Should You Visit a Hospital for Persistent Diarrhea and Abdominal Pain? - Gastroenterology and Hepatology

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Loose stools for three days, occasional abdominal discomfort, and foul-smelling gas. Is it necessary to go to a major hospital?


Hello, doctor.
I am a 20-year-old male, and for the past 3 to 4 days, my stools have been soft, completely shapeless, and very foul-smelling.
I have also been experiencing increased flatulence, which also has a strong odor.
Even though I have been consuming a considerable amount of vegetables, my condition has not improved.
I am worried that there might be a serious issue.
Do you think I need to go to a major hospital for any tests, such as an ultrasound? I would appreciate your guidance.
Thank you.

Nan Nan, 20~29 year old female. Ask Date: 2017/05/13

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: Follow a light diet and observe for a few days.
If there is no improvement, you may consult a gastroenterologist for an evaluation of what tests are necessary.
Ultrasound cannot assess hollow organs such as the gastrointestinal tract.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2017/05/13

More Info


When dealing with persistent diarrhea and abdominal pain, it is essential to assess the situation carefully before deciding whether to visit a hospital or seek further medical evaluation. Given your symptoms of soft, shapeless stools that are foul-smelling, along with increased flatulence, there are several potential causes to consider.

Firstly, it's important to recognize that changes in bowel habits can be influenced by various factors, including diet, stress, infections, and underlying gastrointestinal conditions. Since you mentioned that you have been consuming a significant amount of vegetables, it may be worth considering whether any recent dietary changes could be contributing to your symptoms. For example, an increase in fiber intake can sometimes lead to changes in bowel movements, particularly if your body is not accustomed to it.

Infections, both viral and bacterial, are common causes of diarrhea and can lead to abdominal discomfort. If you have experienced any recent travel, exposure to contaminated food or water, or contact with individuals who have gastrointestinal illnesses, these factors could be relevant. Additionally, food intolerances or allergies, such as lactose intolerance or gluten sensitivity, can also manifest as diarrhea and abdominal pain.

Given that your symptoms have persisted for three to four days without improvement, it is advisable to seek medical attention. A visit to a healthcare provider can help determine the underlying cause of your symptoms. During the consultation, the doctor may perform a physical examination and ask about your medical history, dietary habits, and any other symptoms you may be experiencing, such as fever, weight loss, or dehydration.

Diagnostic tests may be warranted based on your symptoms and examination findings. Common tests include stool analysis to check for infections, blood tests to assess for dehydration or inflammation, and imaging studies like an abdominal ultrasound if there are concerns about structural issues in the gastrointestinal tract. In some cases, further evaluation, such as a colonoscopy, may be necessary if there are indications of inflammatory bowel disease or other serious conditions.

In the meantime, it is crucial to stay hydrated, especially if you are experiencing diarrhea, as this can lead to dehydration. Drinking clear fluids, such as water, broth, or oral rehydration solutions, can help replenish lost fluids and electrolytes. Avoiding high-fiber foods, dairy products, and fatty or spicy foods may also provide some relief until you can see a doctor.

In summary, while it is possible that your symptoms may resolve on their own, the persistence of diarrhea and abdominal pain for several days warrants a medical evaluation. A healthcare professional can provide a thorough assessment, recommend appropriate tests, and develop a treatment plan tailored to your specific needs. Don't hesitate to seek help, as timely intervention can prevent complications and promote recovery.

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