sedation, which minimizes discomfort. It is advisable to discuss your fears with your healthcare provider, who can explain the procedures in detail and address any concerns you may have.

In terms of when to seek further evaluation, you should consider undergoing these tests if you experience any of the following symptoms:
1. Persistent abdominal pain that does not improve.

2. Unexplained weight loss.

3. Blood in your stool or black, tarry stools.

4. Severe or persistent heartburn that does not respond to over-the-counter medications.

5. Changes in your bowel habits that last more than a few weeks.

These symptoms can indicate more serious conditions that require prompt evaluation.
In summary, managing gastrointestinal health involves a combination of dietary adjustments, lifestyle changes, and, when necessary, medical evaluations. Continue to focus on a balanced diet rich in fiber, stay hydrated, and maintain regular physical activity. If your symptoms persist or worsen, do not hesitate to consult a gastroenterologist for further assessment and guidance. Your proactive approach to your health is commendable, and with the right strategies, you can improve your digestive health significantly.

Similar Q&A

Improving Digestive Health: Tips for Managing IBS and Gut Issues

Hello Dr. Tsai, I previously experienced frequent abdominal discomfort (sometimes just diarrhea and other times gastroenteritis), so I often visited doctors. Most of them diagnosed me with symptoms of irritable bowel syndrome. I once underwent a comprehensive examination, but I c...

Dr. Cai Xiuwen reply Nutrition
Hello, Xiao Ming. Based on what you described, if the tests show no issues, it is possible that stress is the cause. Stress can lead to accelerated intestinal motility, which can negatively affect digestion. Some suggest drinking Yakult to replenish beneficial gut bacteria; howev...

Managing Gas and Bowel Movements: Tips for Digestive Health

I have recently been experiencing a fear that passing gas and having a bowel movement will occur simultaneously, so I go to the bathroom. However, when I do, I only pass gas, which is difficult to release. Occasionally, there is a small stool that keeps reappearing. I do not have...

Dr. Lin Minghui reply Gastroenterology and Hepatology
It is recommended to adopt good dietary habits, such as chewing food thoroughly and eating slowly instead of rushing. This helps reduce gas production. Ensure adequate hydration and fiber intake to soften stools. Consuming probiotics after meals can be beneficial. Additionally, e...

Understanding Gastrointestinal Issues: When to Seek Medical Advice

Hello Dr. Lin, I have some gastrointestinal issues I would like to ask about. On April 20, 21, and 22, whatever I ate caused diarrhea, which was watery. At night, I felt very uncomfortable in my stomach, and afterwards, I couldn't have a bowel movement. After drinking yogurt...

Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello: If you are experiencing diarrhea with watery stools and irregular bowel movements, it may be related to gastroenteritis, which can be associated with the food you consume, your water intake, and possible infections. It is advisable to review your diet, ensuring it is balan...

Understanding Gastrointestinal Issues: Symptoms and Next Steps

Hello Doctor: I have some gastrointestinal issues to discuss. The symptoms are as follows: 1. I have been experiencing constipation for a long time. 2. Recently, I often have abdominal pain (it feels like cramping associated with diarrhea). 3. I frequently pass gas, and it occurs...

Dr. Su Baojia reply Gastroenterology and Hepatology
Your condition is related to Irritable Bowel Syndrome (IBS), which is associated with lifestyle stress and dietary habits. It is recommended that you consult a gastroenterologist for appropriate treatment.