Abdominal Issues: Signs of Digestive Disorders in Teens - Gastroenterology and Hepatology

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Abdominal issues?


Hello doctor, I am a high school freshman.
My bowel movements are often in small pellets or very dry.
In the second year of junior high, I had hemorrhoids, and I experienced bright red blood for several days before it stopped.
After that, sometimes when I wipe after a bowel movement, there is bright red blood, and sometimes there isn't.
When there is blood, my anus hurts.
However, I now have a bowel movement once every one to two days, and my stool has become very loose.
The color is normal, but there are small amounts of red and sometimes black (very little).
Am I at risk for cancer? I am very worried about my habits: staying up late, frequent anxiety, and lack of exercise.

Ye Wen, 10~19 year old female. Ask Date: 2021/03/17

Dr. Chen Shidian reply Gastroenterology and Hepatology


It is likely a common anal fissure.
Please increase your intake of fruits and vegetables, exercise regularly, and maintain daily bowel movements.
During flare-ups, you may use stool softeners and topical ointments.

Reply Date: 2021/03/17

More Info


Understanding abdominal issues, especially in teenagers, can be quite complex due to the interplay of various factors including diet, lifestyle, and underlying health conditions. Based on your description, it seems you are experiencing a range of symptoms that could be indicative of digestive disorders, particularly related to your bowel movements and the presence of blood.

Firstly, the fact that your stools are often hard, pellet-like, or dry suggests that you may be experiencing constipation. This condition can be exacerbated by a lack of dietary fiber, inadequate hydration, and a sedentary lifestyle, which are common in teenagers who may not prioritize their health. The presence of blood, especially if it is bright red, can often be associated with hemorrhoids (or piles), which you mentioned having in the past. Hemorrhoids can occur when there is increased pressure in the rectal area, often due to straining during bowel movements, which can lead to bleeding and discomfort.

The change in your bowel habits, where you now experience looser stools, could be a sign of several things. It might indicate a shift in your diet, possibly due to increased fiber intake or changes in hydration levels. However, it could also suggest an underlying issue such as irritable bowel syndrome (IBS), which is characterized by alternating patterns of constipation and diarrhea, often triggered by stress or dietary changes. Given that you mentioned feeling anxious and having irregular sleep patterns, stress could be a contributing factor to your digestive symptoms.

The presence of dark stools can be concerning, as it may indicate bleeding from higher up in the gastrointestinal tract, but if the quantity is minimal and intermittent, it might not be a cause for immediate alarm. However, it is essential to monitor this closely. If the dark stools persist or if you experience significant changes in your bowel habits, it would be prudent to consult a healthcare professional for further evaluation.

Your lifestyle habits, such as staying up late, worrying, and not exercising, can significantly impact your digestive health. Lack of physical activity can slow down your metabolism and contribute to constipation, while stress and anxiety can exacerbate gastrointestinal symptoms. Incorporating regular exercise, maintaining a balanced diet rich in fruits, vegetables, and whole grains, and ensuring adequate hydration can help improve your digestive health.

In terms of your concerns about cancer, while it is natural to worry, especially with symptoms like blood in the stool, it is essential to remember that many digestive issues are benign and can be managed effectively with lifestyle changes and medical treatment if necessary. However, given your symptoms, especially the recurring blood and changes in stool consistency, it would be wise to seek a thorough evaluation from a healthcare provider. They may recommend tests such as a stool analysis or a colonoscopy to rule out any serious conditions.

In summary, your symptoms could be related to a combination of dietary habits, lifestyle factors, and possibly stress. It is crucial to address these issues holistically by improving your diet, increasing physical activity, and managing stress. Additionally, do not hesitate to consult a healthcare professional to discuss your symptoms in detail and receive appropriate guidance and treatment. Your health is paramount, and early intervention can lead to better outcomes.

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