Digestive Changes: What Your Symptoms Might Mean - Gastroenterology and Hepatology

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Hello, doctor?


I am 21 years old, and since mid-March when I had a cold, my bowel movements have changed.
Previously, I would have a good bowel movement once a day, but after the cold, everything feels strange.
Now, I have to sit for a long time to have a bowel movement, and sometimes I can't go at all.
Additionally, I find myself burping easily.
What could these symptoms indicate, doctor?

Zheng, 20~29 year old female. Ask Date: 2020/09/08

Dr. Lin Minghui reply Gastroenterology and Hepatology


Hello, I am experiencing irregular bowel movements.
Sometimes, after a cold, my gastrointestinal function changes, leading to constipation.
I recommend increasing fiber intake by consuming more vegetables and fruits, and ensuring adequate hydration to help facilitate bowel movements.
It's important to develop good eating habits, avoid overeating, and limit spicy foods.
Adjust your diet to reduce gas-producing foods, and if symptoms persist, please consult a physician for follow-up.
Wishing you health and well-being.
Sincerely, Dr.
Ming-Hui Lin, Attending Physician, Gastroenterology Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2020/09/08

More Info


Digestive changes can be quite concerning, especially when they occur suddenly or after an illness. Based on your description, it seems that you have experienced a significant change in your bowel habits since your cold in March. Here’s a breakdown of what your symptoms might indicate and some potential underlying causes.

Firstly, the change from having regular bowel movements (once a day) to experiencing difficulty in passing stools and prolonged sitting on the toilet can be indicative of constipation. Constipation is characterized by infrequent bowel movements, hard or lumpy stools, and straining during defecation. It can be caused by a variety of factors, including dietary changes, dehydration, lack of physical activity, and stress. Since you mentioned that this change occurred after a cold, it’s possible that your body’s response to illness, including changes in diet or fluid intake, could have contributed to your current symptoms.

The fact that you also experience frequent burping could suggest that you are swallowing more air than usual, which can happen if you are feeling anxious or if you are eating or drinking quickly. This can lead to a buildup of gas in the digestive tract, resulting in discomfort and the need to burp.
In addition to these symptoms, it’s important to consider other factors that could be affecting your digestive health. Stress and anxiety can significantly impact gut function, leading to changes in bowel habits. If you have been feeling anxious or stressed, this could be a contributing factor to your current digestive issues.
Moreover, after an illness, your gut flora (the beneficial bacteria in your intestines) can be disrupted, especially if you were treated with antibiotics. This disruption can lead to gastrointestinal symptoms, including changes in bowel habits and increased gas production.

To address your symptoms, consider the following recommendations:
1. Dietary Adjustments: Increase your intake of fiber-rich foods such as fruits, vegetables, whole grains, and legumes. Fiber helps to bulk up stool and can promote regular bowel movements. Additionally, ensure you are drinking plenty of water throughout the day, as dehydration can exacerbate constipation.

2. Physical Activity: Regular exercise can help stimulate bowel movements and improve overall digestive health. Aim for at least 30 minutes of moderate exercise most days of the week.

3. Stress Management: If you suspect that stress or anxiety is contributing to your symptoms, consider incorporating relaxation techniques into your routine, such as deep breathing exercises, yoga, or meditation.

4. Monitor Your Symptoms: Keep track of your bowel habits, dietary intake, and any other symptoms you may experience. This information can be helpful if you decide to consult a healthcare professional.

5. Consult a Healthcare Professional: If your symptoms persist or worsen, it is advisable to seek medical attention. A healthcare provider can perform a thorough evaluation, including a physical examination and possibly laboratory tests, to determine the underlying cause of your digestive changes.

In summary, your symptoms of altered bowel habits and increased burping could be related to constipation, dietary changes, stress, or a disruption in gut flora following your illness. By making some lifestyle adjustments and monitoring your symptoms, you may find relief. However, do not hesitate to consult a healthcare professional if you have concerns or if your symptoms do not improve. Your digestive health is important, and addressing these changes early can help prevent further complications.

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