Gastrointestinal Issues: Symptoms and Concerns - Gastroenterology and Hepatology

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Gastrointestinal issues


I have been experiencing stomach pain since eating spicy food during the New Year, and I am really worried about having some kind of illness.
I had an endoscopy, and everything was fine, but I have been feeling some discomfort in my abdomen for a while, and it is not localized.
My bowel movements are normal and quite bulky, but there is some mucus.
I am really afraid of having colon cancer.
Doctor, what could this be?

Yu, 10~19 year old female. Ask Date: 2018/03/31

Dr. Chen Shidian reply Gastroenterology and Hepatology


Hello, please visit the Department of Gastroenterology and Hepatology for a detailed examination at Changhua Hospital, Ministry of Health and Welfare.
We care about your health.

Reply Date: 2018/03/31

More Info


Gastrointestinal issues can be quite distressing, especially when accompanied by symptoms that cause concern about serious conditions like cancer. Based on your description, it seems you have been experiencing discomfort in your abdomen after consuming spicy foods, along with the presence of mucus in your stool. While it’s understandable to worry about conditions such as colorectal cancer, it’s important to consider a range of possibilities, especially since you have already undergone a gastroscopy that showed no serious issues.

Firstly, the symptoms you describe—abdominal discomfort without a specific location, normal bowel movements that are somewhat bulky but contain mucus—could be indicative of several gastrointestinal conditions. One common condition that aligns with your symptoms is Irritable Bowel Syndrome (IBS). IBS is a functional gastrointestinal disorder characterized by symptoms such as abdominal pain, bloating, and changes in bowel habits, including diarrhea or constipation. The presence of mucus in the stool is also not uncommon in IBS.

Another possibility is that your gastrointestinal discomfort could be related to dietary factors, particularly your recent consumption of spicy foods. Spicy foods can irritate the gastrointestinal lining, leading to symptoms such as abdominal pain or discomfort. If you have a history of gastritis or other gastrointestinal sensitivities, this could exacerbate your symptoms. It’s also worth noting that stress and anxiety can significantly impact gut health, potentially leading to symptoms that mimic more serious conditions.

The presence of mucus in the stool can be concerning, but it is not always indicative of cancer. Mucus can be produced in response to irritation or inflammation in the intestines, which can occur in conditions like IBS, infections, or even food intolerances. Since your stool is described as normal and bulky, this suggests that your bowel function is generally healthy, which is a positive sign.

Given your concerns about colorectal cancer, it’s important to remember that typical warning signs include a change in bowel habits, blood in the stool, unexplained weight loss, and persistent abdominal discomfort. Since you have had a gastroscopy and your bowel movements are regular, the likelihood of colorectal cancer is lower, especially if you are under the age of 50 and have no family history of the disease.

To address your symptoms, consider the following recommendations:
1. Dietary Adjustments: Since spicy foods seem to trigger your discomfort, it may be beneficial to reduce or eliminate these from your diet. Focus on a balanced diet rich in fiber, which can help regulate bowel movements and reduce mucus production.

2. Hydration: Ensure you are drinking enough water, as hydration is crucial for digestive health.

3. Stress Management: If you suspect that stress may be contributing to your symptoms, consider incorporating relaxation techniques such as yoga, meditation, or deep-breathing exercises into your routine.

4. Regular Check-ups: Continue to monitor your symptoms and maintain regular check-ups with your healthcare provider. If your symptoms persist or worsen, further evaluation may be warranted, including additional imaging or referrals to a gastroenterologist.

5. Symptom Tracking: Keeping a food and symptom diary can help identify any specific triggers related to your diet or lifestyle that may be contributing to your gastrointestinal discomfort.

In conclusion, while your symptoms are understandably concerning, they may not necessarily indicate a serious condition like colorectal cancer. By making dietary changes, managing stress, and staying vigilant about your health, you can work towards alleviating your gastrointestinal issues. If you have ongoing concerns, don’t hesitate to reach out to your healthcare provider for further evaluation and peace of mind.

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