Weight Loss and Unformed Stool: Gastrointestinal Issues

Q: Weight Loss and Unformed Stool: Gastrointestinal Issues

Hello： If you notice any changes in your mood or emotions, try to adjust and see if it improves. <br>It is not possible to diagnose any illness based on short-term conditions; if necessary, you should consult a gastroenterologist. <br>Changhua Hospital cares about your health. <b

Weight loss and loose stools?

Hello, doctor.
On October 28th, I waited until the afternoon to eat after not eating since the morning, and I consumed fried foods too quickly.
I experienced stomach discomfort and a burning sensation.
I went to a nearby clinic and was diagnosed with a mild gastric ulcer.
After a few days, the burning sensation disappeared, but the cramping pain in my abdomen (in the upper right, lower right, and lower left abdomen) has not resolved.
Prior to this, my bowel movements were normal and well-formed.
I then went to a large hospital for further evaluation, where the doctor prescribed antacids and a medication for gastric discomfort.
After taking them for a few days, my condition remained unchanged.
Yesterday, I returned for another evaluation, and after percussion and questioning, the doctor diagnosed me with irritable bowel syndrome.
After showing him my recent weight loss of about 7 kilograms over the past month (with nearly 1 kilogram lost daily in the last week) and photos of my stool, he performed an abdominal ultrasound, which he said was normal, and then sent me home.
I would like to ask: 1.
Although I am eating very lightly, could the unformed stools and weight loss be influenced by my mood and emotions? 2.
Given that my bowel movements and abdominal sensations were normal before my discomfort, is it possible for a tumor or colon cancer to develop in such a short time? Thank you!

Niming, 20~29 year old female. Ask Date: 2017/11/15

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: If you notice any changes in your mood or emotions, try to adjust and see if it improves.
It is not possible to diagnose any illness based on short-term conditions; if necessary, you should consult a gastroenterologist.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2017/11/15

More Info

It sounds like you are experiencing a complex set of gastrointestinal symptoms, including unformed stools, significant weight loss, and abdominal pain. These symptoms can be distressing and may indicate underlying issues that require careful evaluation.
1. Diet and Emotional Impact on Symptoms: Your observation about your diet being light and the potential influence of emotional factors on your gastrointestinal symptoms is quite relevant. Stress and anxiety can significantly affect gut motility and function, leading to conditions like Irritable Bowel Syndrome (IBS). IBS is characterized by symptoms such as abdominal pain, bloating, and changes in bowel habits, including diarrhea or constipation. Emotional stress can exacerbate these symptoms, leading to a cycle of discomfort and further anxiety. It is essential to consider not only what you eat but also how you feel when you eat. Keeping a food and symptom diary may help you identify patterns and triggers related to your diet and emotional state.

2. Concerns About Tumors or Colorectal Cancer: Regarding your concern about the rapid onset of symptoms and the possibility of tumors or colorectal cancer, it is important to note that while gastrointestinal symptoms can be alarming, the development of cancer typically takes time and is often accompanied by other signs. The fact that you had normal bowel habits prior to the onset of your symptoms is a positive indicator. However, given your family history of colorectal cancer, it is prudent to remain vigilant. Regular screenings, such as colonoscopies, are recommended, especially if you have risk factors. Your healthcare provider may suggest a colonoscopy to rule out any serious conditions, including polyps or malignancies, especially if your symptoms persist or worsen.

In your case, the weight loss of approximately 7 kilograms over a month is concerning and warrants further investigation. Unintentional weight loss can be a sign of malabsorption, chronic inflammation, or other gastrointestinal disorders. Conditions like celiac disease, inflammatory bowel disease (IBD), or even infections can lead to similar symptoms.
Recommendations:
- Follow-Up Care: It is crucial to maintain follow-up appointments with your healthcare provider. If your symptoms do not improve or worsen, further diagnostic testing may be necessary, including imaging studies or endoscopic evaluations.

- Dietary Adjustments: Consider working with a registered dietitian who specializes in gastrointestinal health. They can help you develop a balanced diet that meets your nutritional needs while minimizing gastrointestinal discomfort.

- Stress Management: Incorporating stress-reduction techniques such as mindfulness, yoga, or cognitive behavioral therapy may help alleviate some of the emotional factors contributing to your symptoms.

- Monitoring Symptoms: Keep track of your symptoms, including the frequency and consistency of your stools, any associated pain, and your emotional state. This information can be valuable for your healthcare provider in determining the best course of action.

In summary, while your symptoms may be influenced by emotional factors and dietary choices, it is essential to rule out any serious underlying conditions. Regular monitoring and open communication with your healthcare provider will be key in managing your gastrointestinal health.

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