Bowel Issues: Causes and Solutions for Abdominal Pain

Bowel movement issues

Hello Doctor: I am about to turn 23 years old, and I have been experiencing some bowel issues in the past two to three months (which I haven't had before).
The main symptoms are frequent abdominal cramping; I typically experience cramping three to four days a week.
Whenever I have cramping, I feel the urge to use the restroom.
The cramps usually occur in the afternoon and evening, and the symptoms ease after I have a bowel movement, but they return after a while.
On average, I experience cramping two to three times a day.
The stool consistency has changed; after the first episode of cramping, I have soft, mushy stools (Type 5 or 6), while subsequent bowel movements after the later cramps are watery (Type 7).
Sometimes, this is accompanied by bowel sounds and flatulence.
I would like to ask the doctor what this issue might be.
Thank you, and I wish you peace and well-being.

Xiao Gao, 20~29 year old female. Ask Date: 2023/12/12

Dr. Chen Shidian reply Gastroenterology and Hepatology

It is likely irritable bowel syndrome (IBS).
If the weight is normal, lifestyle and dietary adjustments can be made, along with medication to manage symptoms.

Reply Date: 2023/12/12

More Info

Hello! Thank you for reaching out with your concerns regarding your bowel issues and abdominal pain. Based on your description, it sounds like you are experiencing symptoms that could be indicative of a functional gastrointestinal disorder, such as Irritable Bowel Syndrome (IBS).
IBS is a common condition that affects the large intestine and is characterized by symptoms such as abdominal pain, cramping, bloating, gas, and changes in bowel habits, which can include diarrhea, constipation, or alternating between both. The fact that your abdominal pain is relieved after a bowel movement is a classic symptom of IBS. The pain you describe as "cramping" or "colicky" is also typical of this condition.

The changes in your stool consistency, from soft to watery, further support the possibility of IBS. The presence of soft, mushy stools (Type 5 on the Bristol Stool Chart) and watery stools (Type 7) suggests that your bowel is reacting to certain triggers, which could be dietary, stress-related, or due to other environmental factors.
Several factors can contribute to the onset of IBS, including:
1. Dietary Triggers: Certain foods can exacerbate symptoms. Common culprits include dairy products, high-fat foods, spicy foods, and artificial sweeteners. Keeping a food diary can help identify any specific foods that may be triggering your symptoms.

2. Stress and Anxiety: Emotional stress can significantly impact gut health. Since you mentioned experiencing abdominal pain primarily in the afternoon and evening, it could be related to daily stressors. Stress management techniques such as mindfulness, yoga, or cognitive behavioral therapy may be beneficial.

3. Gut Motility Issues: IBS is often associated with abnormal gut motility, which can lead to the symptoms you are experiencing. The gut may contract too much or too little, leading to pain and changes in bowel habits.

4. Gut Microbiome: An imbalance in the gut bacteria can also play a role in IBS. Probiotics may help restore a healthy balance of gut flora, potentially alleviating some symptoms.

Given your symptoms, it is advisable to consult with a healthcare professional who specializes in gastrointestinal disorders. They may recommend further evaluation, such as stool tests, blood tests, or even a colonoscopy, to rule out other conditions like inflammatory bowel disease (IBD) or infections.

In the meantime, here are some general recommendations that may help manage your symptoms:
- Dietary Adjustments: Consider a low-FODMAP diet, which has been shown to help many individuals with IBS. This involves reducing certain carbohydrates that are poorly absorbed in the small intestine.

- Hydration: Ensure you are drinking plenty of water, especially if you are experiencing diarrhea.

- Regular Exercise: Physical activity can help regulate bowel function and reduce stress.

- Stress Management: Engage in relaxation techniques, such as deep breathing exercises, meditation, or gentle yoga.

- Medications: Over-the-counter medications like loperamide (Imodium) can help manage diarrhea, while antispasmodics may relieve cramping. However, it's essential to consult with a healthcare provider before starting any medication.

In conclusion, while your symptoms may suggest IBS, it is crucial to have a thorough evaluation by a healthcare professional to confirm the diagnosis and rule out other potential causes. With appropriate management, many individuals with IBS can lead a comfortable and fulfilling life. Please take care, and I wish you all the best in finding relief from your symptoms!

Similar Q&A

Understanding Your Digestive Discomfort: Causes and Solutions

Hello, Doctor: I have been experiencing abdominal bloating and pain for the past three to four years. I am unable to flatten my abdomen, and pressing down on my stomach is very painful. I often have cramping pain and only have a bowel movement every two to three days; however, if...

Dr. Lin Minghui reply Gastroenterology and Hepatology
Reply: Hello, 1. It may be irritable bowel syndrome (IBS). 2. Develop good dietary and bowel habits by chewing food thoroughly, drinking plenty of water, and consuming fresh vegetables and fruits. You may also drink yogurt. Try to keep your stress levels low and establish a ro...

Understanding Digestive Discomfort: Causes of Abdominal Pain and Gas Issues

Hello, I would like to ask the following questions: 1. I have been experiencing pain about 3-4 fingerbreadths above my navel and in my left abdomen 2-3 times within the past week. What organs are located in this area? What could be the possible causes of the pain? What initial ...

Dr. Lin Minghui reply Gastroenterology and Hepatology
Hello: 1. The organs associated with your pain include the stomach, small intestine, pancreas, and transverse colon. Pain in this area may be related to gastrointestinal diseases (including gastritis, esophagitis, peptic ulcers, tumors, and polyps), liver, gallbladder, and panc...

Chronic Abdominal Pain and Constipation: Seeking Solutions

Hello Doctor: Since April 2009, I have been experiencing intermittent pain in my left abdomen (around the area near the navel), occasionally close to the lower left abdomen; I also often have unexplained cramping in my abdomen, followed by frequent constipation and bloating. In F...

Dr. Ke Fangxu reply Surgery
Hello: In response to your question, abdominal pain in young people is often caused by two main reasons. One is Irritable Bowel Syndrome (IBS), where the pain is usually not localized, and bowel habits may alternate between constipation and diarrhea. The stool often lacks form an...

Understanding Abdominal and Rectal Pain: Possible Causes and Solutions

Hello, I would like to ask about my recent bowel movements. For the past couple of days, I have been experiencing difficulty with bowel movements, abdominal pain, and a feeling of hardness in my stomach. Additionally, I feel something at the anal opening, and occasionally when I ...

Dr. Chen Shidian reply Gastroenterology and Hepatology
Hello, Miss: You may have an anal condition (such as external hemorrhoid inflammation) and possibly digestive disorders or motility issues. If adjusting your diet to a lighter regimen does not improve your symptoms, please visit a gastroenterology clinic for examination and treat...