Digestive Issues: From Stress to Potential IBS Concerns - Surgery

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Bowel movement issues


Hello, doctor! After entering junior high school, I don't know if it's due to increased stress, but I've started experiencing a habit of abdominal pain and diarrhea.
It was fine before, but it became uncontrollable after I entered the second year.
Here's the situation: during the first year, there were a few days when I couldn't eat for unknown reasons, and I began to feel depressed.
Although my appetite improved later, I started my battle with my intestines.
The symptoms are quite strange; the frequency of abdominal pain is lower in the summer, but it becomes exaggerated in the winter, with intermittent abdominal pain (the pain does not have a specific location and can vary).
This has made it difficult for me to concentrate in class, and I've been teased by my classmates.
Even when I have normal bowel movements, it's odd; after having a formed stool, I might experience lower abdominal pain a few minutes or half an hour later, followed by diarrhea or loose stools.
My teacher discussed this issue with me and asked if it could be irritable bowel syndrome.
I did some research online, and guess what? There was more information about colorectal cancer and inflammatory bowel disease than about irritable bowel syndrome! Now, on one hand, I can't focus in class, and on the other hand, I'm starting to worry about whether it could be colorectal cancer.
Isn't this situation alarming? Doctor, what is going on with me? What should I do to improve my symptoms?

Nìmíng zhě, 10~19 year old female. Ask Date: 2023/11/09

Dr. Zhang Shuhao reply Surgery


Hello, if there is no significant family history of disease, the likelihood of developing colorectal cancer at your age is very low.
It is more likely that irregular gastrointestinal motility is caused by stress, which is a symptom of irritable bowel syndrome (IBS).
IBS can be managed with medication, but it is also important to try to adjust your lifestyle, including moderate exercise and sufficient sleep.
For medical consultation, you can start by seeing a family medicine physician for medication adjustments and further symptom evaluation.

Reply Date: 2023/11/09

More Info


It's understandable that you're feeling anxious about your digestive issues, especially given the stress of transitioning to middle school and the symptoms you've described. Let's break down your concerns and explore potential causes and solutions.


Understanding Your Symptoms
From what you've shared, it sounds like you may be experiencing symptoms consistent with Irritable Bowel Syndrome (IBS). IBS is a common gastrointestinal disorder characterized by a combination of abdominal pain, bloating, and changes in bowel habits, which can include diarrhea, constipation, or alternating between the two. Stress and anxiety are known triggers for IBS, and it’s not uncommon for symptoms to worsen during stressful periods, such as school transitions or exams.

Your description of experiencing abdominal pain that varies in location and the inconsistency in your bowel movements (sometimes normal, sometimes loose) aligns with IBS. The fact that your symptoms seem to fluctuate with the seasons could also suggest that stress levels or dietary changes during different times of the year may be influencing your condition.


Concerns About Serious Conditions
It's natural to worry about more serious conditions like inflammatory bowel disease (IBD) or colon cancer, especially when experiencing significant gastrointestinal symptoms. However, these conditions typically present with additional symptoms such as weight loss, blood in the stool, or persistent severe pain. Since you mentioned that your symptoms are primarily related to stress and that you have not experienced alarming symptoms like those mentioned, it is less likely that you are dealing with a serious condition like cancer at your age.


Steps to Take for Improvement
1. Consult a Healthcare Professional: It's crucial to speak with a healthcare provider, preferably a gastroenterologist, who can evaluate your symptoms in detail. They may recommend tests such as blood tests, stool tests, or imaging studies to rule out other conditions.

2. Dietary Modifications: Keeping a food diary can help identify any dietary triggers that may exacerbate your symptoms. Common triggers for IBS include dairy, gluten, high-fat foods, and certain fruits and vegetables. A dietitian can help you create a balanced diet that minimizes your symptoms.

3. Stress Management Techniques: Since stress appears to be a significant factor in your symptoms, incorporating stress-reducing activities into your routine can be beneficial. Techniques such as mindfulness, yoga, deep breathing exercises, or even regular physical activity can help manage stress levels.

4. Regular Eating Schedule: Try to maintain a regular eating schedule and avoid skipping meals. Eating smaller, more frequent meals can also help reduce symptoms.

5. Hydration: Ensure you are drinking enough water throughout the day, as dehydration can worsen digestive issues.

6. Medication: If your symptoms are severe, your doctor may prescribe medications to help manage IBS symptoms, such as antispasmodics or medications that target diarrhea or constipation.

7. Support: Talking to someone about your feelings, whether it's a friend, family member, or counselor, can help alleviate some of the anxiety associated with your symptoms.


Conclusion
While your symptoms are understandably concerning, they are likely related to stress and may be manageable with the right approach. By consulting a healthcare professional, making dietary changes, and incorporating stress management techniques, you can work towards alleviating your symptoms and improving your quality of life. Remember, you are not alone in this, and many people experience similar challenges. Taking proactive steps can lead to significant improvements in your digestive health and overall well-being.

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