Gastrointestinal Issues: Symptoms and Concerns - Gastroenterology and Hepatology

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Gastrointestinal issues


Hello doctor, I would like to ask about my condition.
Since last night after dinner, I've been feeling unwell, and this morning it got worse with sudden abdominal pain and increasingly loose stools, which have also decreased in volume.
Additionally, there is a fishy odor when I wipe.
What could be the cause of this? Could it be colon cancer?

Xiao, 10~19 year old female. Ask Date: 2021/12/08

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: The likelihood of gastroenteritis is higher, so please increase your fluid intake.
Pay attention to any fever or pain.
If symptoms worsen, please consult a gastroenterologist.
Changhua Hospital cares about your health.
Dr.
Tsai An-Shun.

Reply Date: 2021/12/08

More Info


Gastrointestinal issues can be quite distressing, and your symptoms certainly warrant attention. Based on your description, it seems you are experiencing abdominal pain, changes in bowel habits, and an unusual odor associated with your stool. While it is natural to worry about serious conditions like colorectal cancer, it is important to consider a range of potential causes, especially since gastrointestinal symptoms can arise from various factors, including diet, infections, and functional disorders.

Firstly, the acute onset of abdominal pain following a meal can often be linked to dietary choices or gastrointestinal infections. If you consumed something that was spoiled or contaminated, it could lead to symptoms such as diarrhea and abdominal discomfort. Additionally, certain foods can irritate the gastrointestinal tract, especially if you have underlying conditions like gastritis or irritable bowel syndrome (IBS). Spicy foods, dairy, and high-fat meals are common culprits that can exacerbate symptoms.

The change in your stool consistency to a more liquid form, along with a decrease in volume, may suggest a few possibilities. Diarrhea can be caused by infections (viral or bacterial), food intolerances, or even stress. The presence of a foul odor can indicate the presence of undigested food or an imbalance in gut bacteria, which can occur during infections or after consuming certain foods.

While colorectal cancer is a serious concern, especially if you have risk factors such as a family history or other concerning symptoms (like significant weight loss, blood in the stool, or persistent changes in bowel habits), it is less likely to be the immediate cause of your symptoms if they developed suddenly after a meal. However, it is essential to monitor your symptoms closely. If you notice blood in your stool, persistent abdominal pain, or if your symptoms do not improve within a few days, it would be prudent to seek medical attention.

In the meantime, here are some recommendations to help manage your symptoms:
1. Stay Hydrated: Diarrhea can lead to dehydration, so ensure you drink plenty of fluids. Oral rehydration solutions can be beneficial if you are losing a lot of fluid.

2. Dietary Adjustments: Consider following a bland diet (often referred to as the BRAT diet: bananas, rice, applesauce, toast) until your symptoms improve. Avoid spicy, fatty, or heavy foods that may irritate your stomach further.

3. Monitor Symptoms: Keep track of your symptoms, including the frequency and consistency of your bowel movements, any associated pain, and any other symptoms like fever or vomiting.

4. Seek Medical Attention: If your symptoms persist for more than a couple of days, worsen, or if you develop new symptoms, it is essential to consult a healthcare professional. They may recommend tests such as stool analysis, blood tests, or imaging studies to determine the underlying cause of your symptoms.

In conclusion, while your symptoms are concerning, they are not necessarily indicative of a serious condition like colorectal cancer, especially if they are acute and related to recent dietary changes. However, it is crucial to remain vigilant and seek medical advice if your condition does not improve or if you experience alarming symptoms. Your health is paramount, and timely intervention can lead to better outcomes.

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