Gastrointestinal Issues: When to Seek Medical Advice

Gastrointestinal issues

Hello, doctor.
I would like to ask about some gastrointestinal issues.
I have had digestive problems since childhood; I easily get diarrhea after eating junk food (like cookies and snacks, or high-fat fried foods).
I also experience abdominal pain when the weather gets cooler or when I feel stressed.
Additionally, I often have diarrhea during my menstrual period and tend to stay up late with an irregular schedule, but being young, I didn't pay much attention to it.
However, after turning thirty, I started to realize these issues, especially in the past six months, where I feel the situation has worsened.
Sometimes I experience constipation for five days without a bowel movement, and other times I have diarrhea two to three times a day.
I have started to adjust my schedule and reduce unhealthy eating, and now I have a regular bowel movement every morning after breakfast.
However, the stools are soft and loose, with only some parts forming into short, thin shapes, while most are scattered.
The color is dark brown, and the odor is quite strong.
After having a bowel movement, I still feel a dull pain in my abdomen, as if there is still stool stuck inside.
I am very concerned that this could be colon cancer or a bowel obstruction.
Should I undergo a colonoscopy? Also, can a person with an anterior pelvic tilt have a colonoscopy? Thank you, doctor.

Youye, 30~39 year old female. Ask Date: 2022/10/15

Dr. Chen Shidian reply Gastroenterology and Hepatology

It is likely a change related to irritable bowel syndrome.
A fecal occult blood test can be performed first; if the result is negative and normal, dietary and lifestyle adjustments can be made.
If necessary, medication can also be added for control, and follow-up should be conducted.

Reply Date: 2022/10/15

More Info

When it comes to gastrointestinal issues, it is essential to understand the signs that warrant medical attention. Your description of symptoms, including irregular bowel habits, abdominal pain, and changes in stool consistency, raises valid concerns that should not be overlooked.
Firstly, it is important to recognize that gastrointestinal symptoms can stem from various causes, ranging from benign conditions like irritable bowel syndrome (IBS) to more serious issues such as colorectal cancer. Given your history of gastrointestinal discomfort since childhood, along with the recent exacerbation of symptoms, it is prudent to seek medical advice.
Your symptoms of alternating constipation and diarrhea, particularly with the presence of abdominal pain, could suggest a functional gastrointestinal disorder such as IBS. IBS is characterized by a combination of abdominal pain and altered bowel habits, which can be triggered by dietary choices, stress, and hormonal changes, particularly in women during their menstrual cycle. The fact that you have started to notice a pattern with your bowel movements after adjusting your diet and routine is a positive step, but the persistence of soft, loose stools and abdominal discomfort indicates that further evaluation is necessary.

The color and consistency of your stool, along with the heavy odor, can provide clues to your gastrointestinal health. Dark brown stools can be normal, but if accompanied by other symptoms such as significant changes in bowel habits, weight loss, or blood in the stool, it becomes crucial to investigate further. The presence of abdominal pain after bowel movements may suggest that there is still some underlying issue that needs to be addressed.

Regarding your concern about colorectal cancer, while it is less common in younger individuals, it is not impossible, especially if there are risk factors present, such as a family history of colorectal cancer or personal history of inflammatory bowel disease. A colonoscopy is a valuable diagnostic tool that can help visualize the colon and rectum, allowing for the detection of polyps, inflammation, or tumors. Given your symptoms and age, discussing the possibility of a colonoscopy with your healthcare provider is advisable, especially since you have experienced significant changes in your bowel habits.

As for your question about whether pelvic tilt can affect the ability to undergo a colonoscopy, generally, it should not pose a problem. The procedure is designed to accommodate various body types and positions. However, it is essential to communicate any concerns or physical limitations with your healthcare provider ahead of the procedure.

In summary, it is crucial to take your gastrointestinal symptoms seriously, especially with the changes you have experienced over the past six months. Seeking a consultation with a gastroenterologist can provide you with a thorough evaluation and appropriate diagnostic testing, such as a colonoscopy, if deemed necessary. Additionally, maintaining a food diary, managing stress, and continuing to adjust your diet can aid in managing your symptoms. Remember, early detection and intervention are key in addressing any potential gastrointestinal issues effectively.

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