Digestive Issues: Constipation and Bowel Concerns in Teens - Gastroenterology and Hepatology

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Bowel-related issues?


Hello, doctor.
I apologize for the interruption.
I am currently eighteen years old, but I often struggle with intestinal issues.
Specifically, I experience the following: 1.
In certain situations (such as during exams or classes), I have symptoms of abdominal bloating and rumbling, along with a feeling of needing to have a bowel movement.
2.
Recently, I have been experiencing some constipation, characterized by a lack of strong urges to have a bowel movement, and when I do, the amount is very small.
I have been consuming a lot of fruits and vegetables, but there hasn't been much improvement.
Could you please provide me with some advice? Is there a possibility that I could have colon cancer? Lastly, would you recommend that I take enzymes? Thank you very much.

Weng Xiansheng, 10~19 year old female. Ask Date: 2023/08/20

Dr. Lin Minghui reply Gastroenterology and Hepatology


1.
In certain situations (such as during exams or classes), there may be symptoms of abdominal bloating and borborygmi, along with a sensation of needing to defecate, which could indicate irritable bowel syndrome.
The intestines may be more sensitive.
2.
Although there is a consumption of fruits and vegetables, constipation may still occur.
It is important to identify the underlying causes, such as a diet high in fatty foods, poor digestion, decreased intestinal motility, medication effects, insufficient water intake, or lack of time to use the restroom.
It is recommended to increase fiber intake, along with drinking more water, engaging in moderate exercise, and establishing a regular bowel habit (preferably after breakfast or during stress-free times).
Colorectal cancer has many contributing factors, including environment, diet, and genetics.
If there is a family history, it is important to pay attention to dietary habits and follow-up screenings.
Enzymes are dietary supplements that can aid digestion; they are optional.
Consuming more natural vegetables and fruits, which are rich in dietary fiber, can promote the growth of beneficial gut bacteria, support intestinal health, enhance immunity, and facilitate smooth bowel movements.
Wishing you good health!

Reply Date: 2023/08/20

More Info


Digestive issues, particularly constipation and bowel concerns, are common among teenagers and can be influenced by various factors, including diet, stress, and lifestyle. Your symptoms of abdominal bloating and the sensation of needing to have a bowel movement during stressful situations, such as exams or classes, are not uncommon. These feelings can often be exacerbated by anxiety, which is prevalent among teens facing academic pressures.

Constipation, characterized by infrequent bowel movements or difficulty passing stools, can be particularly frustrating. You mentioned that you are consuming a lot of fruits and vegetables, which is excellent since dietary fiber is crucial for promoting regular bowel movements. However, it’s important to ensure that you are also drinking enough water, as hydration plays a significant role in digestive health. Aim for at least 8 cups (64 ounces) of water a day, and consider increasing this amount if you are physically active or live in a hot climate.

In addition to dietary changes, consider the following strategies to help alleviate your symptoms:
1. Regular Exercise: Physical activity can stimulate digestion and help prevent constipation. Aim for at least 30 minutes of moderate exercise most days of the week. Activities like walking, jogging, or even yoga can be beneficial.

2. Establish a Routine: Try to set a regular time each day for bowel movements, ideally after meals when your digestive system is more active. This can help train your body to have more regular bowel movements.

3. Mindfulness and Stress Management: Since you experience symptoms during stressful situations, incorporating stress management techniques such as deep breathing, meditation, or mindfulness exercises can help reduce anxiety and its impact on your digestive system.

4. Avoid Processed Foods: While fruits and vegetables are great, be mindful of your overall diet. Processed foods, high in sugar and low in fiber, can contribute to digestive issues. Focus on whole foods whenever possible.

5. Probiotics: Consider incorporating probiotics into your diet. Probiotics are beneficial bacteria that can help improve gut health. You can find them in yogurt, kefir, sauerkraut, and other fermented foods.

Regarding your concern about the possibility of colon cancer, it is important to note that while digestive issues can be concerning, colon cancer is relatively rare in individuals your age. However, if you are experiencing significant changes in your bowel habits, persistent abdominal pain, or any other alarming symptoms (such as blood in your stool or unexplained weight loss), it is essential to consult a healthcare professional for a thorough evaluation.

As for taking enzymes, digestive enzymes can sometimes help with digestion, especially if you have specific food intolerances. However, they are not a one-size-fits-all solution and should be discussed with a healthcare provider to determine if they are appropriate for your situation.

In summary, while your symptoms may be distressing, they are often manageable with lifestyle changes and stress management techniques. If your symptoms persist or worsen, please seek medical advice to rule out any underlying conditions and to receive personalized treatment recommendations. Remember, taking care of your mental health is just as important as your physical health, especially during stressful times.

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