Diarrhea that is very soft, with mucus, and yellow-brown in color?
Hello doctor, last week in the afternoon and evening, I experienced nausea and a feeling of wanting to vomit.
It seemed to start about three hours after eating.
Even now in the afternoon, I occasionally feel this way, especially when I press on the area above my navel, which makes me feel like vomiting.
I also have some bloating, and burping helps a bit.
I've recently started paying attention to my bowel movements, which occur about three to four times a day, some of which happen after meals.
The amount isn't much, but two days ago, I noticed bright red blood in the toilet after a morning bowel movement.
Since then, I haven't seen this again, but my stools are consistently yellowish-golden, somewhat formed or not, very soft, and break apart easily in water.
Wiping seems to produce some yellowish mucus.
The bowel movements are not painful (I tend to get nervous easily).
Is this issue related to my intestines or stomach? Do I need to see a doctor and take medication for treatment?
Xiao Jie, 10~19 year old female. Ask Date: 2018/08/15
Dr. Chen Qifeng reply Gastroenterology and Hepatology
It is likely gastroenteritis.
It is recommended to follow a low-fat, dairy-free, and bland diet.
If necessary, consult a gastroenterologist.
Reply Date: 2018/08/15
More Info
Hello! Based on your description, it sounds like you're experiencing a combination of gastrointestinal symptoms that could be indicative of several underlying issues. Let's break down your symptoms and discuss potential causes, as well as when you should consider seeing a doctor.
Symptoms Overview
1. Nausea and Vomiting: You mentioned feeling nauseous, especially after eating, which can be a sign of various gastrointestinal disturbances.
2. Abdominal Pain and Bloating: The discomfort when pressing above your navel suggests that there may be some irritation or inflammation in your digestive tract.
3. Changes in Bowel Movements: The frequency of your bowel movements (three to four times a day) and the presence of yellow-brown diarrhea with mucus are noteworthy. The fact that you also observed red blood in your stool on one occasion is particularly concerning.
4. Mucus in Stool: The presence of mucus can indicate inflammation in the intestines, which can be associated with conditions like irritable bowel syndrome (IBS), infections, or inflammatory bowel disease (IBD).
Potential Causes
1. Gastroenteritis: This is an inflammation of the stomach and intestines, often caused by viral or bacterial infections. Symptoms can include nausea, vomiting, diarrhea, and abdominal pain.
2. Irritable Bowel Syndrome (IBS): A functional gastrointestinal disorder characterized by symptoms like abdominal pain, bloating, and changes in bowel habits. Stress and anxiety can exacerbate IBS symptoms.
3. Inflammatory Bowel Disease (IBD): Conditions like Crohn's disease or ulcerative colitis can cause similar symptoms, including diarrhea with mucus and abdominal pain. The presence of blood in the stool is a red flag that warrants further investigation.
4. Food Intolerances or Allergies: Sometimes, certain foods can trigger gastrointestinal symptoms, leading to nausea, bloating, and diarrhea.
5. Gastritis or Peptic Ulcer: Inflammation of the stomach lining or ulcers can cause nausea and abdominal pain, especially after eating.
When to See a Doctor
Given your symptoms, especially the presence of blood in your stool and ongoing nausea, it is advisable to consult a healthcare professional. Here are specific situations when you should seek medical attention:
- Blood in Stool: Even if it was a one-time occurrence, any presence of blood should be evaluated by a doctor.
- Persistent Symptoms: If your nausea, abdominal pain, or diarrhea persists for more than a couple of days or worsens, you should see a doctor.
- Severe Pain: If you experience severe abdominal pain or if the pain becomes unbearable, seek immediate medical care.
- Signs of Dehydration: If you experience excessive diarrhea, vomiting, or inability to keep fluids down, look for signs of dehydration, such as dry mouth, dizziness, or decreased urination.
Next Steps
1. Keep a Symptom Diary: Document your symptoms, including when they occur, their severity, and any potential triggers (like certain foods or stress).
2. Consult a Doctor: Given your symptoms, it would be wise to see a gastroenterologist. They may recommend tests such as blood work, stool tests, or imaging studies to determine the underlying cause of your symptoms.
3. Dietary Adjustments: In the meantime, consider keeping a food diary to identify any potential food triggers and try to maintain a bland diet until you can see a doctor.
In summary, while some gastrointestinal issues can resolve on their own, your symptoms, particularly the blood in your stool and persistent nausea, warrant a thorough evaluation by a healthcare professional. Early diagnosis and treatment can help prevent complications and improve your quality of life. Take care!
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