Frequent Diarrhea and Stomach Pain: Should You Get Checked?

Frequent diarrhea and stomach pain, should I get checked?

Hello, doctor.
I have had gastrointestinal issues since childhood, and even when I don't eat poorly, I often experience diarrhea, so I've gotten used to it.
However, I feel that my stomach pain has become more frequent over the past two years.
Last year, I went to the hospital three times due to stomach pain (the first two visits were only a month apart).
After listening to my symptoms, the doctors diagnosed me with gastroenteritis and prescribed medication (during the second visit, I received IV fluids).
After that, the pain subsided at home.
The third time, I had a cold and visited a small clinic I usually go to.
After taking cold medication, I experienced stomach pain, so I went to a larger hospital.
The doctor reviewed my medication list and was uncertain, suggesting that it might be caused by the cold medication.
After taking stomach medication, the pain went away.
A few days later, I suddenly had severe stomach pain around noon, which lasted less than an hour and then resolved.
On March 2 of this year, I had a sore throat and sought treatment.
Around 2 AM, I suddenly woke up with stomach pain, and by 7:30 AM, I couldn't tolerate it anymore, so I went to the hospital.
The doctor again diagnosed me with gastroenteritis, and the blood test results were normal.
After receiving IV fluids and medication, the pain subsided, but it returned once the medication wore off.
Today, March 8, my stomach is no longer in pain, but I have some discomfort on the left side of my abdomen.
During all my recent hospital visits, I only described my symptoms to the doctors and did not undergo any ultrasound or similar examinations.
Should I consider getting further tests done?

Axiang, 10~19 year old female. Ask Date: 2017/03/08

Dr. Chen Qifeng reply Gastroenterology and Hepatology

It is recommended to undergo an upper gastrointestinal endoscopy.

Reply Date: 2017/03/08

More Info

Frequent diarrhea and stomach pain can be quite distressing, especially if you have a history of gastrointestinal issues. Based on your description, it seems that you have been experiencing recurrent episodes of stomach pain and diarrhea, which have been attributed to gastroenteritis by your healthcare providers. However, given the frequency and persistence of your symptoms, it is reasonable to consider further evaluation.

Firstly, it is important to understand that while gastroenteritis is a common diagnosis, it is not the only possible cause of your symptoms. Other conditions, such as irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), peptic ulcers, or even food intolerances, could also lead to similar symptoms. The fact that you have been experiencing these issues for an extended period, along with the recent increase in frequency, suggests that a more thorough investigation may be warranted.

In your case, it would be advisable to consult a gastroenterologist for a comprehensive evaluation. This may include a physical examination, a detailed history of your symptoms, and possibly some diagnostic tests. While blood tests and imaging studies like ultrasound can provide valuable information, an upper endoscopy (esophagogastroduodenoscopy or EGD) or a colonoscopy may be necessary to directly visualize the gastrointestinal tract and obtain biopsies if needed. These procedures can help rule out conditions such as ulcers, inflammation, or malignancies.

Regarding your dietary habits, it is crucial to maintain a diet that minimizes gastrointestinal irritation. Avoiding spicy, fatty, or fried foods, as well as caffeine and alcohol, can help reduce symptoms. Keeping a food diary may also be beneficial in identifying any specific triggers that exacerbate your condition. Additionally, incorporating more fiber into your diet can help regulate bowel movements, but be cautious with high-fiber foods if they tend to cause bloating or discomfort.

Stress management is another critical aspect of managing gastrointestinal symptoms. Since you mentioned that you have a tendency to experience stress, finding effective ways to cope with it—such as through mindfulness, yoga, or other relaxation techniques—can significantly improve your overall well-being and potentially reduce the frequency of your symptoms.

In summary, while your previous visits to the hospital have resulted in temporary relief, the recurrent nature of your symptoms suggests that further evaluation is necessary. A gastroenterologist can help determine the underlying cause of your frequent diarrhea and stomach pain, and appropriate diagnostic tests can provide clarity. In the meantime, focusing on a gentle diet, managing stress, and keeping track of your symptoms will be beneficial. Don't hesitate to seek a second opinion if you feel your concerns are not being adequately addressed. Your health is paramount, and you deserve a thorough investigation into your gastrointestinal issues.

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