Gastrointestinal Issues: A High School Student's Journey

Gastrointestinal issues

Hello, doctor.
I am a senior high school student.
Due to concerns about my health, I often visit traditional Chinese medicine practitioners.
However, for the past month or two, I have been troubled by gastrointestinal issues:
1.
Frequent belching (more pronounced after meals, but occasionally happens at other times).
2.
Persistent bowel sounds (my stomach makes noises even when I'm not hungry, especially noticeable when I just lie down to sleep).
3.
A constant urge to use the restroom (I do pass some stool each time, but it's not particularly large in quantity; sometimes there are small red spots of blood on the stool).
4.
I don't pass gas, but sometimes my body suddenly emits a fecal odor (this has been an issue for a long time, not just in the past month or two).
At home, my diet mainly consists of fast food like burgers with meat and vegetables from places like McDonald's, or sandwiches from breakfast shops, or braised pork rice with steamed vegetables (which includes some vegetables).
I don't exercise much, but I still appear relatively healthy since I am a high school student.
I am unsure how to address these issues.
I frequently see traditional Chinese medicine practitioners, but there hasn't been significant improvement (they often say my body is weak).
I would like to ask the doctor for a diagnosis of my symptoms and advice on how to improve my condition.

Chiu, 10~19 year old female. Ask Date: 2017/01/30

Dr. Chen Qifeng reply Gastroenterology and Hepatology

Preliminary assessment suggests that the symptoms are likely due to gastrointestinal dysfunction and dyspepsia.
It is recommended to improve the diet by increasing the intake of fruits and vegetables, and reducing oil, dairy, meat, and irritating foods.
If symptoms persist, a consultation with a gastroenterologist is advised.

Reply Date: 2017/01/30

More Info

It sounds like you're experiencing a range of gastrointestinal symptoms that can be quite distressing, especially as a high school student balancing academics and social life. Your symptoms, including frequent belching, abdominal noises, a persistent urge to use the restroom, and the presence of blood in your stool, warrant careful consideration and evaluation.

Firstly, let's break down your symptoms:
1. Frequent Belching and Abdominal Noises: These can be indicative of gastrointestinal distress, often related to diet or stress. Foods that are high in fat, like fast food (e.g., McDonald's), can lead to increased gas production and bloating. Additionally, eating quickly or while stressed can cause you to swallow air, leading to belching.

2. Persistent Urge to Use the Restroom: This could be a sign of irritable bowel syndrome (IBS), a common condition that affects the large intestine. IBS can cause symptoms like cramping, abdominal pain, bloating, gas, and diarrhea or constipation. The fact that you mention having some blood in your stool is concerning and should be evaluated by a healthcare professional as it can indicate other underlying issues.

3. Dietary Habits: Your current diet, which seems to consist mainly of fast food and processed items, may not be providing the necessary nutrients and fiber your body needs. A diet low in fiber can lead to constipation and may exacerbate gastrointestinal symptoms. Incorporating more fruits, vegetables, whole grains, and lean proteins can help improve your digestive health.

4. Lack of Physical Activity: Regular exercise is crucial for maintaining a healthy digestive system. Physical activity helps stimulate intestinal function and can alleviate symptoms of bloating and constipation. Even simple activities like walking or stretching can be beneficial.

5. Stress and Mental Health: As a high school student, the pressures of schoolwork, exams, and social interactions can contribute to gastrointestinal issues. Stress can affect how your body digests food and can lead to symptoms like those you are experiencing. Finding healthy coping mechanisms, such as mindfulness, yoga, or talking to someone about your stress, can be helpful.

Given your symptoms, it is essential to consult with a healthcare provider, preferably a gastroenterologist, who can conduct a thorough evaluation. This may include a physical examination, blood tests, stool tests, and possibly imaging studies or endoscopy to rule out any serious conditions.

In the meantime, here are some recommendations to help manage your symptoms:
- Dietary Changes: Gradually introduce more fiber into your diet. Foods like fruits, vegetables, whole grains, and legumes can help regulate your bowel movements. Avoid high-fat and processed foods, as well as carbonated beverages, which can increase gas.

- Stay Hydrated: Drink plenty of water throughout the day. Proper hydration is essential for digestive health.

- Regular Exercise: Aim for at least 30 minutes of moderate exercise most days of the week. This can help improve your overall health and alleviate some gastrointestinal symptoms.

- Mindfulness and Stress Management: Engage in activities that promote relaxation, such as meditation, deep breathing exercises, or yoga. These practices can help reduce stress and its impact on your digestive system.

- Monitor Symptoms: Keep a diary of your food intake and symptoms. This can help identify any specific triggers related to your diet or lifestyle.

In conclusion, while your symptoms may be indicative of a common gastrointestinal issue, they should not be ignored, especially the presence of blood in your stool. A healthcare professional can provide a proper diagnosis and treatment plan tailored to your needs. Taking proactive steps in your diet, exercise, and stress management can significantly improve your overall well-being.

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