Your Digestive Health: Concerns About Bowel Changes - Gastroenterology and Hepatology

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I would like to consult a doctor?


Hello, doctor.
I would like to ask about my recent bowel issues.
I've been searching for a lot of information online, which has made me quite anxious.
Whenever I feel tense or worried, I experience some discomfort around my navel.
Recently, I've been having a bowel movement every morning (previously, it was about every 2-3 days).
I always check the stool's condition, and sometimes it is softer, leading to a sensation of diarrhea towards the end, where it becomes more liquid.
One time, the beginning of the stool was normal, but there was some red at the end.
I took a photo of it that day.
This morning, my stool was completely liquid without any shape.
I looked very closely and noticed a bit of red, but the rest of the stool was normal (I haven't eaten any red-colored foods except for papaya before bed).
When I visited a gastroenterologist today, I informed the doctor and showed him the photo of the red stool from a few days ago.
The doctor said it didn't look like bleeding and suspected I have mild irritable bowel syndrome, advising me not to be so anxious (I didn't mention my excessive worrying to the doctor).
I also told the doctor about my stomach discomfort, and he prescribed me some related medications.
I had an X-ray today, and the doctor said my bowels were clear with no retained stool.
I would like to ask if my symptoms over the past few days, which have been somewhat diarrhea-like, are normal.
Additionally, what could the small amount of red in my stool indicate? How can I improve my diarrhea situation (I haven't eaten fried or spicy foods in the past week)?

zero, 10~19 year old female. Ask Date: 2021/06/25

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: If it is gastrointestinal bleeding, there will not be just a small red spot; you may observe more significant abnormalities.
I believe the doctor has diagnosed you with irritable bowel syndrome and should have prescribed relevant medications for you.
You can take them with peace of mind, and if there is no improvement, you can return for a follow-up to adjust the medication.
Changhua Hospital cares about your health.
Dr.
Tsai An-Shun.

Reply Date: 2021/06/25

More Info


It sounds like you are experiencing a variety of gastrointestinal symptoms that have understandably caused you some concern. Changes in bowel habits, such as the frequency, consistency, and appearance of stools, can be indicative of underlying digestive health issues. Let's break down your symptoms and provide some insights into what might be happening.

Firstly, the fact that you have shifted from having bowel movements every 2-3 days to a more regular daily pattern is noteworthy. This change can be influenced by several factors, including dietary changes, stress levels, and overall lifestyle adjustments. You mentioned that you have been feeling more anxious, which can indeed affect gut health. The gut-brain connection is well-documented; stress and anxiety can lead to symptoms like irritable bowel syndrome (IBS), which is characterized by changes in bowel habits, abdominal discomfort, and sometimes diarrhea.

Regarding the soft stools and occasional diarrhea you are experiencing, this could be a result of several factors. If your diet has changed recently—perhaps you are consuming more fiber or different types of foods—this can lead to softer stools. Additionally, if you are feeling anxious, this can also trigger gastrointestinal symptoms, including diarrhea. The presence of a small amount of red in your stool can be concerning, but it is important to note that it does not always indicate a serious issue. It could be due to minor rectal irritation, especially if you have been experiencing softer stools, which can sometimes lead to slight bleeding from the anal area.

The fact that your doctor has assessed your condition and suggested that you may have mild IBS is a positive step. IBS is a common condition that can cause a range of symptoms, including changes in bowel habits, abdominal pain, and discomfort. It is often managed through dietary adjustments, stress management techniques, and sometimes medication. Since you have already consulted a healthcare professional and undergone an X-ray, which showed that your bowels are clear, it seems that there is no immediate cause for alarm.

To address your concerns about the red coloration in your stool, it is advisable to monitor this symptom closely. If it persists or if you notice an increase in the amount of blood, you should follow up with your healthcare provider for further evaluation. In many cases, minor bleeding can be attributed to hemorrhoids or anal fissures, especially if you have experienced changes in stool consistency.

To help manage your symptoms and improve your digestive health, consider the following recommendations:
1. Dietary Adjustments: Focus on a balanced diet rich in fiber, including fruits, vegetables, whole grains, and legumes. However, if you are experiencing diarrhea, you might want to temporarily reduce high-fiber foods that can exacerbate symptoms, such as beans and certain raw vegetables.

2. Stay Hydrated: Ensure you are drinking plenty of fluids, especially water, to help maintain hydration and support digestive health.

3. Stress Management: Engage in stress-reducing activities such as yoga, meditation, or deep-breathing exercises. These can help alleviate anxiety and improve gut function.

4. Regular Exercise: Physical activity can promote healthy digestion and reduce stress levels.

5. Monitor Symptoms: Keep a diary of your bowel habits, diet, and any associated symptoms. This can help you and your healthcare provider identify patterns and triggers.

6. Follow-Up Care: If your symptoms persist or worsen, do not hesitate to seek further medical advice. Regular check-ups can help ensure that any potential issues are addressed promptly.

In conclusion, while changes in bowel habits can be concerning, they are often manageable with lifestyle adjustments and proper medical guidance. It is essential to maintain open communication with your healthcare provider and to follow their recommendations for managing your symptoms. Remember that you are not alone in this, and many people experience similar digestive health issues.

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