Changes in Bowel Habits: When to Seek Medical Advice

Q: Changes in Bowel Habits: When to Seek Medical Advice

Hello： Your symptoms seem to have appeared after an episode of gastroenteritis, and they are not necessarily indicative of cancer. <br>You can adjust your diet by reducing high-fat and high-protein foods while your intestines heal. <br>If there is no improvement, you may want to

Bowel issues

Hello Doctor, I am 20 years old.
My normal bowel movement frequency was once every three days.
Since mid-September, due to gastroenteritis, I only had one or two bowel movements in two weeks (because I could hardly eat).
At the beginning of October, I took traditional Chinese medicine for adjustment, and my bowel movements changed to once a day, always in the morning.
The stool volume is less than before, and I experience abdominal pain.
After about two weeks, due to the abdominal pain, I went to see a doctor who diagnosed me with irritable bowel syndrome and prescribed Western medication, so I temporarily stopped the traditional Chinese medicine.
However, my bowel movement frequency remains once a day, and occasionally I have no urge but still go to the bathroom, although the amount is less.
I can see the vegetable leaves I ate the previous day (I ate more vegetables the day before), and the stool is quite loose.
The pain is located on the left side and the lower middle abdomen, with a sharp pain that is noticeable when lying down and pressing on the area.
I also feel discomfort in my stomach throughout the day.
I would like to ask the doctor if this counts as a change in bowel movement frequency and habits? I am very worried it might be cancer.

Jane, 20~29 year old female. Ask Date: 2020/10/28

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: Your symptoms seem to have appeared after an episode of gastroenteritis, and they are not necessarily indicative of cancer.
You can adjust your diet by reducing high-fat and high-protein foods while your intestines heal.
If there is no improvement, you may want to consult a gastroenterologist for further evaluation.
Changhua Hospital cares about your health.
Dr.
Tsai An-Shun.

Reply Date: 2020/10/28

More Info

Changes in bowel habits can be concerning, especially when accompanied by symptoms such as abdominal pain and changes in stool consistency. In your case, you have experienced a significant alteration in your bowel habits, which is defined as any deviation from your normal pattern. Initially, you were having bowel movements every three days, but due to gastroenteritis, your frequency dropped to one or two times over two weeks. Following treatment with traditional Chinese medicine, your frequency improved to once daily, but you noted that the volume was less than usual, and you experienced abdominal pain.

The symptoms you describe, including the presence of abdominal pain, particularly on the left side, and the observation of undigested food in your stool, are important to consider. The fact that you are experiencing discomfort and changes in stool consistency (looser stools) could indicate an underlying issue that warrants further investigation. While it's understandable to be concerned about serious conditions such as colorectal cancer, especially at your age, it is essential to remember that many gastrointestinal issues can be attributed to functional disorders like irritable bowel syndrome (IBS), which your doctor has already diagnosed.

In terms of your bowel habits, the changes you are experiencing do qualify as a change in frequency and consistency. The presence of abdominal pain, particularly if it is sharp and localized, should not be ignored. It is crucial to monitor these symptoms closely. If the pain persists, worsens, or is accompanied by other alarming symptoms such as significant weight loss, blood in the stool, or persistent changes in bowel habits, it would be advisable to seek further medical evaluation.

Regarding your concerns about cancer, while it is always prudent to be vigilant about changes in your body, the likelihood of colorectal cancer at your age is relatively low. However, if your symptoms continue or worsen, your healthcare provider may recommend additional diagnostic tests, such as a colonoscopy, to rule out any serious conditions. This procedure allows for direct visualization of the colon and can help identify any abnormalities.

In the meantime, managing your symptoms through dietary adjustments may be beneficial. Increasing fiber intake through fruits, vegetables, and whole grains can help regulate bowel movements and improve stool consistency. Staying hydrated is also crucial, as adequate fluid intake can prevent constipation and promote overall digestive health. Additionally, consider incorporating regular physical activity into your routine, as exercise can help stimulate bowel function.

In summary, your changes in bowel habits do warrant attention, particularly given the accompanying symptoms. While it is unlikely that your symptoms are indicative of cancer at your age, it is essential to remain vigilant and consult with your healthcare provider if your symptoms persist or worsen. They can provide guidance on further evaluation and management strategies tailored to your specific situation.

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