Abdominal Pain and Diarrhea: What You Need to Know - Gastroenterology and Hepatology

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Abdominal pain with diarrhea?


Hello, Dr.
Chen.
I am 16 years old and have been experiencing frequent abdominal pain and bowel sounds since last week.
When I go to the bathroom, my stools are mostly watery, sometimes containing undigested food, and occasionally they are sticky gas.
After using the restroom, my stomach pain generally subsides, but it returns the next day.
This has been ongoing for five or six days.
Today, I noticed that my stools are very thin.
Am I at risk for colon cancer? (There is no blood in my stools.
I am 175 cm tall and weigh 52 kg.
I have had gastrointestinal issues since childhood.)

Xie, 10~19 year old female. Ask Date: 2024/04/02

Dr. Chen Shidian reply Gastroenterology and Hepatology


It is likely just abnormal gastrointestinal motility.
Increase the intake of fruits and vegetables, eat slowly, and continue to monitor the situation.

Reply Date: 2024/04/02

More Info


Understanding abdominal pain and diarrhea, especially in a young individual like yourself, can be concerning, but it’s important to approach this situation with a clear understanding of potential causes and necessary steps to take.

Firstly, the symptoms you describe—abdominal pain, diarrhea, and the presence of undigested food in your stool—are not uncommon and can be attributed to several factors. Given your age and the duration of your symptoms, it is less likely that you are dealing with something as severe as colorectal cancer. Colorectal cancer is rare in individuals under 40, and your symptoms are more indicative of gastrointestinal disturbances rather than malignancy.

Here are some potential causes for your symptoms:
1. Gastroenteritis: This is an inflammation of the stomach and intestines, often caused by viral or bacterial infections. Symptoms typically include abdominal pain, diarrhea, nausea, and sometimes vomiting. If you’ve had any recent exposure to contaminated food or water, this could be a likely cause.

2. Irritable Bowel Syndrome (IBS): IBS is a common disorder that affects the large intestine. It can cause symptoms like cramping, abdominal pain, bloating, gas, and diarrhea or constipation. Stress and dietary choices often exacerbate IBS symptoms.

3. Food Intolerances or Allergies: Conditions like lactose intolerance or gluten sensitivity can lead to gastrointestinal symptoms, including diarrhea and abdominal pain after consuming certain foods.

4. Infections: Bacterial infections from foodborne pathogens (like E. coli or Salmonella) can lead to diarrhea and abdominal discomfort. If you’ve eaten out or had any questionable food recently, this could be a possibility.

5. Functional Gastrointestinal Disorders: These include conditions where the gastrointestinal tract functions improperly without any identifiable structural or biochemical abnormalities. Symptoms can include abdominal pain and changes in bowel habits.

6. Constipation: Sometimes, constipation can lead to abdominal pain and changes in stool consistency. If you are not having regular bowel movements, this could be a contributing factor.

Given that your symptoms have persisted for several days, it’s crucial to seek medical attention. Here are some steps you should consider:
- Consult a Healthcare Provider: It’s essential to discuss your symptoms with a healthcare professional who can perform a thorough evaluation. They may recommend tests such as stool analysis, blood tests, or imaging studies to rule out infections or other gastrointestinal conditions.

- Keep a Symptom Diary: Documenting your symptoms, dietary intake, and any other relevant factors can help your healthcare provider make a more accurate diagnosis.

- Stay Hydrated: Diarrhea can lead to dehydration, so it’s important to drink plenty of fluids. Oral rehydration solutions can be particularly helpful.

- Monitor Your Diet: Pay attention to any foods that seem to trigger your symptoms. Keeping a food diary can help identify potential intolerances or allergies.

- Avoid Self-Diagnosis: While it’s natural to worry about serious conditions like cancer, self-diagnosing can lead to unnecessary anxiety. Focus on gathering information and seeking professional advice.

In summary, while your symptoms are concerning, they are more likely related to common gastrointestinal issues rather than something as serious as colorectal cancer. Seeking medical advice is the best course of action to determine the underlying cause and receive appropriate treatment. Remember, early intervention can lead to better outcomes, so don’t hesitate to reach out to a healthcare provider.

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