Changing Bowel Habits: Digestive Issues in Teens - Gastroenterology and Hepatology

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The timing of bowel movements has changed significantly?


Hello, doctor.
I am currently in the ninth grade.
During the recent nationwide school closure, we switched to online classes at home.
I’m not sure if it’s due to changes in my routine (like staying up later and exercising less), but my bowel movement schedule has shifted to the morning, whereas I used to have very regular bowel movements in the evening.
This has led to me feeling the urge to have a bowel movement in the morning even when I haven't eaten breakfast, and unfortunately, I really dislike using the restroom at school.
Since the start of the school year, this issue hasn’t been resolved, and I find myself holding in my bowel movements almost every day, which makes my stomach growl and is quite embarrassing.
I have been taking probiotics for a while and occasionally eat yogurt (homemade), but there hasn’t been any improvement.
So I would like to ask: 1.
Is this a medical condition? 2.
Is this related to obesity? (I apologize if this is a silly question.) 3.
Is there a way to adjust my bowel movement schedule? 4.
If not, what should I do? I apologize for the lengthy message, and thank you, doctor, for taking the time to respond.

123, 10~19 year old female. Ask Date: 2022/01/01

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: It may not necessarily be an illness.
It could be the result of improper dietary habits or psychological stress.
What can be changed is to pay attention to your eating habits, avoid irritating foods, engage in moderate exercise, and manage your mood.
If there is no improvement, you may want to consult a gastroenterologist.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2022/01/01

More Info


Changing bowel habits during adolescence can be a common issue, especially in the context of lifestyle changes such as those experienced during school closures. Your situation, where your bowel movements have shifted from a regular evening schedule to mornings, is not uncommon and can be influenced by several factors, including diet, physical activity, stress, and changes in routine.

1. Is this a disease?
What you're experiencing is not necessarily a disease, but rather a change in your bowel habits. The gastrointestinal (GI) tract can be sensitive to changes in routine, including sleep patterns and physical activity levels. During periods of increased stress or changes in environment, such as remote learning, it's normal for your body to react in ways that may disrupt your usual habits. However, if you experience significant discomfort, pain, or other concerning symptoms, it would be wise to consult a healthcare professional for a thorough evaluation.

2. Is this related to obesity?
While changes in bowel habits can be associated with various factors, including diet and physical activity, they are not directly indicative of obesity. However, obesity can influence digestive health and may lead to issues such as constipation or irregular bowel movements. If you are concerned about your weight or eating habits, it might be beneficial to discuss these with a healthcare provider who can provide personalized advice.

3. Can bowel movement timing be adjusted?
Yes, it is possible to adjust your bowel movement timing. Here are some strategies that may help:
- Establish a Routine: Try to set a consistent time each day for bowel movements, ideally after meals, as the body’s natural reflexes are often stimulated by eating.

- Dietary Adjustments: Incorporate more fiber-rich foods into your diet, such as fruits, vegetables, whole grains, and legumes. Fiber helps to regulate bowel movements.

- Hydration: Ensure you are drinking enough water throughout the day, as hydration is crucial for healthy digestion.

- Physical Activity: Regular exercise can stimulate bowel function and help maintain a healthy digestive system.

4. What if it doesn't improve?
If you find that your bowel habits do not improve despite making these adjustments, or if you continue to experience discomfort, it would be advisable to seek medical advice. A healthcare provider can assess your situation more comprehensively and may recommend further interventions, such as dietary changes, medications, or referrals to specialists if necessary.

In summary, while changes in bowel habits can be concerning, they are often manageable with lifestyle adjustments. It’s important to listen to your body and seek help if needed. Remember, discussing these issues with a trusted adult or healthcare professional can provide you with the support and guidance necessary to navigate these changes effectively.

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