Abdominal Discomfort: Causes and Solutions for Young Adults

Abdominal discomfort for about one to two months?

I am 18 years old and moved from central Taiwan to the north for school.
In the first few days after the semester started, everything was normal as usual.
However, about a month later, I suddenly experienced a week of diarrhea.
After visiting a clinic, I was diagnosed with gastroenteritis.
Once the diarrhea resolved, I experienced constipation for about a week, which gradually improved.
However, I have been experiencing continuous bloating for the past three weeks.
This morning, I accidentally ate something oily and immediately had diarrhea again.
During the diarrhea, I felt a slight burning sensation around the anus, and when I wiped, there was a little bit of redness that looked like blood.
I am unsure what illness I might have, and I have been suffering for quite some time.
Thank you.

Yangyang, 10~19 year old female. Ask Date: 2019/11/22

Dr. Ke Fangxu reply Surgery

This symptom is more characteristic of irritable bowel syndrome (IBS), which commonly presents with irregular bowel movements, diarrhea during times of stress, and occasionally, the presence of small amounts of blood and mucus in the stool.
It is often seen in young individuals.
It is recommended to start with a light diet and maintain a good daily routine.
Spicy, irritating, and greasy foods should be avoided, and increasing dietary fiber intake can also be beneficial.
If symptoms persist without improvement, it is advisable to consult a physician for medication or to undergo a colonoscopy.

Reply Date: 2019/11/22

More Info

Abdominal discomfort in young adults can arise from a variety of causes, and your symptoms suggest a complex interplay of gastrointestinal issues. Given your recent history of diarrhea, constipation, and bloating, it’s essential to consider several potential underlying conditions and lifestyle factors that could be contributing to your discomfort.

Firstly, your experience of diarrhea followed by constipation indicates a possible case of irritable bowel syndrome (IBS), a common gastrointestinal disorder characterized by a combination of symptoms including abdominal pain, bloating, and altered bowel habits. Stress, dietary changes, and lifestyle factors can significantly influence IBS symptoms, particularly in young adults who may be adjusting to new environments, such as moving for school.

The fact that you experienced diarrhea after consuming oily foods suggests that your digestive system may be sensitive to certain types of food. High-fat meals can trigger gastrointestinal symptoms in individuals with underlying conditions like gallbladder issues or pancreatitis, though these are less common in young adults. Additionally, the burning sensation and slight bleeding you mentioned could indicate anal fissures, which can occur due to passing hard stools or straining during bowel movements, especially after a period of constipation.

Your symptoms of bloating persisting for three weeks could be attributed to several factors, including dietary choices, such as consuming high-fat or high-sugar foods, which can lead to gas production and discomfort. It’s also worth noting that certain food intolerances (like lactose or gluten intolerance) can manifest as bloating and changes in bowel habits. Keeping a food diary may help identify any specific triggers.

The presence of a burning sensation during bowel movements and slight blood could indicate irritation or inflammation in the anal area, possibly due to frequent diarrhea or straining during constipation. It’s crucial to address these symptoms promptly, as they can lead to further complications if left untreated.

Here are some recommendations to help manage your symptoms:
1. Dietary Adjustments: Focus on a balanced diet rich in fiber, which can help regulate bowel movements. Incorporate fruits, vegetables, and whole grains while avoiding excessive fats and sugars. Staying hydrated is also essential, especially if you experience diarrhea.

2. Monitor Symptoms: Keep track of your symptoms, including any food triggers, the frequency of bowel movements, and any associated pain. This information can be valuable for healthcare providers.

3. Consult a Healthcare Provider: Given the persistence of your symptoms, it’s advisable to consult a gastroenterologist or your primary care physician. They may recommend tests such as stool analysis, blood tests, or imaging studies to rule out any serious conditions.

4. Consider Stress Management: Since transitioning to a new environment can be stressful, consider incorporating stress-reducing activities such as exercise, meditation, or yoga into your routine. Stress can exacerbate gastrointestinal symptoms.

5. Avoid Self-Medication: While over-the-counter medications may provide temporary relief, they can sometimes mask underlying issues. It’s best to seek professional advice before starting any new medication.

In conclusion, while your symptoms may be indicative of a common gastrointestinal issue, it’s essential to approach them with caution and seek medical advice to ensure proper diagnosis and treatment. Early intervention can help prevent complications and improve your quality of life.

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