Irritable Bowel Syndrome: Symptoms and Dietary Impact - Surgery

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Hello, A-Jyun. Thank you for reaching out again with your concerns regarding your bowel habits and abdominal discomfort. It’s completely understandable to feel anxious about changes in your digestive health, especially when they involve symptoms like abdominal pain, irregular bowel movements, and changes in stool consistency.

Based on your description, it seems that you are experiencing a combination of symptoms that could indeed be related to Irritable Bowel Syndrome (IBS). IBS is a functional gastrointestinal disorder characterized by a group of symptoms that typically include abdominal pain, bloating, and altered bowel habits, which can manifest as diarrhea, constipation, or a mix of both. The symptoms you’ve described—such as small, hard stools, episodes of diarrhea, and abdominal pain—are consistent with IBS, particularly the diarrhea-predominant type.

Dietary changes can significantly impact IBS symptoms. You mentioned that your eating habits have changed, which could be a contributing factor to your current symptoms. A diet low in fiber, high in processed foods, or one that includes certain trigger foods (like dairy, caffeine, or high-fat meals) can exacerbate IBS symptoms. Additionally, stress and anxiety can also play a significant role in the onset and exacerbation of IBS symptoms. It’s important to consider both dietary and lifestyle factors when managing IBS.

In your case, the sudden onset of diarrhea and abdominal pain could also suggest a possible acute gastrointestinal issue, such as a viral gastroenteritis or food intolerance, especially if these symptoms appeared after a change in diet. It’s crucial to monitor your symptoms closely. If you experience persistent diarrhea, significant weight loss, or any signs of dehydration (like dizziness or decreased urination), it would be advisable to seek medical attention promptly.

Regarding your concerns about colon health, while a negative stool occult blood test is reassuring, it’s essential to continue monitoring your symptoms. If your bowel habits do not normalize or if you experience new symptoms, a colonoscopy may be warranted, especially considering your history of poor dietary habits and smoking. The general recommendation for screening for colorectal cancer begins at age 45 for individuals at average risk, but if you have a family history of colorectal cancer, it may be prudent to discuss earlier screening with your healthcare provider.

In managing IBS, consider the following strategies:
1. Dietary Adjustments: Keep a food diary to identify potential trigger foods. Gradually increase fiber intake through fruits, vegetables, and whole grains, as this can help regulate bowel movements. However, be cautious with high-FODMAP foods, which can exacerbate symptoms in some individuals.

2. Hydration: Ensure you are drinking enough fluids, especially if you are experiencing diarrhea. This helps prevent dehydration and supports overall digestive health.

3. Stress Management: Since stress can significantly impact IBS, incorporating relaxation techniques such as mindfulness, yoga, or regular physical activity can be beneficial.

4. Regular Eating Schedule: Try to maintain a regular eating schedule and avoid skipping meals, as this can help regulate bowel function.

5. Consultation with a Specialist: If symptoms persist, consider consulting a gastroenterologist who can provide further evaluation and management options tailored to your specific situation.

In conclusion, while your symptoms may align with IBS, it’s essential to consider the broader context of your health and lifestyle. Monitoring your symptoms, making dietary adjustments, and managing stress can significantly improve your quality of life. If you have any further questions or concerns, please don’t hesitate to reach out. Your health is important, and it’s always best to stay informed and proactive about your well-being.