Digestive Issues: When to Worry About Your Stool - Gastroenterology and Hepatology

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I would like to consult a doctor?


Hello, Doctor.
I would like to ask you 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 when I go.
Sometimes, the stool is softer, and towards the end, it feels a bit like diarrhea, being more watery.
One time, the beginning of the stool was normal, but the end had some red color.
I took a picture of it that day.
This morning, my stool was completely diarrhea-like, without any shape.
I looked very closely and noticed a little bit of red, but the other parts were normal (though I haven't eaten any red-colored foods, except for papaya before bed).
When I visited a gastroenterologist today, I told the doctor about my symptoms 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 all my worries to the doctor).
I also told the doctor about my stomach discomfort, and he prescribed me some related medication.
I had an X-ray today, and the doctor said my bowels are clear and there is no fecal impaction.
I would like to ask if my symptoms over the past few days, including the diarrhea, are normal, and why I have been having bowel movements at the same time every morning for a week (which is different from my previous pattern of every 2-3 days).
Also, what could the small amount of red in my stool indicate, and 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: 2021/06/26

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: If it is gastrointestinal bleeding, there would not be just a small red spot; you might see more significant abnormalities.
I believe the doctor suspects irritable bowel syndrome and has likely prescribed related 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: 2021/06/26

More Info


When it comes to digestive issues, particularly concerning stool characteristics, it’s important to understand what changes might indicate a need for medical attention. Your recent experiences with bowel movements, including changes in frequency, consistency, and the presence of red coloration, can understandably cause anxiety, especially when you are actively researching symptoms online.

Firstly, let’s break down the changes you’ve described. You mentioned that you previously had bowel movements every 2-3 days, but now you are experiencing daily bowel movements, which is a significant change. The consistency of your stool has also varied, with some instances of softer stools and even diarrhea. The presence of red coloration in your stool can be particularly concerning, as it may indicate bleeding, but there are also benign explanations for this.

The fact that your doctor assessed your condition and suggested that you might have mild irritable bowel syndrome (IBS) is a valuable insight. IBS is a common gastrointestinal disorder characterized by symptoms like abdominal pain, bloating, and changes in bowel habits, including diarrhea and constipation. Stress and anxiety can exacerbate these symptoms, leading to a cycle of discomfort and worry. It’s crucial to manage stress, as it can significantly impact your digestive health.

Regarding the red coloration in your stool, it’s essential to consider the context. If the red is bright and appears only occasionally, it could be due to several benign factors, such as the consumption of certain foods (like beets or red dyes) or even minor hemorrhoids, which can cause slight bleeding. However, if the red color persists or is accompanied by other symptoms like significant pain, weight loss, or changes in appetite, further evaluation would be warranted.

You mentioned that you have been feeling discomfort around your belly button area, which could be related to anxiety or stress rather than a direct gastrointestinal issue. Stress can lead to muscle tension and discomfort in the abdominal area, which might explain your symptoms. It’s also worth noting that the gastrointestinal tract is sensitive to emotional states, and anxiety can lead to increased bowel activity, resulting in more frequent and sometimes looser stools.

To address your concerns and improve your digestive health, consider the following strategies:
1. Dietary Adjustments: Maintain a balanced diet rich in fiber, which can help regulate bowel movements. Avoiding overly processed foods, excessive sugar, and high-fat meals can also be beneficial. Since you mentioned avoiding fried and spicy foods, continue to focus on whole foods like fruits, vegetables, whole grains, and lean proteins.

2. Hydration: Ensure you are drinking enough water throughout the day. Proper hydration is essential for digestive health and can help prevent constipation.

3. Stress Management: Incorporate stress-reducing techniques into your daily routine. This could include mindfulness practices, yoga, meditation, or even regular physical activity, which can help alleviate anxiety and improve overall well-being.

4. Regular Check-ups: Since you have already consulted with a gastroenterologist, continue to follow up as needed. If your symptoms persist or worsen, don’t hesitate to seek further evaluation. Keeping a diary of your symptoms, dietary habits, and stress levels can provide valuable information for your healthcare provider.

5. Medication Compliance: If your doctor has prescribed medication for your symptoms, ensure you take it as directed. Sometimes, medications can help manage symptoms effectively while you work on lifestyle changes.

In conclusion, while changes in bowel habits can be concerning, many factors can contribute to these changes, including stress and dietary habits. It’s essential to monitor your symptoms and maintain open communication with your healthcare provider. If you notice any alarming changes or if your symptoms do not improve with lifestyle adjustments, seeking further medical advice is crucial. Remember, your health is a priority, and addressing these concerns early can lead to better outcomes.

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