Gastrointestinal Issues: When to Worry About Symptoms

Gastrointestinal issues

Last night, I felt very uncomfortable due to stomach pain and vomited twice and had one bowel movement.
After vomiting and having a bowel movement, I felt somewhat better.
However, the stool test showed 1+ red blood cells.
The doctor said it was not a concern, but anything over 3+ would be problematic.
Is it really not a concern? Tonight, after having dinner with rice and vegetables, my stomach started to feel bloated again.
Ever since I had gynecological surgery, my gastrointestinal function and bowel movements have not been normal.
Is this a case of gastrointestinal dysfunction?

Xiao Mao, 20~29 year old female. Ask Date: 2004/10/31

Dr. Chen Zhiping reply Gastroenterology and Hepatology

Hello, if you are experiencing symptoms such as upper abdominal pain, vomiting, and diarrhea, it is more likely indicative of acute gastroenteritis.
However, if you have persistent gastrointestinal discomfort, I recommend visiting a gastroenterology clinic for an evaluation of your stomach or intestines.
If no organic diseases (such as ulcers or inflammation) are found, it may be classified as functional gastrointestinal disorder.

The fecal occult blood test showing a positive result (1+) suggests there may be a small amount of blood in the stool (either from bleeding or from food containing blood components).
Certain foods can also cause false positives (such as broccoli), so I recommend that you avoid red meat (beef, lamb) and blood-containing products for three days before your next fecal occult blood test.
If the results remain abnormal or the reaction is stronger, further examination of the stomach and intestines will be necessary.

Sincerely, Dr.
Chen Zhi-Ping, Internal Medicine.

Reply Date: 2004/10/31

More Info

When it comes to gastrointestinal issues, understanding the symptoms and knowing when to seek medical attention is crucial. Based on your description, it seems you are experiencing a range of gastrointestinal symptoms, including stomach pain, vomiting, diarrhea, and changes in bowel movements, which can be quite concerning.
Firstly, the presence of blood in your stool, even if it is just a trace amount, should not be taken lightly. While your doctor mentioned that having one plus (1+) of red blood cells in your stool is not alarming, it is essential to monitor this closely. If the amount of blood increases to three pluses (3+), it could indicate a more serious issue that requires further investigation. Blood in the stool can arise from various sources, including hemorrhoids, gastrointestinal bleeding, or even more severe conditions like ulcers or inflammatory bowel disease. Therefore, if you notice any changes in the amount or frequency of blood, it is advisable to follow up with your healthcare provider.

Your symptoms of stomach pain and bloating after meals, particularly after consuming certain foods like rice and vegetables, could suggest a few possibilities. One common issue is functional dyspepsia, which is characterized by discomfort or pain in the upper abdomen without any identifiable organic cause. This condition can be exacerbated by stress, dietary choices, and even post-surgical changes in gastrointestinal function.
Additionally, since you mentioned having undergone gynecological surgery, it is possible that your gastrointestinal symptoms could be related to changes in your body’s normal functioning post-surgery. Surgical procedures can sometimes lead to temporary or even long-term changes in bowel habits and gastrointestinal motility. If your bowel movements have become irregular or if you are experiencing constipation or diarrhea, it may be a sign of a functional gastrointestinal disorder, such as irritable bowel syndrome (IBS).

In terms of dietary management, it is essential to pay attention to what you eat. Foods that are high in fiber, such as fruits, vegetables, and whole grains, can help regulate bowel movements. However, if you find that certain foods trigger your symptoms, it may be beneficial to keep a food diary to identify any patterns. Avoiding spicy, fatty, or overly processed foods can also help alleviate symptoms.
Moreover, staying hydrated is crucial, especially if you have experienced vomiting and diarrhea. Dehydration can exacerbate gastrointestinal issues and lead to further complications. If you find that your symptoms persist or worsen, or if you experience additional symptoms such as significant weight loss, persistent vomiting, or severe abdominal pain, it is important to seek medical attention promptly.

In conclusion, while some gastrointestinal symptoms may resolve on their own, persistent or worsening symptoms warrant further evaluation. Monitoring the presence of blood in your stool, being mindful of your dietary choices, and staying hydrated are essential steps in managing your gastrointestinal health. If your symptoms do not improve or if you have concerns about your condition, do not hesitate to consult with a healthcare professional for a thorough assessment and tailored treatment plan.

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