Gastrointestinal Issues: When to Seek Medical Attention

Q: Gastrointestinal Issues: When to Seek Medical Attention

Hello： Generally speaking, if a colonoscopy shows no polyps, it is recommended to follow up in three years. <br>However, if there are still significant changes in bowel habits, a physician should reassess whether further follow-up is necessary. <br>Changhua Hospital cares about y

Gastrointestinal issues

Hello doctor, for the past three to four days, I've suddenly felt some bloating in my stomach and abdomen.
I've noticed an increase in burping and flatulence, and my stomach makes gurgling noises.
My bowel movements have also decreased (from one to two times a day to once a day or once every two days), and sometimes when I do go, the stool feels looser (it is formed but somewhat scattered).
The color is brown or dark brown.
I've had similar issues in the past, experiencing diarrhea for a period or bloating like this, which usually lasts for about four to five days to a week.
Last July, I had similar problems and consulted a gastroenterologist who arranged for an abdominal ultrasound and a colonoscopy, but no issues were found, and I was prescribed medication to promote gastrointestinal motility and relieve bloating.
A few months ago, after a bowel movement, I noticed noticeable blood in the toilet water.
I saw a doctor who said it was due to a small tear in the anus with no other issues.
However, I am particularly concerned because of my family history of intestinal tumors.
I would like to know if my symptoms indicate any underlying health issues, how long they might last, and whether I should see a doctor or undergo further testing.

Mr. Wang, 20~29 year old female. Ask Date: 2022/09/11

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: Generally speaking, if a colonoscopy shows no polyps, it is recommended to follow up in three years.
However, if there are still significant changes in bowel habits, a physician should reassess whether further follow-up is necessary.
Changhua Hospital cares about your health.
Dr.
Tsai An-Shun.

Reply Date: 2022/09/11

More Info

It sounds like you're experiencing a range of gastrointestinal symptoms that can be quite distressing. Based on your description, it seems you are dealing with bloating, increased flatulence, changes in bowel habits, and occasional loose stools. These symptoms can be indicative of several gastrointestinal issues, and while they can often be benign, your family history of bowel tumors adds a layer of concern that should not be overlooked.

Firstly, the symptoms you are experiencing—bloating, increased gas, and changes in stool consistency—are commonly associated with functional gastrointestinal disorders, such as Irritable Bowel Syndrome (IBS). IBS is characterized by a combination of abdominal pain and altered bowel habits, which can include diarrhea, constipation, or a mix of both. Stress, dietary changes, and certain food intolerances can exacerbate these symptoms. Given that you have experienced similar episodes in the past, it is possible that you are dealing with a recurrent functional issue.

The fact that you have had a colonoscopy and abdominal ultrasound without any significant findings is reassuring. These tests are essential in ruling out structural abnormalities, such as tumors or significant inflammatory conditions. However, if you continue to experience symptoms, especially with a family history of colorectal cancer, it is crucial to maintain open communication with your healthcare provider. They may recommend periodic surveillance colonoscopies based on your family history, even if your previous tests were normal.

Regarding the presence of blood in your stool, even if it was attributed to a minor anal fissure, it is always wise to report any new occurrences of blood to your doctor. While it may not be directly related to your current symptoms, any change in bowel habits or the appearance of blood should be evaluated, especially considering your family history.
In terms of when to seek medical attention, here are some guidelines:
1. Persistent Symptoms: If your symptoms last longer than a week or worsen, it’s advisable to consult your physician.

2. Severe Pain: If you experience severe abdominal pain that is not relieved by bowel movements or over-the-counter medications, seek medical care.

3. Blood in Stool: Any new occurrence of blood in your stool should prompt an immediate evaluation.

4. Weight Loss: Unintentional weight loss or changes in appetite should also be discussed with your doctor.

5. Family History: Given your family history of bowel tumors, regular check-ups and discussions about your gastrointestinal health are crucial.

In the meantime, consider keeping a food diary to identify any potential triggers for your symptoms. This can help you and your healthcare provider determine if certain foods or eating patterns may be contributing to your gastrointestinal distress. Additionally, stress management techniques, such as mindfulness or yoga, may also help alleviate some of your symptoms.

In summary, while your symptoms may be indicative of a functional gastrointestinal disorder, your family history necessitates a cautious approach. Regular follow-ups with your healthcare provider, maintaining a healthy diet, and being vigilant about any changes in your symptoms will be key in managing your gastrointestinal health. If symptoms persist or worsen, do not hesitate to seek further evaluation.

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