Bowel Issues: When to Seek Medical Advice - Gastroenterology and Hepatology

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Bowel issues


About a year and a half ago, my stools became very thin, and I often experience constipation.
Sometimes I feel dizzy, but there is no blood or abdominal pain, and my appetite and weight have remained normal.
Could this be a sign of some illness, or is it just a common hemorrhoid? I'm still in high school and have been ignoring it due to my studies, but I still feel worried.
Thank you.

Gaozhong Nansheng, 10~19 year old female. Ask Date: 2016/12/29

Dr. Chen Shidian reply Gastroenterology and Hepatology


Hello, sir.
Please increase your intake of dietary fiber to enhance stool bulk, which should help improve your condition.
If you are concerned, you may consider testing for occult blood in your stool.
Changhua Hospital cares about your health.
Chen Shidian.

Reply Date: 2016/12/29

More Info


When it comes to bowel issues, understanding when to seek medical advice is crucial for maintaining overall health. Your symptoms, which include changes in stool consistency, increased frequency of bowel movements, and occasional dizziness, warrant a closer look, even if you are not experiencing bleeding or abdominal pain.
Firstly, the change in your stool from normal to thinner can be indicative of several underlying conditions. While it is possible that this could be related to benign issues such as dietary changes or even stress, it could also signal more serious conditions that require medical evaluation. For instance, conditions like irritable bowel syndrome (IBS), inflammatory bowel disease (IBD) such as Crohn's disease or ulcerative colitis, or even colorectal issues could manifest in such symptoms.
The fact that you mentioned experiencing dizziness could also be significant. Dizziness can sometimes be linked to dehydration, which can occur if you are experiencing changes in bowel habits that lead to increased fluid loss. It is essential to ensure that you are staying hydrated, especially if your bowel movements are more frequent than usual.
While hemorrhoids (痔瘡) are a common issue, especially in adolescents and young adults, they typically present with symptoms such as pain, itching, or bleeding during bowel movements. Since you have not reported any of these symptoms, it may be less likely that hemorrhoids are the primary concern.
Given your age and the fact that you are in high school, it is understandable that academic pressures may lead you to neglect your health. However, it is vital to prioritize your well-being. If these symptoms persist or worsen, it is advisable to consult a healthcare professional. A doctor can conduct a thorough evaluation, which may include a physical examination, a review of your medical history, and possibly some diagnostic tests such as blood work or imaging studies to rule out any serious conditions.

In summary, while your symptoms may not immediately suggest a severe illness, they are significant enough to warrant medical attention. It is always better to err on the side of caution when it comes to health issues. Seeking advice from a healthcare provider can provide you with peace of mind and ensure that any potential problems are addressed early on. Remember, your health is important, and taking proactive steps can help you maintain a healthy lifestyle as you navigate through your studies and beyond.

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