Sweet Saliva and Loss of Appetite: Gastrointestinal Concerns Explained - Gastroenterology and Hepatology

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Sweet saliva accompanied by loss of appetite?


Hello, I have not felt hungry for almost the past two months.
If I do feel hungry, it only lasts for a few minutes, and once that time passes, I no longer feel hungry.
I have a habit of eating breakfast every day, but about 10 to 20 minutes after eating, I experience diarrhea, which is quite urgent.
Moreover, it doesn't all come out at once; I have to wait about 20 minutes before needing to go again.
My stomach itself doesn't hurt particularly, but I have recently started experiencing a sweet taste in my mouth, along with a constant urge to use the restroom.
However, when I sit down, I find it difficult to have a bowel movement, or I only pass a small amount.
I would like to ask about the possible symptoms, whether I need to seek medical attention, and if it is possible to improve my symptoms by not eating for an extended period or by switching to a lighter diet.
Thank you for your response.

Mr. Li, 20~29 year old female. Ask Date: 2018/10/09

Dr. Chen Shidian reply Gastroenterology and Hepatology


Hello, based on what you mentioned, it seems to be symptoms of irritable bowel syndrome (IBS).
It is recommended to reduce the intake of fatty foods and dairy products, and to eat at regular intervals and in appropriate portions.
If you experience weight loss or blood in your stool, please visit a gastroenterology clinic.
Changhua Hospital cares about your health.
Chen Shih-Dian.

Reply Date: 2018/10/09

More Info


Hello! It sounds like you are experiencing a range of gastrointestinal symptoms that are concerning and warrant further evaluation. Based on your description, you are dealing with a combination of loss of appetite, frequent diarrhea shortly after meals, a sweet taste in your saliva, and difficulty with bowel movements. Let’s break down these symptoms and explore potential causes and recommendations.


Loss of Appetite
A persistent loss of appetite can be attributed to various factors, including psychological stress, gastrointestinal disorders, or metabolic issues. In your case, the loss of appetite may be linked to your gastrointestinal symptoms. Conditions such as gastritis, irritable bowel syndrome (IBS), or even infections can lead to decreased appetite. It’s essential to monitor how long this loss of appetite persists, as prolonged periods without adequate nutrition can lead to further health complications.


Frequent Diarrhea
Experiencing diarrhea shortly after eating, especially if it resembles a sudden urge to "let it all out," can indicate several potential issues. This could be a sign of food intolerances, infections, or conditions like IBS. The fact that you mentioned this occurs consistently after breakfast suggests that it may be related to what you are eating or how your body is reacting to food. If you have recently changed your diet or are consuming more high-fiber or greasy foods, this could also contribute to your symptoms.


Sweet Saliva
The presence of a sweet taste in your saliva can be perplexing. This symptom can sometimes be associated with conditions like diabetes, where high blood sugar levels can lead to changes in taste. However, it can also be a result of dietary changes or even certain medications. If you have not been diagnosed with diabetes, it might be worth checking your blood sugar levels, especially if you have other symptoms like increased thirst or frequent urination.


Difficulty with Bowel Movements
The sensation of needing to go but being unable to produce a bowel movement can be frustrating. This could indicate constipation or a functional bowel disorder. The fact that you are experiencing diarrhea and constipation alternately may suggest a diagnosis of IBS, which is characterized by a mix of both symptoms. Stress, dietary habits, and hydration levels can all play significant roles in bowel function.


Recommendations
1. Dietary Adjustments: Consider keeping a food diary to track what you eat and how it correlates with your symptoms. This can help identify any food intolerances or triggers. Gradually reintroducing foods may also help pinpoint what exacerbates your symptoms.

2. Hydration: Ensure you are drinking enough fluids, especially if you are experiencing diarrhea. Dehydration can worsen gastrointestinal symptoms and lead to further complications.

3. Medical Evaluation: Given the persistence of your symptoms, it would be wise to consult a healthcare professional. They may recommend tests such as blood work, stool analysis, or imaging studies to rule out any underlying conditions. A gastroenterologist can provide specialized care and may suggest treatments or dietary modifications tailored to your needs.

4. Stress Management: If you suspect that stress may be contributing to your symptoms, consider incorporating stress-reducing activities such as yoga, meditation, or regular exercise into your routine.

5. Avoiding Self-Diagnosis: While it’s tempting to self-diagnose based on symptoms, it’s crucial to seek professional advice. Conditions like IBS, infections, or even more serious gastrointestinal disorders require appropriate diagnosis and management.

In summary, your symptoms suggest a complex interplay of gastrointestinal issues that need careful evaluation. While dietary changes may help, professional medical advice is essential to ensure that you receive the appropriate care and treatment. Don’t hesitate to reach out to a healthcare provider to discuss your symptoms in detail. Your health is important, and addressing these concerns early can lead to better outcomes.

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