Bowel Movements and Gas: Is It Irritable Bowel Syndrome?

I have been experiencing intestinal peristalsis and issues with flatulence over the past few days?

Hello, doctor.
I previously asked some questions regarding gastroesophageal reflux, fresh blood on toilet paper after bowel movements, and abdominal tenderness upon palpation.
Currently, these issues have improved.
To rule out any concerns, I have scheduled a painless colonoscopy and gastroscopy, but it will take another month and a half for the examination.
Recently, I have been paying more attention to my diet, consuming more fruits and vegetables, and supplementing with water-soluble dietary fiber (health supplements).
However, a few days ago, I might have taken too much at once, as I have been feeling my intestines moving while sleeping and experiencing frequent burping and flatulence.
Currently, I am burping more often; although it does not lead to abdominal pain, the constant gurgling in my stomach is quite concerning.
The shape of my stool has also been changing.
The day before yesterday, it was fluffy but formed soft stool (with visible fiber from the vegetables), while yesterday it was harder (Bristol Stool Scale Type 2), and today it has returned to soft, crumbly stool (Type 5).
I have stopped taking the water-soluble dietary fiber supplements and am only consuming fruits and vegetables, but I still feel significant intestinal movement, although it is less noticeable at night and more during the day.
I would like to ask if this phenomenon resembles irritable bowel syndrome (IBS)? Additionally, I am concerned about my flatulence; over the past week or two, I have often experienced a pattern of passing one large gas followed immediately by a smaller one.
Is this what is referred to as "chain farting"? Although there is no foul odor, it is still quite concerning.
What could be the common causes of this type of situation? Thank you.

Wei, 30~39 year old female. Ask Date: 2024/07/12

Dr. Chen Shidian reply Gastroenterology and Hepatology

Fruits and vegetables/dietary fiber can promote peristalsis/bowel movements/gas expulsion, so please adjust the intake accordingly.

Reply Date: 2024/07/12

More Info

Understanding bowel movements and gas can be quite complex, especially when considering conditions like Irritable Bowel Syndrome (IBS). Based on your description, it seems you are experiencing a variety of gastrointestinal symptoms, including changes in bowel movements, increased gas, and sensations of bowel activity.
Firstly, IBS is a functional gastrointestinal disorder characterized by a group of symptoms that typically include abdominal pain, bloating, gas, and altered bowel habits (diarrhea, constipation, or alternating between both). The symptoms can vary widely among individuals and can be triggered by dietary choices, stress, and other factors. Given that you have been experiencing changes in your bowel movements and increased gas, it is possible that you may be dealing with IBS, especially if these symptoms have been recurrent and not linked to any specific organic disease.

The fluctuation in the consistency of your stool, as you described (from soft and fluffy to harder forms), is also indicative of IBS. The Bristol Stool Scale categorizes stool types, and your experience of varying stool types suggests that your digestive system may be reacting to dietary changes or other stimuli. The fact that you have recently increased your intake of fruits, vegetables, and soluble fiber could also contribute to these changes. While fiber is essential for healthy digestion, an abrupt increase can lead to gas and bloating, especially if your body is not accustomed to it.
Regarding the sensation of your intestines moving and the increased frequency of burping and passing gas, these symptoms can also be associated with IBS. The increased gas production can result from the fermentation of fiber in the gut, particularly if you have consumed a large amount at once. The phenomenon of passing gas in a sequence, which you referred to as "连环屁" (chain farts), is not uncommon and can occur when gas builds up in the intestines and is released in bursts. This can happen due to the way gas accumulates in the intestines, often influenced by diet and gut motility.

It's important to note that while IBS is a common diagnosis, it is essential to rule out other potential gastrointestinal issues, especially given your history of gastrointestinal symptoms and the upcoming endoscopic examinations. Conditions such as inflammatory bowel disease (IBD), infections, or even food intolerances (like lactose intolerance or gluten sensitivity) can present with similar symptoms.
In the meantime, it may be beneficial to keep a food diary to track what you eat and how it correlates with your symptoms. This can help identify specific triggers. Gradually reintroducing fiber into your diet rather than making sudden changes can also help your digestive system adjust more comfortably. Additionally, staying hydrated and engaging in regular physical activity can support digestive health.

If your symptoms persist or worsen, or if you experience new symptoms such as significant weight loss, persistent abdominal pain, or changes in appetite, it is crucial to follow up with your healthcare provider for further evaluation. They may recommend additional tests or dietary modifications tailored to your specific needs.
In summary, while your symptoms could suggest IBS, it is essential to consider the broader context of your health and to continue monitoring your symptoms as you await further medical evaluation.

Similar Q&A

Understanding Abdominal Discomfort: Is It Irritable Bowel Syndrome?

Hello doctor, I have not been feeling well in my abdomen lately. When I have a bowel movement, I pass a lot of gas and feel like I haven't completely emptied my bowels. Upon waking up, my intestines feel restless, and I release long bouts of gas. Could this be irritable bowe...

Dr. Chen Shidian reply Gastroenterology and Hepatology
Flatulence is not a medical condition; its causes are often related to dietary components (refer to online resources) and the swallowing of air. It can be monitored further.

Understanding Bowel Issues: Could It Be Irritable Bowel Syndrome?

Hello Doctor: My bowel movements are usually normal, occurring once a day. However, for the past two weeks, I have frequently felt bloated with gas, especially in the evenings. In the morning, I tend to pass gas, which makes my abdomen feel more comfortable. Sometimes, when I pas...

Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: The definition of irritable bowel syndrome (IBS) may require periodic occurrences to meet the criteria; a single episode is not sufficient for diagnosis. However, your description suggests that you may be experiencing rapid intestinal motility. It is advisable to avoid tea...

Understanding Changes in Bowel Habits: Is It Irritable Bowel Syndrome?

I used to have constipation, only having a bowel movement once a week, and my stools were small and pellet-like, similar to rabbit droppings. Recently, however, my bowel movements have become more regular, and I have been experiencing diarrhea. There is also mucus in my stools, a...

Dr. Chen Qifeng reply Gastroenterology and Hepatology
Based on the symptoms, it seems that the likelihood of gastroenteritis is higher. You may consider visiting a gastroenterologist for further evaluation.

Understanding Irritable Bowel Syndrome: Symptoms and Concerns

Hello Doctor: I am the inquirer of #171426. Over the past week, I have suddenly experienced an increase in the frequency of flatulence, possibly exceeding 20 times a day. I notice that my intestines start to move as soon as I begin eating, and I start passing gas right after fini...

Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Flatulence is not a specific symptom of malignant tumors, so there is no need to worry too much. Please pay attention to maintaining a balanced diet and regular bowel movements. Changhua Hospital cares about your health. Dr. Tsai An-Shun.