Changes in Bowel Habits: Gastrointestinal Discomfort

Change in bowel movement frequency

Hello, doctor.
Two weeks ago, I experienced a feeling of bloating in my lower abdomen.
Recently, the bloating has improved somewhat, but my bowel habits have changed from once every three days to once a day.
The stool is mostly soft, either in a tubular or lump form, with normal color, but occasionally has a strong odor.
I also feel tightness and discomfort in my upper abdomen.
Sometimes, I feel more comfortable after using the restroom, but there is still a persistent sensation of movement.
I reviewed my personal habits and noticed that I have recently forced myself to drink at least 1000 ml of water a day (previously, I might have consumed less than 500 ml), along with about 200 cc of yogurt daily.
Could these changes in habits be causing these effects, or could it be due to psychological stress or other underlying conditions?

TING, 20~29 year old female. Ask Date: 2022/09/28

Dr. Chen Shidian reply Gastroenterology and Hepatology

It may be a food effect; further observation is needed.

Reply Date: 2022/09/28

More Info

Changes in bowel habits can often be a source of concern, and understanding the underlying causes is essential for addressing any potential gastrointestinal issues. Based on your description, it seems that you have experienced a notable change in your bowel habits, transitioning from having a bowel movement every three days to once a day, with the stool being soft and occasionally having a strong odor. Additionally, you mentioned feelings of bloating and discomfort in your upper abdomen, which can be indicative of various gastrointestinal conditions.

Firstly, it's important to recognize that changes in bowel habits can be influenced by multiple factors, including dietary changes, hydration levels, stress, and underlying medical conditions. The increase in your water intake to at least 1000 ml per day, along with the addition of yogurt, could indeed contribute to the changes you are experiencing. Increased hydration can help soften stool and promote regular bowel movements, while probiotics found in yogurt may improve gut health and digestion. However, if these changes are sudden or accompanied by discomfort, it may warrant further investigation.

The symptoms you describe, such as bloating and a feeling of pressure in the abdomen, could be related to dietary choices or gastrointestinal motility issues. For instance, consuming high-fiber foods or dairy products can sometimes lead to increased gas production, resulting in bloating. Additionally, if you have recently increased your intake of certain foods or beverages, your digestive system may need time to adjust, which can lead to temporary discomfort.

Moreover, psychological factors such as stress and anxiety can significantly impact gastrointestinal function. The gut-brain connection is well-documented, and stress can lead to changes in bowel habits, including increased frequency of bowel movements or altered stool consistency. If you are experiencing heightened stress levels, it may be beneficial to explore relaxation techniques or stress management strategies to see if they alleviate some of your gastrointestinal symptoms.

While the changes you are experiencing may be benign and related to lifestyle adjustments, it is essential to monitor your symptoms closely. If you notice persistent discomfort, significant changes in stool appearance (such as blood or black stools), or if your symptoms worsen, it is advisable to consult a healthcare professional for a thorough evaluation. They may recommend diagnostic tests, such as stool analysis or imaging studies, to rule out any underlying gastrointestinal disorders.

In summary, the changes in your bowel habits could be attributed to your recent lifestyle modifications, including increased hydration and dietary changes. However, it is crucial to remain vigilant about your symptoms and seek medical advice if they persist or worsen. Maintaining a balanced diet, staying hydrated, and managing stress can all contribute to improved gastrointestinal health. If you have any further concerns or questions, do not hesitate to reach out to a healthcare provider for personalized guidance.

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