Gastrointestinal Issues: Insights for Teens with Stomach Pain - Gastroenterology and Hepatology

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Gastrointestinal issues


Hello, doctor.
I am currently 16 years old.
I previously inquired about issues related to gastritis and duodenitis.
Recently, I have been eating less sweets, but sometimes my gastrointestinal tract still feels a bit uncomfortable, and I occasionally experience abdominal pain.
I would like to ask if my condition is not improving quickly (it's been about a month).
Additionally, I have been experiencing constipation; the color and shape of my stools are normal.
However, after dinner today, I had severe abdominal pain.
When I went to the bathroom, I initially had a normal bowel movement, but shortly after, I started having diarrhea.
The stool was a bit darker in color and had a strong odor.
After that, I felt somewhat better, but I still occasionally have abdominal pain.
Could this be related to my gastritis and duodenitis, or is it simply due to eating contaminated food leading to a bacterial infection in my intestines? How can I improve my diet and lifestyle to address both constipation and diarrhea? (I read on some health websites that drinking black tea can be good for the stomach; is this true?) I apologize for the many questions.
Thank you, doctor, for your hard work.

Liu, 10~19 year old female. Ask Date: 2022/05/24

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: 1.
If symptoms have improved, you can continue to monitor and take medication.
If there is not much improvement, you should return for a follow-up appointment to discuss with your physician whether there are other issues.
2.
It may be related to ulcers, so please pay attention to your dietary choices.
Black tea still contains caffeine and is not recommended during the recovery period from ulcers.
Try to minimize the intake of irritating foods, as well as cold beverages and certain melons.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2022/05/24

More Info


It sounds like you're experiencing a range of gastrointestinal symptoms that can be quite concerning, especially at your age. Let's break down your situation and address your questions regarding your stomach pain, constipation, diarrhea, and dietary habits.

Firstly, it's important to understand that gastrointestinal issues can stem from various causes, including dietary choices, stress, infections, and underlying medical conditions. Given that you've mentioned having a history of gastritis or duodenitis (inflammation of the stomach or duodenum), it's possible that your current symptoms are related to that condition. Inflammation can take time to heal, and while some people may start feeling better within a few weeks, others may experience lingering discomfort for a longer period, especially if they continue to consume irritating foods or if their lifestyle doesn't support healing.

Regarding your recent symptoms of abdominal pain, constipation, and then diarrhea, this could be indicative of several things. The fact that you experienced constipation followed by diarrhea might suggest a change in your gut motility, which can happen due to dietary changes, stress, or even infections. The dark color and foul smell of your stool could indicate that you might have consumed something that didn't agree with you, or it could be a sign of a gastrointestinal infection. If the symptoms persist or worsen, it would be wise to consult a healthcare professional for further evaluation.

As for your dietary habits, here are some recommendations that might help improve your gastrointestinal health:
1. Hydration: Ensure you are drinking plenty of water throughout the day. Dehydration can worsen constipation and lead to more significant gastrointestinal issues.

2. Fiber Intake: Incorporate more fiber-rich foods into your diet, such as fruits, vegetables, whole grains, and legumes. Fiber helps regulate bowel movements and can alleviate both constipation and diarrhea.

3. Balanced Meals: Try to eat balanced meals that include a mix of carbohydrates, proteins, and healthy fats. Avoid overly processed foods, excessive sugar, and high-fat meals, as these can irritate your stomach.

4. Regular Eating Schedule: Establish a regular eating schedule to help regulate your digestive system. Eating at consistent times can help your body anticipate food intake and improve digestion.

5. Probiotics: Consider adding probiotics to your diet, either through supplements or fermented foods like yogurt, kefir, or sauerkraut. Probiotics can help restore the balance of good bacteria in your gut, which may be beneficial if you've had gastrointestinal disturbances.

6. Avoid Trigger Foods: Pay attention to foods that seem to trigger your symptoms and try to avoid them. Common irritants include spicy foods, caffeine, and high-fat foods.

Regarding your question about drinking red tea to "nourish the stomach," while some herbal teas can be soothing, it's essential to choose those that are gentle on the stomach. Herbal teas like chamomile or ginger tea may help with digestion and provide relief from discomfort. However, individual responses can vary, so it's best to see how your body reacts.

Lastly, if your symptoms persist or if you experience severe pain, blood in your stool, or significant changes in your bowel habits, it's crucial to seek medical attention. A healthcare provider can perform necessary tests, such as blood tests or imaging studies, to rule out any serious conditions and provide appropriate treatment.

In summary, while your symptoms may be related to your previous gastrointestinal issues, they could also be influenced by dietary choices and lifestyle factors. By making some adjustments to your diet and habits, you may find relief. However, don't hesitate to reach out to a healthcare professional for personalized advice and support.

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