Bowel Issues: Insights from Gastroenterology Experts

Bowel movement issues

Hello, Dr.
Tsai.
I had an episode of acute gastroenteritis last June, and since then, my bowel movements have been inconsistent, sometimes soft and sometimes hard.
I intermittently took medications like New Bifidobacterium and Smeta from July to August, but the symptoms (such as soft stools) returned almost immediately after stopping the medications.
By late October, my condition worsened; in addition to soft stools and diarrhea, I also experienced lower abdominal pain.
I switched to traditional Chinese medicine for treatment, which continued until January of this year.
However, I still occasionally experience lower abdominal pain after bowel movements, lasting from 30 minutes to 2 hours.
Currently, there is no blood in my stools, and they are mostly formed, with occasional softer stools.
I am wondering if I need to undergo tumor marker tests or directly have a colonoscopy.
Lab tests show that I am overweight, with AST and ALT levels around 100 and 80 U/L, respectively, and no hepatitis B.
My lifestyle habits are poor.
Thank you for your assistance.

Niming, 20~29 year old female. Ask Date: 2017/01/16

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello, after certain cases of acute gastroenteritis, similar symptoms may persist for a period of time.
It is advisable to adjust dietary habits.
As for what examinations should be conducted, the necessity should be determined by a clinical physician.
It is recommended to consult a gastroenterologist.
Changhua Hospital cares about your health.
Dr.
Tsai An-Shun.

Reply Date: 2017/01/16

More Info

Understanding bowel issues, particularly in the context of gastrointestinal health, is crucial for effective management and treatment. Based on the information provided, it appears that you have been experiencing a range of gastrointestinal symptoms, including alternating bowel consistency, abdominal pain, and changes in your stool patterns. These symptoms can be indicative of several underlying conditions, and it is essential to approach them systematically.

Firstly, the fluctuation between soft and hard stools, along with abdominal pain, may suggest a functional gastrointestinal disorder, such as Irritable Bowel Syndrome (IBS). IBS is characterized by a combination of symptoms, including abdominal pain, bloating, and changes in bowel habits (diarrhea, constipation, or alternating between both). Stress, dietary habits, and lifestyle factors can significantly influence the severity of IBS symptoms. Given your history of gastrointestinal issues and the impact of stress on your health, it would be beneficial to consider dietary modifications, such as increasing fiber intake, staying hydrated, and avoiding known irritants (e.g., caffeine, alcohol, and certain high-fat foods).

The abdominal pain you experience after bowel movements could be related to several factors, including bowel distension, muscle spasms, or even the presence of hemorrhoids, especially if you have a history of constipation or straining during bowel movements. It is also essential to rule out any serious conditions, such as inflammatory bowel disease (IBD) or colorectal cancer, particularly given your mention of a significant change in bowel habits and the presence of abdominal pain.

Regarding your lab results, elevated liver enzymes (AST and ALT) can indicate liver inflammation or damage, which may require further evaluation. It is essential to discuss these results with your healthcare provider, as they can provide insights into potential liver-related issues that may be contributing to your overall health status.

As for the need for further diagnostic testing, such as tumor markers or a colonoscopy, it is essential to weigh the risks and benefits. A colonoscopy is a valuable tool for visualizing the colon and can help identify any abnormalities, such as polyps or signs of inflammation. Given your symptoms and lab results, it may be prudent to discuss the possibility of a colonoscopy with your physician, especially if you have a family history of colorectal cancer or if your symptoms persist or worsen.

In summary, managing bowel issues requires a comprehensive approach that includes dietary modifications, stress management, and appropriate medical evaluations. It is crucial to maintain open communication with your healthcare provider to ensure that all potential underlying conditions are addressed. Regular follow-ups and monitoring of your symptoms will help tailor an effective treatment plan that suits your individual needs. If you have any concerns about your symptoms or lab results, do not hesitate to seek further medical advice. Your health and well-being should always be the top priority.

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