Bowel Sounds and Diarrhea: When to Seek Medical Attention - Gastroenterology and Hepatology

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Experiencing persistent bowel sounds followed by diarrhea?


I had lunch today with braised radish, braised enoki mushrooms, meatballs, and two bowls of apple milk (the kind from the supermarket).
As a result, around 3 PM, my stomach didn't hurt, but I experienced continuous bowel sounds, and my gastrointestinal tract felt active.
Shortly after, I felt the urge to have a bowel movement.
When I sat down, I had a sudden and very watery diarrhea.
After a while, I felt a bit better and went upstairs, but about an hour later, I had another episode of diarrhea.
I told my mother about it, and she suggested taking a digestive aid tablet to see if it helps.
After taking it, I suddenly felt the urge to go again, but it seemed like nothing much came out, so I went to exercise.
My mom thinks it's exaggerated to see a doctor just for a bit of diarrhea.
Should I see a doctor immediately, or should I wait and see how things develop? Also, if I choose not to see a doctor, how can I improve my condition? Thank you, doctor.

Li Zimin, 20~29 year old female. Ask Date: 2022/03/26

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: If there is no fever, abdominal pain, or persistent diarrhea, you can observe with a light diet.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2022/03/26

More Info


When it comes to bowel sounds and diarrhea, understanding the underlying causes and knowing when to seek medical attention is crucial for your health. Based on your description, it seems you experienced a sudden onset of diarrhea after consuming certain foods, which can be indicative of several factors, including food intolerance, food poisoning, or gastrointestinal infections.

Bowel sounds, also known as borborygmi, are normal sounds produced by the movement of the intestines as they process food. However, when these sounds are accompanied by diarrhea, especially if it is watery and frequent, it can signal an underlying issue. In your case, the rapid onset of diarrhea following your meal could suggest a reaction to something you consumed, particularly if the food was contaminated or if you have an intolerance to any of the ingredients.

Here are some considerations regarding your situation:
1. Food Intolerance or Allergy: Sometimes, certain foods can trigger gastrointestinal symptoms. For example, lactose intolerance can cause diarrhea after consuming dairy products. If you suspect this might be the case, consider keeping a food diary to track what you eat and any symptoms that follow.

2. Food Poisoning: If the food you consumed was contaminated with bacteria, viruses, or parasites, it could lead to food poisoning. Symptoms typically include diarrhea, nausea, vomiting, and abdominal cramps. If you experience severe symptoms, such as high fever, blood in your stool, or dehydration, it is essential to seek medical attention.

3. Gastrointestinal Infections: Viral infections, such as norovirus or rotavirus, can also cause diarrhea. These infections are often accompanied by other symptoms like vomiting and fever. If you suspect an infection, especially if symptoms persist for more than a couple of days, it’s advisable to consult a healthcare professional.

4. Hydration: Regardless of the cause, it’s crucial to stay hydrated, especially with diarrhea. Drink plenty of fluids, such as water, clear broths, or oral rehydration solutions, to replace lost fluids and electrolytes.

5. Dietary Adjustments: If you choose not to see a doctor immediately, consider following a bland diet (often referred to as the BRAT diet: bananas, rice, applesauce, and toast) until your symptoms improve. Avoid dairy, fatty foods, and high-fiber foods, which can exacerbate diarrhea.

6. Monitoring Symptoms: Keep an eye on your symptoms. If you notice any of the following, it’s important to seek medical attention:
- Diarrhea lasting more than two days
- Severe abdominal pain
- Signs of dehydration (such as dry mouth, dizziness, or decreased urination)
- Fever over 101°F (38.3°C)
- Blood or mucus in your stool
In summary, while occasional diarrhea can be a common occurrence and may resolve on its own, it’s essential to monitor your symptoms closely. If you experience any concerning signs or if your symptoms persist, it’s best to consult a healthcare provider for a thorough evaluation and appropriate treatment. Your health is paramount, and timely medical advice can help prevent complications.

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