Bowel Sounds and Gastrointestinal Issues: What You Need to Know

Borborygmi. Gastrointestinal issues?

Hello Doctor: I am 30 years old, and I have been experiencing something unusual these past few days.
After meals, my stomach often makes gurgling noises (it feels like my intestines are making the sounds).
Sometimes I experience abdominal pain after eating, and after the pain, I may have diarrhea, but at other times, I do not feel the urge to have a bowel movement; I just feel pure abdominal pain.
The diarrhea occurred after I had toast with an egg (without salad or vegetables), and it wasn't particularly greasy.
I usually pass gas and burp, and my bowel movement frequency remains the same as before, about 1-2 times a day.
However, now I sometimes have diarrhea after abdominal pain, and the stool is mostly thin and formed, but the amount is not much, and there is no blood or bloody stools.
I would like to ask the doctor what the possible causes of this might be.
Should I try a light diet to test it? I have a regular exercise routine, but I do not like eating vegetables, so I am quite worried about the possibility of colon cancer...
Additionally, I would like to ask if colon cancer can be detected through a stool test, or if it can only be diagnosed through a colonoscopy? (I find the idea of a colonoscopy quite frightening...)

mo, 30~39 year old female. Ask Date: 2023/12/30

Dr. Chen Shidian reply Gastroenterology and Hepatology

If the abnormal reflexive peristalsis is solely caused by diet, one can slow down the eating pace.
If necessary, medication can be taken before meals for adjustment.
If there are still concerns, a stool occult blood test can be performed.

Reply Date: 2023/12/30

More Info

Understanding bowel sounds and gastrointestinal issues can be quite complex, especially when symptoms like abdominal pain, diarrhea, and changes in bowel habits are involved. Based on your description, it seems you are experiencing a combination of gastrointestinal symptoms that may be linked to several potential causes.

Firstly, the sounds you are hearing from your abdomen, often referred to as "borborygmi," are typically normal and can occur due to the movement of gas and fluid through the intestines. However, when accompanied by pain and changes in bowel habits, it may indicate an underlying issue. The fact that you experience these sounds more prominently after eating, along with abdominal pain and occasional diarrhea, suggests that your digestive system might be reacting to certain foods or stressors.

One common condition that could explain your symptoms is Irritable Bowel Syndrome (IBS), which is characterized by abdominal pain, bloating, and changes in bowel habits, including diarrhea and constipation. Stress, dietary choices, and lifestyle factors can significantly impact IBS symptoms. Given that you mentioned not eating many vegetables, it’s possible that your diet lacks sufficient fiber, which is crucial for healthy bowel function. A diet low in fiber can lead to constipation and may exacerbate symptoms of IBS.

In terms of dietary adjustments, it would be beneficial to incorporate more fiber-rich foods, such as fruits, vegetables, and whole grains, into your meals. While you may not enjoy eating vegetables, finding ways to include them in your diet—perhaps through smoothies or soups—could help improve your digestive health. Additionally, staying hydrated and maintaining regular meal times can also support better digestion.

Regarding your concern about colorectal cancer, it’s understandable to feel anxious, especially with gastrointestinal symptoms. While changes in bowel habits can be alarming, they are not solely indicative of cancer. Colorectal cancer screening typically involves a combination of stool tests and colonoscopy. Stool tests can detect blood or abnormal DNA that may suggest cancer, but a colonoscopy is the gold standard for direct visualization and biopsy of the colon. If you have risk factors or persistent symptoms, discussing a colonoscopy with your healthcare provider may be warranted, even if it feels intimidating.

It’s also important to consider that anxiety and stress can exacerbate gastrointestinal symptoms. The mind-gut connection is well-documented, and stress can lead to increased bowel activity, resulting in more pronounced sounds and discomfort. Engaging in stress-reducing activities, such as exercise, meditation, or yoga, may help alleviate some of your symptoms.

If your symptoms persist or worsen, it would be wise to follow up with a healthcare provider. They may recommend further evaluation, including blood tests, imaging studies, or referrals to a gastroenterologist for more specialized care. Keeping a symptom diary, noting what you eat and how you feel afterward, can also provide valuable insights for your healthcare provider.

In summary, while your symptoms may be concerning, they are not uncommon and can often be managed with dietary changes, stress management, and regular medical follow-up. It’s essential to listen to your body and seek help when needed, ensuring that you maintain both your physical and mental well-being.

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