Gastrointestinal Issues: When to Seek Medical Advice

Which department to see?

Hello Doctor, recently I've been feeling something unusual in my lower abdomen every day, with a sensation of pain and the urge to use the restroom.
However, when I go, I only pass gas and the discomfort goes away, but it returns shortly after.
I find myself needing to use the restroom two to three times a day.
Yesterday at work, I started feeling unwell, experiencing some dizziness and chills, although my forehead temperature was normal.
Last night, I sweated a lot while trying to sleep, and this morning I had a soft bowel movement.
I also have a slight feeling of something stuck in my throat, pain in my lower left abdomen, a warm sensation in my belly, and I'm still feeling a bit dizzy with a tight neck.
I would like to ask the doctor what might be going on with my condition and whether I need to see a doctor.

Nai Nai, 20~29 year old female. Ask Date: 2020/05/28

Dr. Chen Shidian reply Gastroenterology and Hepatology

If you're feeling uneasy, you should seek medical examination, wash your hands frequently, and avoid close contact with others.

Reply Date: 2020/05/28

More Info

Based on the symptoms you've described, it seems that you are experiencing a combination of gastrointestinal issues that may require medical attention. Your symptoms include persistent lower abdominal discomfort, a frequent urge to defecate without producing stool, dizziness, chills, night sweats, and a sensation of tightness in your neck. Let's break down these symptoms and discuss when it is essential to seek medical advice.

Understanding Your Symptoms
1. Abdominal Pain and Bowel Changes: The sensation of needing to use the bathroom but only passing gas can indicate several gastrointestinal conditions, including irritable bowel syndrome (IBS), constipation, or even an infection. The fact that you have experienced this for several days suggests that it is not a transient issue and may require further evaluation.

2. Dizziness and Chills: These symptoms could be indicative of a systemic issue, such as an infection or dehydration. The combination of gastrointestinal distress and systemic symptoms like dizziness and chills should not be taken lightly, especially if they persist.

3. Night Sweats: This can be a sign of various conditions, including infections, hormonal changes, or even anxiety. When combined with gastrointestinal symptoms, it may suggest an underlying infection or inflammatory process.

4. Soft Stools: The presence of soft stools after a period of discomfort may indicate that your gastrointestinal system is attempting to resolve an issue, but it could also signify an underlying condition such as gastroenteritis or a reaction to dietary changes.

5. Throat Sensation: The feeling of an "object" in your throat could be related to anxiety or could indicate a reflux issue, especially if you have been experiencing gastrointestinal distress.

When to Seek Medical Advice
Given the complexity and the combination of your symptoms, it is advisable to seek medical attention. Here are some specific indicators that suggest you should see a healthcare provider:
- Persistent Symptoms: If your symptoms have lasted more than a few days without improvement, it is essential to consult a doctor. Chronic gastrointestinal issues can lead to more severe complications if left untreated.

- Severe Pain: If the abdominal pain becomes severe or is accompanied by other alarming symptoms such as vomiting, fever, or significant changes in bowel habits, you should seek immediate medical care.

- Systemic Symptoms: The presence of dizziness, chills, and night sweats, especially in conjunction with gastrointestinal symptoms, warrants a medical evaluation to rule out infections or other systemic conditions.

- Changes in Mental Status: If you experience confusion, severe fatigue, or any changes in your mental status, it is crucial to seek emergency care.

Conclusion
In summary, your symptoms suggest a potential gastrointestinal issue that may be complicated by systemic factors. It is essential to consult a healthcare provider who can perform a thorough evaluation, which may include a physical examination, laboratory tests, and possibly imaging studies to determine the underlying cause of your symptoms. Early intervention can help prevent complications and lead to a more effective treatment plan. Remember, it is always better to err on the side of caution when it comes to your health.

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