Constipation and Digestive Issues: Expert Insights - Gastroenterology and Hepatology

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Constipation and indigestion?


Dr.
Chang: Hello! I've been experiencing gastrointestinal discomfort for the past four to five days: my stomach makes gurgling sounds when it's empty, which used to happen only when I was extremely hungry.
Now, I feel full after eating just a little, have bloating, and the urge to have a bowel movement, sometimes twice a day, but it's not diarrhea; it feels like there's a lot of stool buildup.
Sometimes, I feel stomach pain immediately after eating, similar to the sensation of consuming spoiled food, and I occasionally burp.
The doctor said it's indigestion.
May I ask: 1.
Why is this happening? Could it be due to changes in my eating habits (switching from two meals to three, eating too much)? I used to eat a lot without experiencing this, or is it a sign of functional decline? 2.
I have a history of chronic constipation; I recently did some vigorous abdominal massage and expelled a lot of gas.
Does this indicate poor gastrointestinal motility? 3.
My usual diet is relatively light, with very little meat, but I love eating noodles.
How can I improve my constipation? Is consuming probiotics effective? 4.
Is colon hydrotherapy advisable? Is it beneficial? Thank you for your response.

Weiwei, 40~49 year old female. Ask Date: 2004/02/16

Dr. Zhang Yuting reply Gastroenterology and Hepatology


Your concerns are quite common in the gastroenterology clinic.
May I ask how old you are and why you are worried about functional decline? Since you have multiple symptoms, I recommend that you visit a gastroenterologist for further evaluation.
However, to clarify briefly, for improvement, it is advisable to increase your intake of fruits and vegetables and engage in more physical activity, as this can help alleviate your bowel movement issues.
As for colon hydrotherapy, it is not recommended.
The benefits of consuming probiotics can vary from person to person, but it is still advisable to consult with a gastroenterologist to rule out any gastrointestinal lesions before proceeding with further management.

Reply Date: 2004/02/16

More Info


Constipation and digestive issues can be quite distressing, and understanding the underlying causes and potential solutions is essential for effective management. Based on your description, it seems you are experiencing a combination of symptoms that may be related to dietary habits, gastrointestinal motility, and possibly other factors. Let's break down your questions and provide insights into each one.

1. Why are these symptoms occurring?
The symptoms you describe, such as abdominal sounds, bloating, and a feeling of fullness after eating small amounts, could be attributed to several factors. Changes in dietary habits, such as moving from two meals to three, can affect digestion. If you are consuming larger portions or more complex carbohydrates (like pasta), this could lead to bloating and discomfort. Additionally, as we age, our digestive system may become less efficient, leading to slower gastric emptying and altered bowel habits. Stress and lifestyle changes can also significantly impact digestion, leading to symptoms of indigestion and constipation.

2. Does strong abdominal massage indicate poor gastrointestinal motility?
Strong abdominal massage that helps release gas and stool may suggest that your gastrointestinal motility is not functioning optimally. In a healthy digestive system, peristalsis (the wave-like muscle contractions that move food through the digestive tract) should occur regularly without the need for manual stimulation. If you find that you need to massage your abdomen to relieve discomfort or to facilitate bowel movements, it may be worth discussing this with your healthcare provider, as it could indicate underlying issues such as decreased motility or functional gastrointestinal disorders.

3. How can I improve constipation? Is consuming probiotics effective?
Improving constipation often involves dietary adjustments. Increasing fiber intake is crucial; aim for a diet rich in fruits, vegetables, whole grains, and legumes. Fiber helps to bulk up stool and promotes regular bowel movements. Staying hydrated is equally important, as adequate fluid intake helps soften stool. Probiotics, such as those found in yogurt or supplements, can be beneficial for gut health and may help improve digestion and regularity. They work by balancing the gut microbiome, which can enhance overall digestive function. However, individual responses to probiotics can vary, so it may take some experimentation to find what works best for you.

4. Is colon hydrotherapy beneficial?
Colon hydrotherapy, or colonic irrigation, involves flushing the colon with water to remove waste. While some people report feeling lighter and experiencing temporary relief from constipation, the scientific evidence supporting its efficacy is limited. It is essential to approach this method with caution, as improper techniques can lead to complications such as electrolyte imbalances or bowel perforation. If you are considering this option, consult with a qualified healthcare provider to discuss the potential risks and benefits based on your specific health situation.

In summary, your symptoms may be influenced by dietary changes, gastrointestinal motility issues, and possibly stress. To improve your digestive health, focus on a high-fiber diet, adequate hydration, and consider incorporating probiotics. If symptoms persist or worsen, it is crucial to seek further evaluation from a healthcare professional who can provide personalized recommendations and rule out any underlying conditions. Remember, managing digestive health is often a multifaceted approach that requires patience and consistency.

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