Changes in Stool: When to Worry About Your Digestive Health

Bowel-related issues?

Hello doctor, about a week ago I had a bout of food poisoning that resulted in diarrhea.
Since then, my stools have been consistently thin and loose, and this has continued for a whole week.
I typically have bowel movements about two to three times a day, and each time I experience abdominal pain along with the urge to go.
However, the amount of stool is minimal each time.
In addition to the thin and loose consistency, I also notice food remnants and a small amount of mucus when wiping.
So far, I haven't observed any noticeable blood in my stools.
I often feel a slight heaviness in my abdomen, but it’s not painful.
I had a fecal occult blood test done at the end of July last year, which was negative.
I have been researching related symptoms online, and they all seem to point towards colorectal cancer, which has made me a bit worried.
Could this be just a lingering effect after the diarrhea, or should I be concerned?

A Co, 20~29 year old female. Ask Date: 2021/04/29

Dr. Yang Zhichao reply Gastroenterology and Hepatology

Hello Miss ACO; your symptoms are likely still residual effects of gastroenteritis.
If they persist for more than two weeks, I recommend that you consult a physician for evaluation.
Thank you for your inquiry.

Reply Date: 2021/04/29

More Info

When it comes to changes in stool consistency and frequency, it’s essential to pay attention to your body’s signals and understand when it might be time to seek medical advice. Based on your description, it seems you experienced a bout of diarrhea about a week ago, and since then, your stools have been consistently thin, loose, and accompanied by abdominal discomfort. You also mentioned that you have had multiple bowel movements each day, with some pain and mucus present, but no visible blood.

Firstly, it’s important to recognize that gastrointestinal disturbances can occur after an episode of foodborne illness or gastroenteritis. The digestive system can take some time to return to its normal state after such an event. Symptoms like loose stools and abdominal discomfort can persist for several days or even weeks as your gut flora and intestinal lining recover. This condition is often referred to as post-infectious irritable bowel syndrome (IBS), which can manifest as changes in bowel habits, including diarrhea or constipation.

However, while it’s common for the digestive system to take time to heal, certain symptoms warrant further investigation. Here are some key points to consider:
1. Duration of Symptoms: If your symptoms persist beyond a week or worsen, it’s advisable to consult a healthcare professional. Chronic changes in bowel habits can indicate underlying conditions that require attention.

2. Presence of Blood: While you mentioned not seeing visible blood, any significant change in stool color, especially if it becomes dark or tarry, should be evaluated promptly. Blood in the stool can be a sign of various gastrointestinal issues, including hemorrhoids, diverticulosis, or more serious conditions like colorectal cancer.

3. Associated Symptoms: The presence of abdominal pain, especially if it is severe or accompanied by other symptoms such as fever, weight loss, or significant changes in appetite, should be taken seriously. These could indicate a more serious underlying condition that needs to be addressed.

4. Family History: If you have a family history of gastrointestinal diseases, including colorectal cancer, it’s crucial to discuss this with your doctor, as it may influence the need for screening or further evaluation.

5. Previous Tests: You mentioned having a negative fecal occult blood test last July, which is reassuring. However, if your symptoms are concerning, your doctor may recommend additional tests, such as a colonoscopy, to rule out any serious conditions.

In summary, while your symptoms may be a result of your digestive system recovering from a previous infection, it’s essential to monitor your condition closely. If your symptoms persist, worsen, or if you develop new concerning symptoms, please consult a healthcare professional for a thorough evaluation. They can provide the necessary tests and guidance to ensure your digestive health is properly managed. Remember, it’s always better to err on the side of caution when it comes to health concerns.

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