Gastroenteritis and Irritable Bowel Syndrome Symptoms

Gastroenteritis & Irritable Bowel Syndrome (IBS)

Hello, doctor: A few days ago, I bought some taro pastries and the clerk told me that if I didn't finish them within three days, I should refrigerate them, especially if the temperature was too high.
However, I didn't listen because the weather felt cool to me recently.
By the third day, I had one left and thought it would be a waste to throw it away, so I ate it after dinner around 10 PM.
Shortly after, my stomach started to hurt and I heard gurgling sounds.
I didn't see a doctor and only took LCH probiotics, thinking I would feel better.
However, I found it strange that I didn't have diarrhea or vomiting, just a slight feeling of nausea.
I began to worry that I might have gastroenteritis, but I was even more concerned (not sure if I'm being too anxious) that I felt like something was stuck in my anus or rectum.
When I strained, I felt the urge to have a bowel movement, but when I relaxed, it felt like nothing was there.
The more I thought about it, the more terrifying it became, and I even wondered if it was a symptom of colon cancer.
The next morning, I continued to worry, and after breakfast, when I felt the urge, I went to the bathroom.
To my shock, my stool was in flat pieces, floating on the surface of the water, and the color looked brown with a slight deep red or red tint, which made me cry.
I would like to ask the doctor if this indicates any disease, or if it is just ordinary gastroenteritis.
I tend to be very anxious; any little thing makes me extremely worried, and doctors have told me in the past that everything is fine.
I also have irritable bowel syndrome.
Note: I usually do not have these symptoms, but they started appearing after eating the last pastry.

Shui Ping Hong, 10~19 year old female. Ask Date: 2016/11/23

Dr. Chen Shidian reply Gastroenterology and Hepatology

Hello, if there are no obvious symptoms of diarrhea, abdominal pain, or vomiting, you can continue to observe.
If you notice any other symptoms, it is advisable to visit a gastroenterology clinic for further evaluation.
Changhua Hospital cares about your health.
Chen Shidian

Reply Date: 2016/11/23

More Info

Based on the symptoms and concerns you've described, it seems you may be experiencing a combination of gastrointestinal issues, potentially including gastroenteritis and irritable bowel syndrome (IBS). Let's break down your situation and provide some insights into what might be happening.

Gastroenteritis
Gastroenteritis, often referred to as stomach flu, is an inflammation of the stomach and intestines that can be caused by various factors, including viral or bacterial infections, food poisoning, or even certain medications. The symptoms typically include abdominal pain, nausea, vomiting, diarrhea, and sometimes fever. In your case, the onset of abdominal pain and the gurgling sounds in your stomach after consuming the taro pastry could suggest that your gastrointestinal tract is reacting to something it found difficult to process, possibly due to the food being left out for too long.

The fact that you did not experience vomiting or diarrhea immediately after eating the pastry might indicate that your body was initially able to handle the food, but as time went on, it began to react negatively. The nausea you felt could be a sign of your body trying to signal that something is wrong.

Irritable Bowel Syndrome (IBS)
You mentioned having a history of IBS, which is a functional gastrointestinal disorder characterized by symptoms like abdominal pain, bloating, and changes in bowel habits (diarrhea or constipation). IBS can be triggered by various factors, including stress, certain foods, and hormonal changes. The symptoms you described, such as the feeling of something being stuck in your rectum and the changes in your stool's appearance, could be related to your IBS.

The "piece-like" stools you observed could indicate that your bowel movements are not as regular or formed as they should be, which is common in IBS patients. Stress and anxiety can exacerbate IBS symptoms, leading to a cycle of discomfort and worry, which you seem to be experiencing.

What to Do Next
1. Dietary Adjustments: Since you have a history of IBS, it may be beneficial to keep a food diary to identify any potential triggers. Avoiding high-fat, spicy, or processed foods can help manage symptoms. Also, consider incorporating more fiber into your diet, as it can help regulate bowel movements.

2. Hydration: Ensure you stay hydrated, especially if you experience any diarrhea. Drinking clear fluids can help maintain electrolyte balance.

3. Medical Consultation: Given your concerns about the color and consistency of your stool, it would be wise to consult a healthcare professional. While the symptoms may be related to gastroenteritis or IBS, the presence of any unusual stool characteristics (like a deep red color) should be evaluated to rule out any serious conditions, including gastrointestinal bleeding.

4. Stress Management: Since stress can exacerbate IBS symptoms, consider exploring stress-reduction techniques such as mindfulness, yoga, or therapy. These can help alleviate anxiety and improve your overall well-being.

5. Follow-Up Tests: If symptoms persist or worsen, further evaluation may be necessary. This could include stool tests, blood tests, or imaging studies to rule out other gastrointestinal disorders.

Conclusion
While your symptoms may be indicative of gastroenteritis or a flare-up of IBS, it is crucial to monitor your condition closely and seek medical advice if you notice any alarming changes. Your health is paramount, and addressing your concerns with a healthcare provider will help ensure that you receive the appropriate care and guidance. Remember, being proactive about your health can lead to better outcomes and peace of mind.

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