Digestive Issues: What Your Symptoms Might Mean - Gastroenterology and Hepatology

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I'm about to break down!!! I'm so sad?


Hello Doctor, I have recently been experiencing near-diarrhea symptoms (soft stools, but not quite liquid) that occur about every 4 to 5 days.
The last episode happened after I ate mung beans the night before and then had watermelon in the morning, which prompted me to use the restroom.
On other days, my bowel movements are normal, once a day, and I have no abdominal pain or visible blood in my stool.
I noticed that one side of my stool seems a bit flat, but I'm not entirely sure.
However, I have lost quite a bit of weight, from about 55 kg to 50 kg, and I’m not sure if it’s due to my worries about my health, as I’ve been feeling down and have little appetite.
What is happening to me? Am I at risk of cancer? I’ve researched a lot of related information online, and I’m really scared.
I’m only 16 years old, and no one in my family has colon cancer.
My diet has always been light, and I don’t often eat snacks.
I’ve never liked eating meat and prefer vegetables.
I used to have a good appetite and absorbed nutrients well, but now it’s different.
I live away from home and my studies are very demanding.
Please, Doctor, give me some advice.
Help me!!! Thank you.

Yu, 10~19 year old female. Ask Date: 2005/06/12

Dr. Lin Minghui reply Gastroenterology and Hepatology


Reply: Hello,
1.
Symptoms such as diarrhea, loss of appetite, and weight loss may be caused by conditions including irritable bowel syndrome, hyperthyroidism, colitis, pancreatic or colorectal tumors, and ulcerative colitis.

2.
Irritable bowel syndrome is characterized by increased sensitivity of the intestines, where food and psychological factors can lead to abnormal motility.
It is recommended to maintain a relaxed lifestyle, manage stress, and develop healthy eating habits.
When dining out, pay attention to cleanliness, avoid cold and fried foods, and limit the intake of caffeinated beverages.
You can also self-monitor which foods trigger diarrhea and reduce their consumption.

3.
If diarrhea persists, it is advisable to seek medical attention for medication to alleviate symptoms.
If there is significant weight loss, poor appetite, or blood in the stool, further medical evaluation is necessary.

Wishing you good health,
Dr.
Lin Ming-Hui, Internal Medicine

Reply Date: 2005/06/12

More Info


Dear Patient,
Thank you for reaching out with your concerns regarding your digestive health. It's understandable to feel anxious when experiencing changes in bowel habits, especially at a young age. Let's break down your symptoms and explore what they might indicate.

From what you've described, you are experiencing soft stools approximately every four to five days, with no accompanying abdominal pain or visible blood. The fact that you have a regular bowel movement daily on other days is a positive sign. The occasional soft stool can be influenced by various factors, including dietary choices, stress levels, and hydration.

You mentioned consuming green beans and watermelon before your last episode of soft stools. Both of these foods are high in fiber and can have a laxative effect, especially watermelon due to its high water content. It's possible that these foods contributed to your bowel movement. Additionally, stress and anxiety can significantly impact digestion. When we are stressed, our bodies can react in various ways, including changes in appetite and bowel habits. The fact that you are feeling anxious about your health may also be contributing to your reduced appetite and weight loss.

Regarding your concern about cancer, it's important to note that while changes in bowel habits can be a symptom of various gastrointestinal conditions, the likelihood of cancer, especially at your age and given your family history, is quite low. Most digestive issues in younger individuals are related to dietary habits, stress, or infections rather than serious conditions like cancer.

However, the weight loss you mentioned is concerning, especially if it is significant and unintentional. Losing weight without trying can be a sign that your body is not absorbing nutrients properly, which could be due to various reasons, including stress, dietary changes, or even gastrointestinal disorders.
Here are some recommendations to help you manage your symptoms:
1. Dietary Adjustments: Continue to maintain a balanced diet, but consider keeping a food diary to track what you eat and how it affects your digestion. This can help identify any specific foods that may be triggering your symptoms.

2. Hydration: Ensure you are drinking enough water throughout the day. Proper hydration is crucial for digestive health.

3. Stress Management: Since you mentioned that your mood has been low, it might be beneficial to explore stress-reduction techniques. Activities such as yoga, meditation, or even talking to someone about your feelings can be helpful.

4. Regular Check-ups: Given your symptoms and weight loss, it would be wise to consult a healthcare professional. They can perform a thorough evaluation, including blood tests and possibly imaging studies, to rule out any underlying conditions.

5. Avoid Self-Diagnosis: While it is tempting to search for answers online, it can often lead to unnecessary anxiety. Instead, focus on gathering information from reliable sources and discussing your concerns with a healthcare provider.

In conclusion, while your symptoms may be concerning, they are not necessarily indicative of a severe condition like cancer. It is essential to address your anxiety and seek professional guidance to ensure your digestive health is on track. Remember, you are not alone in this, and there are resources available to help you navigate these challenges.

Take care, and I wish you the best in your journey toward better health.

Sincerely,
Doctor Q&A Teams

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