Recent Bowel Changes: Causes and Concerns - Gastroenterology and Hepatology

Q: Recent Bowel Changes: Causes and Concerns

Hello： Since the colonoscopy was performed several years ago, if there have been changes in your bowel habits, you should consult a gastroenterologist for an evaluation to determine if further examination is necessary. <br>Changhua Hospital cares about your health. <br>Dr. <br>Ts

Recent bowel movement issues?

Hello, Dr.
Tsai! I would like to ask you some questions.
Recently, my bowel movements have been irregular.
I used to have a consistent schedule of having a bowel movement every two days, but now it varies between every two days or once a day.
Sometimes, I feel like I haven't completely emptied my bowels, and I occasionally experience a dull pain in my lower left abdomen.
The shape of my stool remains normal, and I don't have any other discomfort.
I had two colonoscopies between the ages of 25 and 30, both of which showed no issues, and the results indicated irritable bowel syndrome (IBS).
In February of this year, I underwent a health check-up that included a fecal occult blood test, which also came back normal.
However, I've been feeling more emotionally unstable and down lately (I tend to be more sensitive and sentimental).
I read online that some users mentioned that IBS can recur.
Could my emotional state be causing a recurrence of IBS, or could there be other reasons? Thank you, Dr.
Tsai!

Ming, 30~39 year old female. Ask Date: 2018/09/11

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: Since the colonoscopy was performed several years ago, if there have been changes in your bowel habits, you should consult a gastroenterologist for an evaluation to determine if further examination is necessary.
Changhua Hospital cares about your health.
Dr.
Tsai An-Shun.

Reply Date: 2018/09/11

More Info

Understanding recent changes in bowel habits can be concerning, especially when they deviate from what is considered normal for you. Based on your description, it appears that you have experienced fluctuations in your bowel movements, with some days having more frequent stools and occasional feelings of incomplete evacuation. You also mentioned a history of irritable bowel syndrome (IBS) and recent emotional stress, which could be contributing factors to your current symptoms.

Irritable bowel syndrome is a functional gastrointestinal disorder characterized by symptoms such as abdominal pain, bloating, and changes in bowel habits, including diarrhea and constipation. It is important to note that IBS can be influenced by various factors, including stress, diet, and lifestyle. Emotional stress, in particular, has been shown to exacerbate IBS symptoms in many individuals. The gut-brain axis, which refers to the bidirectional communication between the gastrointestinal tract and the brain, plays a significant role in this relationship. Stress can lead to increased gut motility, resulting in more frequent bowel movements or diarrhea, while also causing sensations of discomfort or pain.

Given your recent emotional fluctuations and the history of IBS, it is plausible that your symptoms could be related to stress. However, it is also essential to consider other potential causes for your changes in bowel habits. Dietary changes, new medications, or even infections can lead to alterations in bowel function. Since you have undergone colonoscopy in the past with normal results, and recent health checks have not indicated any alarming issues, it may be less likely that a serious underlying condition is present. Nonetheless, it is always prudent to monitor your symptoms closely.

Here are some recommendations to help manage your symptoms:
1. Dietary Adjustments: Pay attention to your diet and consider keeping a food diary to identify any potential triggers. Some individuals with IBS find that certain foods, such as dairy, gluten, or high-FODMAP foods, can exacerbate their symptoms. A balanced diet rich in fiber may help regulate bowel movements.

2. Stress Management: Since emotional stress can significantly impact your gastrointestinal health, consider incorporating stress-reducing techniques into your routine. Practices such as mindfulness, yoga, meditation, or regular physical activity can help alleviate stress and improve your overall well-being.

3. Hydration: Ensure you are adequately hydrated, as this can influence bowel function. Drinking enough water can help maintain stool consistency and prevent constipation.

4. Regular Exercise: Engaging in regular physical activity can promote healthy bowel function and reduce stress levels. Aim for at least 30 minutes of moderate exercise most days of the week.

5. Consultation with a Specialist: If your symptoms persist or worsen, it may be beneficial to consult with a gastroenterologist. They can provide further evaluation and may recommend additional tests, such as stool studies or imaging, to rule out other potential causes.

In summary, while your recent bowel changes may be related to stress and your history of IBS, it is essential to monitor your symptoms and consider lifestyle modifications. If you experience any alarming symptoms, such as significant weight loss, blood in your stool, or persistent abdominal pain, seek medical attention promptly. Your health and peace of mind are paramount, and addressing these concerns with a healthcare professional can provide clarity and reassurance.

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