Bowel movement issues
From November 14 to November 23, I went to Bali, and starting four days after returning home, I experienced abdominal pain and diarrhea (including drinking coffee).
I consulted a doctor three times, and the diagnosis was viral gastroenteritis.
I have been experiencing diarrhea for a week now.
Currently, my symptoms include a consistent need to use the restroom in the morning (which is my usual routine), but the stools are not formed.
After eating, I frequently burp and pass gas, and there are audible bowel sounds.
My food intake has decreased to about half of what it used to be (I feel full after eating a small amount), and my appetite is not as good as it was before.
Is this normal? (I had a stool test in July that was normal.)
nn, 20~29 year old female. Ask Date: 2016/12/12
Dr. Yang Zhichao reply Gastroenterology and Hepatology
Dear Ms.
NN, based on your description, it seems to be a post-gastroenteritis symptom.
You should follow a low-fat diet, increase your fruit intake, and consume small amounts of yogurt for 2-3 days.
If there is no improvement after one week following the above recommendations, please visit a gastroenterology clinic for further evaluation.
Thank you for your inquiry.
Changhua Hospital cares about your health.
Reply Date: 2016/12/12
More Info
After traveling to Bali, it is not uncommon to experience digestive issues such as abdominal pain and diarrhea, particularly if you have been diagnosed with viral gastroenteritis. This condition is often caused by the ingestion of contaminated food or water, and it can lead to symptoms such as diarrhea, abdominal cramps, nausea, and vomiting. In your case, the fact that you experienced these symptoms a few days after returning from your trip suggests that you may have contracted a virus during your travels.
The symptoms you describe—persistent diarrhea, gas, and changes in appetite—are typical of post-viral gastroenteritis. It is important to note that even after the initial infection has resolved, some individuals may continue to experience gastrointestinal symptoms for a period of time. This is sometimes referred to as post-infectious irritable bowel syndrome (IBS), where the gut remains sensitive and reactive after the infection has cleared.
Regarding your specific symptoms, having a fixed time in the morning for bowel movements is not unusual, but the fact that your stools are not well-formed and you are experiencing increased gas and belching indicates that your digestive system is still recovering. The sounds you hear from your intestines, known as borborygmi, are also common during this recovery phase as your gut flora and motility adjust back to normal.
As for your appetite, it is not uncommon for individuals recovering from gastroenteritis to experience a reduced appetite or a feeling of fullness after eating only a small amount. This can be due to lingering inflammation in the gut or changes in gut motility. It is essential to listen to your body during this time and eat smaller, more frequent meals rather than large ones.
In terms of dietary recommendations, it is advisable to follow a bland diet that is easy on the stomach. This includes foods such as:
1. Bananas: They are gentle on the stomach and can help replenish lost potassium.
2. Rice: Plain white rice is easy to digest and can help firm up stools.
3. Applesauce: This can provide some fiber without being too harsh on the digestive system.
4. Toast: Plain toast can be a good source of carbohydrates without irritating the stomach.
5. Broth: Clear broths can help with hydration and provide some nutrients without being heavy.
Avoiding high-fat, spicy, or dairy-rich foods is also recommended, as these can exacerbate symptoms. Staying hydrated is crucial, especially if you have experienced diarrhea, so make sure to drink plenty of fluids, including water, herbal teas, and oral rehydration solutions if necessary.
If your symptoms persist beyond a week or worsen, it is important to seek further medical evaluation. Additional tests, such as stool cultures or imaging studies, may be warranted to rule out other potential causes of your symptoms, such as bacterial infections or other gastrointestinal disorders.
In summary, while your symptoms are consistent with post-viral gastroenteritis, it is essential to monitor your condition closely and adjust your diet accordingly. If you have any concerns or if your symptoms do not improve, do not hesitate to consult a healthcare professional for further evaluation and management.
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