Digestive Issues: When to Seek Medical Advice - Gastroenterology and Hepatology

I would like to consult a physician?

Recently, the doctor mentioned that my irregular sleep schedule caused some issues, but after adjusting my routine, I started eating three meals a day yesterday, and my bowel movements have improved slightly, although they are still a bit soft.
Since my family is not around, I microwaved some convenience store curry for lunch.
I woke up early but skipped breakfast, and shortly after eating, I experienced diarrhea.
The stool was yellowish in color and did not have a particularly foul odor.
Afterward, I felt the urge to have another bowel movement, but I couldn't pass much; only a small amount of loose stool came out, which was accompanied by mucus.
The stool appeared to be normal diarrhea without any blood, but I noticed some mucus when wiping, and I'm unsure if this is due to my irregular eating habits.

Since the summer vacation started, I've been going to bed very late, and I only recently adjusted my schedule.
A while ago, I visited a clinic and seemed to have some symptoms of gastroenteritis, but those have improved over time.
What puzzles me is that from the day before yesterday to yesterday, my stools were more formed, but today I experienced diarrhea again, which makes me anxious.
I also feel sensations in my rectum, and my gastrointestinal tract seems more agitated.
Recently, I've noticed similar symptoms, but I'm not sure if they are affecting my eyes, which are a bit red even though I've been sleeping.
My urine color is normal, but there are some bubbles that are not easily broken, although they are very few.
I have tried to minimize the impact of the water on the surface to reduce bubble formation.

Nìmíng, 10~19 year old female. Ask Date: 2020/08/13

Dr. Chen Shidian reply Gastroenterology and Hepatology

It is likely still irritable bowel syndrome, and adjustments to a normal diet are needed, including reducing spicy and irritating foods.
The presence of excessive foam in the urine is not significant, so there is no need to worry too much at this time.

Reply Date: 2020/08/13

More Info

When it comes to digestive issues, understanding when to seek medical advice is crucial for maintaining overall health. Based on the symptoms you've described, it appears that you are experiencing a combination of gastrointestinal disturbances, including diarrhea, changes in stool consistency, and some anxiety related to these symptoms. Let's break down your situation and discuss when it might be necessary to consult a healthcare professional.

Firstly, the occurrence of diarrhea, especially after consuming certain foods like microwaved convenience meals, can indicate a few potential issues. These could range from food intolerance, gastrointestinal infections, or even stress-related gastrointestinal disturbances. The yellow color of your stool, while not necessarily alarming, can sometimes suggest that food is moving through your intestines too quickly, which can happen during episodes of diarrhea. The presence of mucus in your stool can also be a sign of irritation in the intestines, which could be due to various factors including dietary changes, stress, or an underlying gastrointestinal condition.

Given that you mentioned a recent history of irregular eating patterns and sleep disturbances, these lifestyle factors can significantly impact digestive health. Stress and anxiety can lead to increased gastrointestinal motility, which may explain the urgency and frequency of your bowel movements. It’s also worth noting that irregular eating habits can disrupt the normal functioning of your digestive system, leading to symptoms like diarrhea or constipation.

You mentioned that you have experienced some improvement in your bowel movements, with more formed stools over the past few days, but then reverted to diarrhea. This fluctuation can be concerning, especially if it persists. If you find that your symptoms are recurrent or worsening, it would be advisable to seek medical attention. Here are some specific situations where you should definitely consult a healthcare provider:
1. Persistent Symptoms: If diarrhea lasts more than two days without improvement, or if you experience severe abdominal pain, fever, or dehydration (e.g., dizziness, dry mouth, decreased urination), you should seek medical help.

2. Blood in Stool: Although you mentioned there is no blood in your stool, if you notice any blood or black, tarry stools, this is a sign of a more serious condition that requires immediate attention.

3. Severe Anxiety or Psychological Distress: If your anxiety about your symptoms is affecting your daily life or leading to significant distress, it may be beneficial to speak with a healthcare professional. They can help address both your gastrointestinal symptoms and any underlying anxiety.

4. Changes in Urination: While you noted that your urine is normal but has some foam, if you experience changes in urination patterns, such as increased frequency, pain during urination, or changes in color that persist, it’s important to consult a doctor.

5. Overall Health Concerns: If you have other health conditions or are taking medications that could affect your digestive system, it’s wise to discuss your symptoms with a healthcare provider.

In summary, while some digestive issues can be managed with lifestyle changes, such as improving your diet, maintaining regular eating patterns, and managing stress, persistent or severe symptoms warrant professional evaluation. It’s always better to err on the side of caution when it comes to your health. If you have any doubts or your symptoms change, don’t hesitate to reach out to a healthcare professional for guidance.

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