Recurring Diarrhea: Causes and When to Seek Help - Gastroenterology and Hepatology

Diarrhea issues

Hello Dr.
Chen, I previously inquired about my gastrointestinal issues.
About five days ago, I experienced cramping abdominal pain and diarrhea, having two bowel movements on that day.
After a few days, my stools returned to normal.
I suspected it was due to eating undercooked food.
However, today, on 10/30, I experienced diarrhea again (without cramping).
The foods I consumed in the past few days were not particularly greasy, and I have not taken any medications.
I regularly take probiotics.
Could you please advise on the possible cause and whether I need to see a doctor?
As of today, 11/7, my morning stool was normal, but after lunch, I experienced diarrhea again (with cramping).
After the diarrhea, I felt normal again.
I have noticed that my stools have been more foul-smelling and acidic over the past few weeks, and I find myself burping frequently.
Occasionally, I have a sour taste in my mouth.
I researched online and found that it resembles symptoms of a peptic ulcer.
Could this be irritable bowel syndrome instead? Thank you.

Awei, 30~39 year old female. Ask Date: 2022/11/07

Dr. Chen Shidian reply Gastroenterology and Hepatology

If necessary, a fecal occult blood test can be performed, and symptoms can be managed with medication.

Reply Date: 2022/11/07

More Info

Recurring diarrhea can be a distressing symptom that may arise from various underlying causes. It's important to understand the potential reasons for your symptoms and when it is necessary to seek medical attention.

Possible Causes of Recurring Diarrhea
1. Infections: Gastrointestinal infections caused by bacteria, viruses, or parasites can lead to diarrhea. If you consumed undercooked food, it could have introduced pathogens into your system. Symptoms may include abdominal cramps, fever, and nausea.

2. Food Intolerances: Some individuals may have intolerances to certain foods, such as lactose or gluten, which can cause gastrointestinal distress and diarrhea upon consumption.

3. Irritable Bowel Syndrome (IBS): This is a common functional gastrointestinal disorder characterized by symptoms like abdominal pain, bloating, and changes in bowel habits, including diarrhea.

4. Inflammatory Bowel Disease (IBD): Conditions such as Crohn's disease or ulcerative colitis can cause recurring diarrhea, often accompanied by abdominal pain and other systemic symptoms.

5. Medications: Certain medications, including antibiotics, can disrupt the normal gut flora and lead to diarrhea.

6. Stress and Anxiety: Psychological factors can also play a significant role in gastrointestinal symptoms, including diarrhea.

When to Seek Medical Help
You should consider seeking medical attention if you experience any of the following:
- Persistent Symptoms: If diarrhea lasts more than a couple of days or recurs frequently, it is advisable to consult a healthcare provider.

- Severe Abdominal Pain: If you experience significant abdominal pain or cramping, especially if it worsens.

- Dehydration Signs: Symptoms such as excessive thirst, dry mouth, reduced urine output, or dizziness indicate dehydration, which requires prompt medical attention.

- Blood in Stool: The presence of blood or black, tarry stools is a concerning sign that necessitates immediate evaluation.

- Fever: A high fever accompanying diarrhea may indicate a more serious infection.

Diagnostic Considerations
Given your symptoms of recurring diarrhea, foul-smelling stools, and occasional acid in your mouth, it may be beneficial to undergo a thorough evaluation. This could include:
- Stool Tests: To check for infections or the presence of blood.

- Blood Tests: To assess for signs of inflammation or infection.

- Endoscopy: In certain cases, a gastroenterologist may recommend an endoscopy to visualize the gastrointestinal tract and obtain biopsies if necessary.

Management Strategies
In the meantime, consider the following management strategies:
- Dietary Adjustments: Keeping a food diary may help identify any potential food triggers. Avoiding high-fat, spicy, or processed foods may also be beneficial.

- Hydration: Ensure you stay well-hydrated, especially if diarrhea persists. Oral rehydration solutions can be helpful.

- Probiotics: Continuing with probiotics may help restore gut flora, especially after episodes of diarrhea.

- Stress Management: Techniques such as mindfulness, yoga, or counseling may help if stress is a contributing factor.

Conclusion
While occasional diarrhea can be normal, recurring episodes warrant further investigation to rule out underlying conditions. It is essential to monitor your symptoms closely and seek medical advice if they persist or worsen. A healthcare provider can help determine the appropriate diagnostic tests and treatment options tailored to your specific situation.

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