After undergoing a colonoscopy two weeks ago, the doctor diagnosed it as irritable bowel syndrome (IBS)?
Two weeks ago, after my colonoscopy, the doctor said there were no abnormalities, no tumors or polyps, so he advised me not to worry too much.
He suggested that I might have irritable bowel syndrome (IBS).
I have been trying to normalize my routine by going to bed between 9 and 11 PM.
For breakfast, I eat a probiotic on an empty stomach along with a salad of potatoes, eggs, and pumpkin, one banana, and one steamed egg, plus a cup of soy milk.
For lunch, I have a medium bowl of chopped broccoli, black fungus, shiitake mushrooms, lean meat, and pumpkin porridge.
For dinner, I eat a small to medium bowl of white rice, stir-fried cabbage with chicken breast, and sautéed broccoli with mushrooms.
I have noticed that my bowel movements occur in the evening before bed and in the morning upon waking.
However, I am unsure if this is due to constipation or a motility issue in the colon.
In the morning, I have to go three times within a few minutes, as the urge comes back quickly.
The doctor advised me to sit for 1-2 minutes after feeling that I am done, and if nothing happens, to get up, as this would help with hemorrhoids.
Now, it seems that shortly after I leave the bathroom, the urge returns.
If I have a large bowel movement, it feels like the toilet is quite full, and the stool is yellow-brown and well-formed.
However, after flushing, it breaks apart, and I do not experience any abdominal pain—just a sensation that the stool is approaching the rectum (without any pain, just a simple signal that I need to go).
P.S.
I currently do not have diarrhea, but my bowel movement pattern has changed compared to before, when I would usually go all at once.
I am wondering if this is related to my diet and if having four bowel movements a day—three in the morning and one in the evening—is normal.
I have also been cycling for exercise.
Mr. Chen, 30~39 year old female. Ask Date: 2022/09/30
Dr. Zhang Shuhao reply Surgery
If you have a higher intake of dietary fiber, your bowel movements may increase as well, which is fine as long as you don't experience abdominal discomfort.
If you feel the urge to have a bowel movement shortly after finishing, it may be due to increased colonic motility, also known as irritable bowel syndrome (IBS).
In this case, you can initially use medications for IBS to manage the symptoms, and then gradually adjust your routine and diet.
Reply Date: 2022/09/30
More Info
Understanding Irritable Bowel Syndrome (IBS) and its dietary impact is crucial for managing symptoms and improving quality of life. Based on your description, it seems that you have been diagnosed with IBS, which is characterized by a range of gastrointestinal symptoms, including changes in bowel habits, abdominal discomfort, and bloating. The absence of tumors or polyps in your colonoscopy is reassuring, as it rules out more serious conditions.
Your current dietary regimen appears to be quite balanced, incorporating a variety of foods such as vegetables, lean proteins, and whole grains. However, the frequency and pattern of your bowel movements have changed, which can be a common occurrence in individuals with IBS. The fact that you are experiencing multiple bowel movements in a short period, especially in the morning, may indicate a heightened sensitivity of your bowel, which is typical in IBS patients.
Symptoms and Dietary Impact
1. Bowel Movement Patterns: It is not unusual for individuals with IBS to experience changes in their bowel habits. The fact that you are having multiple bowel movements in the morning, followed by a single one in the evening, suggests that your body may be reacting to your dietary intake or your body's natural rhythms. IBS can cause a sense of urgency and the feeling of incomplete evacuation, which may explain why you feel the need to go multiple times in a short span.
2. Dietary Considerations: The foods you are consuming can significantly impact your IBS symptoms. For instance, high-fiber foods like broccoli and mushrooms are beneficial for overall gut health, but they can also cause gas and bloating in some individuals. It's essential to monitor how your body reacts to specific foods. Keeping a food diary can help identify any triggers that may exacerbate your symptoms.
3. Hydration and Fiber: Staying well-hydrated is crucial, especially if you are consuming a high-fiber diet. Fiber helps regulate bowel movements, but it also requires adequate water intake to prevent constipation and promote smooth digestion. If your stools are forming but then breaking apart in water, it may indicate that your diet is providing enough fiber, but the hydration levels need to be optimized.
4. Probiotics: You mentioned taking probiotics, which can be beneficial for gut health. Probiotics help balance the gut microbiome and may alleviate some IBS symptoms. However, the effectiveness of probiotics can vary from person to person, so it may take some time to notice improvements.
5. Stress and Lifestyle Factors: Stress and anxiety can significantly impact IBS symptoms. Since you have made efforts to normalize your sleep schedule and incorporate exercise, these lifestyle changes can positively influence your gut health. Regular physical activity, such as cycling, can help reduce stress and improve bowel function.
6. Consultation with Healthcare Providers: Since you are experiencing changes in your bowel habits, it is advisable to maintain regular follow-ups with your healthcare provider. They can help monitor your symptoms and adjust your treatment plan as necessary. If your symptoms persist or worsen, further investigations may be warranted.
Conclusion
In summary, your current bowel habits and dietary changes are likely related to your IBS diagnosis. While the frequency of your bowel movements may seem concerning, it is essential to consider the overall context of your symptoms and lifestyle. Continue to monitor your diet, stay hydrated, and manage stress effectively. If you have any concerns about your symptoms or if they change significantly, do not hesitate to reach out to your healthcare provider for further guidance. Remember, managing IBS often requires a multifaceted approach, including dietary adjustments, lifestyle changes, and sometimes medication.
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