Bowel Issues: Symptoms and Concerns for Your Health - Gastroenterology and Hepatology

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Bowel issues


Hello doctor, today I experienced cramping pain in my abdomen (there's a gurgling sound in the lower left side of my intestines) and diarrhea.
Initially, my stool was normal and formed, but I’m not sure if it’s because I ate too much.
Later, it turned into watery stools (loose stools).
I would like to ask if this could be a symptom of colorectal cancer.
I have health anxiety and I'm very worried about it.
My stool has some white mucus on it, and it has a smell reminiscent of vomit...
I’m very anxious and scared.
I have undergone many tests, including a sigmoidoscopy, abdominal ultrasound, and gastroscopy.
I may also do a stool occult blood test soon.
Recently, my appetite has been fluctuating...
I’m feeling quite distressed.
Thank you in advance, doctor.

wei, 20~29 year old female. Ask Date: 2023/03/23

Dr. Chen Shidian reply Gastroenterology and Hepatology


Irritable bowel syndrome (IBS) is related not only to diet and lifestyle but also to anxiety.
Proper management and adjustments can help alleviate symptoms.

Reply Date: 2023/03/23

More Info


It sounds like you are experiencing a range of gastrointestinal symptoms that can be quite distressing. Based on your description, you are dealing with abdominal pain, changes in bowel habits, and the presence of mucus in your stool, which understandably raises concerns about serious conditions like colorectal cancer. However, it’s important to approach this situation with a clear understanding of the potential causes and the appropriate steps to take.

Firstly, the symptoms you describe—abdominal cramping, changes from normal stools to diarrhea, and the presence of mucus—can be indicative of several gastrointestinal disorders. While colorectal cancer is a serious concern, especially if you have a family history or other risk factors, your age and the nature of your symptoms may suggest other conditions, such as Irritable Bowel Syndrome (IBS), infections, or inflammatory bowel diseases like Crohn's disease or ulcerative colitis.

Irritable Bowel Syndrome is particularly common among young adults and can manifest with symptoms such as abdominal pain, bloating, diarrhea, and constipation. Stress and dietary factors often exacerbate IBS symptoms. Given that you mentioned having anxiety, it’s possible that stress could be contributing to your gastrointestinal issues.
The presence of mucus in your stool can occur in various conditions, including IBS, infections, or even food intolerances. The foul odor you describe could also suggest a malabsorption issue or an infection, particularly if accompanied by diarrhea.
Given that you have undergone several diagnostic tests, including colonoscopy and endoscopy, it’s crucial to follow up with your healthcare provider regarding the results of your stool tests and any other investigations. If these tests have ruled out serious conditions, your symptoms may be managed through dietary changes, stress management techniques, and possibly medications aimed at alleviating IBS symptoms.

Here are some recommendations to consider:
1. Dietary Adjustments: Focus on a balanced diet that is low in processed foods and high in fiber. Incorporate soluble fiber (found in oats, bananas, and apples) which can help regulate bowel movements. Avoid trigger foods that may exacerbate your symptoms, such as dairy, gluten, or high-fat foods.

2. Hydration: Ensure you are drinking enough water, especially if you are experiencing diarrhea. Dehydration can worsen your symptoms and lead to further complications.

3. Stress Management: Since stress can significantly impact gastrointestinal health, consider incorporating relaxation techniques such as mindfulness, yoga, or meditation into your routine. Regular physical activity can also help reduce stress and improve bowel function.

4. Regular Eating Schedule: Try to maintain a regular eating schedule and avoid large meals that can overwhelm your digestive system. Smaller, more frequent meals may be easier to digest.

5. Consult a Specialist: If your symptoms persist or worsen, it may be beneficial to consult a gastroenterologist who specializes in functional gastrointestinal disorders. They can provide tailored advice and treatment options.

6. Mental Health Support: Since you mentioned anxiety, consider seeking support from a mental health professional. Cognitive-behavioral therapy (CBT) has been shown to be effective for managing anxiety and can also help with gastrointestinal symptoms.

In conclusion, while your symptoms are concerning, they may not necessarily indicate a serious condition like colorectal cancer, especially given your age and previous test results. However, it is essential to continue monitoring your symptoms and maintain open communication with your healthcare provider to ensure appropriate management and peace of mind.

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