Bowel movement issues
Hello doctor, I have been experiencing irregular bowel movements for some time, and it has become more severe since the summer vacation.
During the summer, my routine changed, and I have been alternating between constipation and loose stools.
My stools are almost always loose and unformed, and I also experience a dull pain in my left abdomen.
I would like to ask how I can achieve well-formed stools instead of loose ones.
I have seen two traditional Chinese medicine practitioners; one said I have irritable bowel syndrome, while the other mentioned it is just a gastrointestinal motility issue.
Am I considered to have irritable bowel syndrome? Thank you.
Xi Xi, 10~19 year old female. Ask Date: 2018/08/10
Dr. Yu Mingchang reply Surgery
Hello: Eating more fruits and vegetables is not a big issue.
The Changhua Hospital of the Ministry of Health and Welfare cares about you.
Reply Date: 2018/08/10
More Info
It sounds like you're experiencing a range of bowel issues that can be quite distressing. Based on your description, it seems you are dealing with irregular bowel habits, alternating between constipation and loose stools, which can often be associated with conditions like Irritable Bowel Syndrome (IBS) or functional gastrointestinal disorders. Let's break down your concerns and provide some actionable advice.
Understanding Your Symptoms
1. Bowel Irregularity: The fact that you experience both constipation and loose stools suggests a possible diagnosis of IBS, particularly if these symptoms are accompanied by abdominal pain or discomfort. IBS is characterized by a combination of symptoms, including altered bowel habits, abdominal pain, and bloating. The left-sided abdominal pain you mentioned could be related to bowel distension or spasms, which are common in IBS.
2. Dietary Factors: Your mention of changes in routine during the summer could also indicate that your diet and hydration levels have fluctuated. Diet plays a crucial role in bowel health. A diet low in fiber can lead to constipation, while a sudden increase in certain foods (like dairy or high-fat foods) can trigger loose stools.
Tips for Achieving Formed Stools
1. Increase Fiber Intake: Aim for a balanced diet rich in soluble and insoluble fiber. Foods such as fruits (like apples and bananas), vegetables (like carrots and broccoli), whole grains (like oats and brown rice), and legumes (like beans and lentils) can help regulate bowel movements. Soluble fiber helps absorb excess water, which can firm up loose stools, while insoluble fiber adds bulk to your stool, aiding in constipation relief.
2. Stay Hydrated: Drinking plenty of water is essential for digestive health. Aim for at least 8-10 cups of water daily. Proper hydration helps soften stool and promotes regular bowel movements. If you are increasing your fiber intake, it's especially important to drink more water to help manage the increased bulk.
3. Regular Meal Patterns: Try to maintain a consistent eating schedule. Eating at regular intervals can help regulate your digestive system. Avoid skipping meals, as this can lead to irregular bowel habits.
4. Probiotics: Consider incorporating probiotics into your diet. Probiotics are beneficial bacteria that can help balance your gut microbiome, potentially alleviating symptoms of IBS. Foods like yogurt, kefir, sauerkraut, and other fermented foods are good sources of probiotics.
5. Limit Trigger Foods: Pay attention to foods that may trigger your symptoms. Common culprits include high-fat foods, caffeine, alcohol, and artificial sweeteners. Keeping a food diary can help identify patterns and triggers.
6. Physical Activity: Regular exercise can promote healthy bowel function. Aim for at least 30 minutes of moderate exercise most days of the week. Activities like walking, jogging, or yoga can be beneficial.
7. Stress Management: Since stress can exacerbate gastrointestinal symptoms, consider incorporating stress-reduction techniques such as mindfulness, meditation, or deep-breathing exercises into your routine.
When to Seek Further Help
If your symptoms persist despite making these dietary and lifestyle changes, or if you experience severe abdominal pain, blood in your stool, or significant weight loss, it’s important to consult a healthcare professional. They may recommend further evaluation, such as a colonoscopy or other diagnostic tests, to rule out any underlying conditions.
In summary, achieving formed stools often requires a multifaceted approach that includes dietary adjustments, hydration, regular exercise, and stress management. By making these changes, you may find relief from your symptoms and improve your overall digestive health. If you have any further questions or concerns, don’t hesitate to reach out to a healthcare provider for personalized advice.
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