Bowel-related issues?
I am currently 17 years old and preparing for my college entrance exams, but my health has been concerning me to the point where I can't focus on studying.
I've been staying up late since around the second year of junior high, and recently, over the past week or two, I've suddenly been experiencing loose stools that are not formed, with colors ranging from brown to black.
Previously, I would usually have bowel movements only in the evening after returning home, but now I feel the urge to go as soon as I wake up.
Additionally, I haven't had much appetite for the past two or three days and feel like I'm never hungry.
Sometimes I experience sudden abdominal pain, but when I try to have a bowel movement, I can only pass a small amount.
After going to the bathroom, the abdominal pain slightly alleviates, but it still persists.
I have a faster heart rate, so I am taking 10 mg of a heart medication, but the side effects do not seem to match my symptoms.
I have been researching online and am worried that it might be colon cancer, so I hope the doctor can help clarify my concerns.
Thank you, doctor.
Wu Tongxue, 10~19 year old female. Ask Date: 2024/07/07
Dr. Cai Jinji reply Gastroenterology and Hepatology
Hello, Student Wu: If there is no improvement, it is recommended that you visit a gastroenterologist for a detailed consultation and examination, which may help resolve your concerns.
Director Cai Jin-ji, Gastroenterology Department, Nantou Hospital.
Reply Date: 2024/07/07
More Info
It's understandable to feel anxious about changes in your bowel habits, especially during a stressful time like preparing for exams. At 17 years old, the likelihood of developing serious conditions such as colorectal cancer is extremely low. Most digestive issues in teenagers are related to lifestyle factors, including diet, stress, and sleep patterns.
From your description, it seems you are experiencing several symptoms: loose stools, changes in bowel habits, abdominal pain, and a lack of appetite. These symptoms can be indicative of several conditions, but they are most commonly associated with functional gastrointestinal disorders, such as Irritable Bowel Syndrome (IBS). IBS is characterized by a combination of symptoms, including abdominal pain, bloating, and changes in bowel habits, which can include diarrhea or constipation.
The fact that your stools have changed to a looser consistency and that you are experiencing abdominal pain that improves after a bowel movement suggests that your digestive system may be reacting to stress or dietary changes. Stress can significantly impact gut health, leading to symptoms like those you are experiencing. Additionally, irregular eating patterns, such as skipping meals or eating late at night, can also contribute to digestive discomfort.
The color of your stools, particularly if they are dark or black, can sometimes be concerning. Dark stools can indicate the presence of blood, but they can also result from certain foods (like beets or iron supplements) or medications. If you notice a significant change in color or consistency, or if you experience any blood in your stools, it is essential to consult a healthcare professional for further evaluation.
Your mention of a lack of appetite and sudden abdominal pain could also be related to anxiety or stress, especially given the pressures of studying for exams. Anxiety can lead to physical symptoms, including gastrointestinal distress. It’s important to address both your mental and physical health during this time. Consider incorporating stress-reducing activities into your routine, such as regular exercise, mindfulness practices, or talking to someone about your concerns.
Regarding your medication, while heart medications can have side effects, it’s unlikely that they are directly causing your gastrointestinal symptoms. However, if you have concerns about your medication, it’s always a good idea to discuss them with your doctor.
In summary, while your symptoms may be concerning, they are more likely related to stress, dietary habits, or functional gastrointestinal issues rather than a serious condition like colorectal cancer. It’s crucial to maintain a balanced diet, stay hydrated, and manage stress effectively. If your symptoms persist or worsen, or if you notice any alarming signs (like significant weight loss, blood in stools, or severe pain), please seek medical attention promptly. Your health is important, and addressing these concerns with a healthcare provider can help you find relief and peace of mind.
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