Abdominal Pain and Diarrhea: Causes and Remedies - Gastroenterology and Hepatology

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Abdominal pain and diarrhea?


Since the week of my midterm exam two weeks ago, I've been experiencing a sensation in my abdomen that feels somewhat like bloating.
I have been feeling discomfort and pain in my stomach, and I have the urge to pass gas but can't, which only relieves a bit of the discomfort after I manage to do so.
Last week, I traveled to Zhangjiajie, China, for a week, where the food was quite oily and spicy (similar to Sichuan cuisine).
During those days, I experienced abdominal pain, usually after meals.
The pain is typically located in the lower left abdomen, but I've also felt it in the upper right.
Sometimes the pain is sharp, while other times it feels more like a dull ache.
I took stomach medication once, but I'm not sure if it helped.
I have been having bowel movements every night, and sometimes the pain makes me feel the need to go to the bathroom for relief.

This morning, after having breakfast, I lay on the sofa looking at my phone and suddenly felt another wave of pain.
I tried some massage techniques, but soon after, the pain intensified.
I went to the bathroom and continued to feel pain while trying to have a bowel movement.
Initially, I was able to pass some stool, but then I experienced severe pain again.
I kept trying to go for about ten minutes, and eventually, I was able to pass more stool, which didn't seem to resemble what I had eaten for breakfast.
After that, I felt much better, as if I had relieved all the discomfort from the past few days.
What could be going on?

volley, 10~19 year old female. Ask Date: 2018/07/12

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: It is recommended to avoid overeating recently and to maintain a light diet.
It is also advised to have a bowel movement daily.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2018/07/12

More Info


Abdominal pain and diarrhea can be distressing symptoms that may arise from various underlying causes. Based on your description, it seems that you have been experiencing discomfort in your abdomen, particularly after consuming meals, and you have also noted changes in your bowel habits. Let's break down the potential causes and remedies for your symptoms.


Possible Causes
1. Dietary Factors: You mentioned that your recent travel involved consuming oily and spicy foods. Such dietary changes can lead to gastrointestinal distress, including bloating, cramping, and diarrhea. Spicy foods can irritate the stomach lining, while high-fat meals can slow down digestion, leading to discomfort.

2. Gastrointestinal Disorders: Conditions such as irritable bowel syndrome (IBS), gastritis, or even food intolerances (like lactose intolerance or gluten sensitivity) could be contributing to your symptoms. IBS is characterized by abdominal pain and changes in bowel habits, which can include diarrhea or constipation.

3. Infections: Traveling can expose you to new pathogens, leading to gastrointestinal infections. Bacterial or viral infections can cause abdominal pain, diarrhea, and other symptoms like nausea and vomiting. If you experienced any foodborne illness, it could explain your symptoms.

4. Constipation: Your description of feeling the need to relieve yourself and experiencing pain before doing so suggests that constipation could be a factor. When stool builds up in the intestines, it can cause cramping and discomfort, and the effort to pass stool can exacerbate pain.

5. Stress and Anxiety: Given that you mentioned anxiety in previous discussions, it's worth noting that stress can significantly impact gastrointestinal function. Stress can lead to increased gut sensitivity, which may manifest as pain or discomfort.


Remedies and Recommendations
1. Dietary Adjustments: Consider adopting a bland diet for a few days, avoiding spicy, oily, and heavy foods. Focus on easily digestible foods such as bananas, rice, applesauce, and toast (the BRAT diet). Gradually reintroduce other foods to identify any triggers.

2. Hydration: Ensure you are drinking plenty of fluids, especially if you are experiencing diarrhea. Dehydration can occur quickly, so consider electrolyte solutions if diarrhea persists.

3. Over-the-Counter Medications: Antacids or medications like simethicone can help relieve gas and bloating. If diarrhea continues, medications like loperamide may be useful, but consult a healthcare professional before use, especially if there is blood in the stool or if symptoms worsen.

4. Gentle Exercise: Light physical activity, such as walking, can help stimulate digestion and alleviate discomfort. Avoid strenuous activities until you feel better.

5. Consult a Healthcare Provider: If your symptoms persist for more than a few days, worsen, or are accompanied by severe pain, fever, or blood in your stool, it is crucial to seek medical attention. A healthcare provider can perform necessary tests to rule out infections or other gastrointestinal disorders.

6. Stress Management: Since anxiety can exacerbate gastrointestinal symptoms, consider incorporating stress-reducing techniques such as mindfulness, yoga, or deep-breathing exercises into your routine.


Conclusion
In summary, your symptoms of abdominal pain and diarrhea could stem from dietary changes, gastrointestinal disorders, infections, or even stress. It's essential to monitor your symptoms closely and make dietary adjustments while staying hydrated. If symptoms persist or worsen, seeking medical advice is crucial for proper diagnosis and treatment. Remember that your health is paramount, and addressing these symptoms early can lead to better outcomes.

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