Should You See a Doctor for Weight Loss and Irregular Bowel Movements?

Weight loss and irregular bowel movements—should I seek medical attention?

Hello doctor, for the past month or two, my bowel movements have often been unformed, feeling somewhat sticky and loose.
After using the restroom, I don't feel completely relieved.
During my four years in college, my meal times were irregular, and I frequently experienced stomach growling and gas (either released or trapped in my intestines).
Recently, I've been eating more (all-you-can-eat), and I thought I might have gained weight, but I weighed myself yesterday and it was around 65 kg.
My weight during college was consistently around 68 kg.
The last time I weighed myself was a few months ago, but I can't be sure it was less than six months ago.
I'm a bit worried that there might be an issue with my health.
Do you think I need to see a doctor?

Lin, 20~29 year old female. Ask Date: 2019/07/09

Dr. Lin Minghui reply Gastroenterology and Hepatology

Hello, you often have unformed stools that feel somewhat sticky and loose, and you are experiencing weight loss.
It is advisable to pay attention to your dietary habits, eat less greasy food, maintain a regular eating schedule, and keep a positive mood.
If there is no improvement, it is recommended to seek outpatient examination and treatment.
Wishing you peace and health.
Sincerely, Dr.
Ming-Hui Lin, Attending Physician, Department of Gastroenterology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2019/07/09

More Info

When it comes to weight loss and irregular bowel movements, seeking medical advice can be crucial, especially if you are experiencing persistent changes in your bowel habits or weight fluctuations. Based on your description, it sounds like you have been dealing with inconsistent bowel movements, which can be a sign of underlying digestive issues. Additionally, your concern about weight changes, particularly in the context of a fluctuating diet, warrants a closer look.

Firstly, irregular bowel movements can manifest in various forms, including diarrhea, constipation, or a combination of both. The fact that you are experiencing stools that are "sticky" and "loose" suggests that your digestive system may not be functioning optimally. This could be due to several factors, including dietary choices, stress, hydration levels, and even the timing of your meals. Inconsistent eating patterns, as you mentioned during your college years, can significantly impact gut health. The gut microbiome, which plays a vital role in digestion and overall health, thrives on regularity and a balanced diet.

Moreover, your recent experience of eating more frequently (e.g., at an all-you-can-eat restaurant) may have contributed to your current symptoms. Overeating can lead to digestive discomfort, bloating, and irregular bowel movements. It is essential to listen to your body and recognize when it is signaling distress. If you find that your bowel habits do not normalize after adjusting your diet or if you experience additional symptoms such as abdominal pain, weight loss, or fatigue, it is advisable to consult a healthcare professional.

Regarding weight loss, it is important to approach it holistically. If you are concerned about your weight, especially if you have noticed a decrease from your stable weight of 68 kg to around 65 kg, this could be a sign that your body is reacting to changes in your diet or lifestyle. Weight fluctuations can occur for various reasons, including changes in fluid retention, muscle mass, and fat loss. However, if you are unintentionally losing weight or if your weight is not stabilizing, it is essential to investigate further.

A healthcare provider can conduct a thorough evaluation, including a physical examination and possibly laboratory tests, to rule out any underlying conditions such as thyroid disorders, gastrointestinal diseases, or metabolic issues. They may also recommend dietary adjustments or refer you to a nutritionist who can help you develop a balanced eating plan that supports your health goals while addressing your digestive concerns.

In summary, if you are experiencing irregular bowel movements and are concerned about your weight, it is advisable to see a doctor. They can provide a comprehensive assessment and guide you on the best course of action. Remember, maintaining a healthy weight and regular bowel habits is a long-term commitment that involves balanced nutrition, regular physical activity, and attention to your body's signals. Seeking professional guidance can help you navigate these challenges effectively and safely.

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