Dizziness and Bowel Issues: Possible Links to Gastrointestinal Health - Gastroenterology and Hepatology

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Bowel movements and dizziness issues?


Hello, doctor.
I started feeling dizzy on the morning of September 13.
I went to a clinic for an injection and medication, but it didn't help.
Recently, my bowel movements have either been yellow and sticky or I have difficulty passing stool.
When I do go, it's usually very little.
I often feel the urge to go, but it's either gas or I can't pass anything, or I have to strain a bit to get some out.
The dizziness is accompanied by palpitations, tinnitus, and headaches.
I went to the emergency room on the weekend and had blood tests, which came back normal.
After doing some research online, I found that colorectal cancer can cause anemia and blood in the stool, but I can't see any blood in my stool or when wiping.
I've been feeling dizzy for several days and often feel fatigued; even after sleeping for a long time, I still feel dizzy.
I would like to ask the doctor if colorectal cancer could cause these symptoms if it leads to anemia.
The dizziness has not improved.
Thank you, doctor.

Nick, 20~29 year old female. Ask Date: 2017/09/24

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: Your symptoms appear to be acute.
If the emergency blood test does not indicate anemia, then the dizziness is not caused by hemorrhagic anemia.
It is recommended that you consult a neurologist or an otolaryngologist to determine the cause of the dizziness.
As for the symptoms during bowel movements, if you are experiencing constipation, you should address the issue of constipation and see if your symptoms improve.
If there is no improvement, you may consider consulting a gastroenterologist.
Changhua Hospital cares about your health.
Dr.
Cai Anshun

Reply Date: 2017/09/24

More Info


Dizziness and bowel issues can often be interconnected, particularly when considering gastrointestinal health. Your symptoms of dizziness, heart palpitations, tinnitus, and headaches, combined with your bowel irregularities, warrant a thorough evaluation. While it’s understandable to be concerned about serious conditions such as colorectal cancer, it’s essential to approach this systematically.

Firstly, let’s address the dizziness. Dizziness can stem from various causes, including dehydration, anemia, inner ear issues, or even anxiety. Given that you mentioned experiencing palpitations and tinnitus alongside dizziness, it’s crucial to consider cardiovascular factors as well. If your blood tests came back normal, it may rule out some acute conditions, but it does not entirely eliminate the possibility of anemia, especially if you have ongoing bowel issues.

Regarding your bowel symptoms, the description of your stools being either yellow and sticky or difficult to pass raises some concerns. Normal stool should typically be brown and well-formed. The presence of persistent constipation, along with the feeling of incomplete evacuation, can indicate a functional gastrointestinal disorder, such as irritable bowel syndrome (IBS) or even a more serious condition.
You mentioned the possibility of colorectal cancer, which can indeed lead to anemia due to chronic blood loss. However, the absence of visible blood in your stool and the normal results from your blood tests may suggest that this is less likely. It’s important to note that colorectal cancer often presents with other symptoms, such as significant changes in bowel habits, unexplained weight loss, or persistent abdominal pain.
Given your symptoms, here are some recommendations:
1. Further Evaluation: If you haven’t already, consider scheduling a colonoscopy, especially since you have ongoing bowel issues. This procedure can help visualize the colon and identify any abnormalities, including polyps or signs of inflammation.

2. Dietary Adjustments: A diet high in fiber can help alleviate constipation. Incorporating fruits, vegetables, whole grains, and adequate hydration can promote regular bowel movements. Additionally, consider keeping a food diary to identify any potential food intolerances that may be contributing to your symptoms.

3. Managing Dizziness: Since dizziness can be multifactorial, it may be beneficial to monitor your hydration status and ensure you are drinking enough fluids. If you suspect that your dizziness is related to your bowel issues, addressing the gastrointestinal symptoms may help alleviate the dizziness as well.

4. Follow-Up Care: Regular follow-ups with your healthcare provider are essential. If your symptoms persist or worsen, further investigations may be necessary, including imaging studies or referrals to specialists such as a gastroenterologist or a hematologist.

5. Mental Health Considerations: Chronic gastrointestinal issues can lead to anxiety and stress, which may exacerbate symptoms like dizziness and palpitations. It may be beneficial to explore stress management techniques or counseling if you find that anxiety is impacting your quality of life.

In summary, while your symptoms could potentially be linked to gastrointestinal health, it’s crucial to approach this with a comprehensive evaluation. Regular monitoring, dietary adjustments, and open communication with your healthcare provider will be key in managing your symptoms and ensuring your overall health. If you have any further concerns or if your symptoms change, do not hesitate to seek medical advice promptly.

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