From Acute Gastroenteritis to Sleep Disorder: Digestive Issues - Gastroenterology and Hepatology

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Gastrointestinal issues were diagnosed at the clinic as acute gastroenteritis. Upon follow-up three days later, it was determined to be due to a disrupted sleep schedule?


Before August 1st, I experienced about a week of symptoms where I would have diarrhea shortly after eating.
At that time, the stool was mostly watery.
I was quite anxious and kept looking for reasons.
That evening, after drinking a cup of bubble milk tea and then a few sips of water, I went to bed.
As a result, I felt very uncomfortable with abdominal bloating and only fell asleep around 3 AM.
On August 1st, I visited a clinic, and the doctor diagnosed me with acute gastroenteritis.
I was prescribed medication for my stomach, but I still felt the need to have a bowel movement.
The stools that followed were thin, about the width of my pinky finger, possibly even narrower.
They appeared to be a yellowish-brown color and would sink in the toilet.
There was no blood in the stool.
After the diagnosis, the doctor mentioned it was non-bleeding acute gastroenteritis and questioned whether my diet of only toast or congee had any relation to my condition.

By August 5th, my abdomen was still bloated, but during a follow-up visit, the doctor examined various areas by palpation and used a stethoscope.
He informed me that my symptoms were due to a disruption in my daily routine and were no longer related to gastroenteritis.
I had been going to bed around midnight to 1 AM before summer vacation, but after it started, my bedtime shifted to 3 or 4 AM.
I’m not sure if this is the reason for my condition.

Currently, I do sleep, but my sclera is slightly red.
The doctor also noted my dark circles.
I do not have a strong urge to defecate; I have to exert some effort to have a bowel movement.
The stools are relatively soft, appearing more yellowish-brown.
After passing, they are thin like my finger but long and coiled like a snake, sinking when flushed.
There is no sign of blood, and they are formed with slight irregular edges.
My abdomen continues to feel somewhat bloated.
My daily routine involves sitting at my computer desk for almost the entire day, which could be considered prolonged sitting.
I would appreciate it if the doctor could evaluate my condition.

Niming, 10~19 year old female. Ask Date: 2020/08/06

Dr. Chen Shidian reply Gastroenterology and Hepatology


Post-gastroenteritis abnormal peristalsis and digestion are somewhat similar to general irritable bowel syndrome (IBS).
The treatment is also similar, including dietary adjustments and, if necessary, stool tests in a gastroenterology clinic and medication adjustments.
Probiotics may be used if needed, and it is recommended to take a walk after meals to aid digestion.

Reply Date: 2020/08/06

More Info


It sounds like you're experiencing a complex interplay of gastrointestinal issues and sleep disturbances, which can often be linked. Your symptoms suggest that you may be dealing with functional gastrointestinal disorders, such as irritable bowel syndrome (IBS) or post-infectious IBS, especially after having acute gastroenteritis. The stress and anxiety associated with your gastrointestinal symptoms can also contribute to sleep problems.


Understanding Your Symptoms
1. Gastrointestinal Issues:
- Acute Gastroenteritis: This condition can lead to symptoms like diarrhea, abdominal pain, and bloating. The fact that you experienced watery stools and abdominal discomfort after consuming certain foods, like bubble tea, indicates that your digestive system may still be sensitive post-infection.
- Bowel Movements: The description of your stool being thin and yellowish could suggest a few things. It may be a result of dietary changes (like consuming only toast and porridge), or it could indicate a functional issue where the intestines are not processing food properly. The presence of soft stools and the need to exert effort to pass them could also point towards a condition like IBS, where bowel habits can fluctuate between diarrhea and constipation.

2. Sleep Disturbances:
- Your sleep issues, including difficulty falling asleep and waking up feeling unrefreshed, could be linked to your gastrointestinal discomfort. Stress and anxiety about your health can further exacerbate sleep problems. The change in your sleep schedule, from going to bed at midnight to 3 or 4 AM, can disrupt your circadian rhythm, making it harder to achieve restful sleep.


Recommendations for Improvement
1. Dietary Adjustments:
- Gradually reintroduce a variety of foods into your diet while monitoring how your body reacts. A diet rich in fiber, including fruits, vegetables, and whole grains, may help regulate your bowel movements. However, be cautious with high-fiber foods if you're experiencing bloating, as they can sometimes exacerbate symptoms in sensitive individuals.

- Stay hydrated, especially after experiencing diarrhea. Electrolyte solutions can be beneficial if you've lost fluids.

2. Sleep Hygiene:
- Establish a consistent sleep schedule by going to bed and waking up at the same time every day, even on weekends. This can help reset your internal clock.

- Create a relaxing bedtime routine that may include activities such as reading, gentle stretching, or meditation to help signal to your body that it's time to wind down.

- Limit screen time before bed, as the blue light emitted by devices can interfere with melatonin production and disrupt your sleep cycle.

3. Stress Management:
- Consider incorporating stress-reducing techniques such as mindfulness, yoga, or deep-breathing exercises. These can help alleviate anxiety, which may be contributing to both your gastrointestinal and sleep issues.

- If you find that anxiety about your health is overwhelming, it may be beneficial to speak with a mental health professional who can provide support and coping strategies.

4. Consult a Healthcare Provider:
- Given the complexity of your symptoms, it’s advisable to follow up with a healthcare provider. They can conduct further evaluations to rule out any underlying conditions and may suggest treatments tailored to your specific needs, such as dietary modifications, medications for IBS, or therapies for sleep disturbances.


Conclusion
Your symptoms of gastrointestinal distress and sleep issues are interconnected and can be influenced by various factors, including diet, stress, and lifestyle changes. By making gradual adjustments to your diet, improving your sleep hygiene, and managing stress, you may find relief from your symptoms. However, it’s essential to maintain open communication with your healthcare provider to ensure that you receive appropriate care and support as you navigate these challenges.

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