Gastrointestinal Distress: Causes and Remedies for Bloating and Diarrhea - Internal Medicine

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Stomach discomfort, bloating, acid reflux, and diarrhea?


Hello doctor, I have been experiencing frequent diarrhea in May and June, about ten times, with brownish stools.
Recently, I have not had a bowel movement for four to five days, accompanied by gastric discomfort and bloating.
There is foul-smelling gas being expelled from my stomach through my mouth, and I can hear gurgling sounds in my stomach indicating digestion.
Therefore, I took a gastric powder and a stool softener, but half an hour later, I had watery diarrhea, and the gastric discomfort worsened.
Lying in bed, I feel short of breath and have difficulty sleeping.
The next day, I took Gasoon, Petho, and Primperan, but there was no improvement.
After dinner, I immediately had watery diarrhea again.
The gastric discomfort and bloating persist, making it extremely difficult to sleep.
I am in great distress and hope you can help me.
Thank you very much!

Ms. Chen, 20~29 year old female. Ask Date: 2005/06/21

Dr. Cai Zonglong reply Internal Medicine


Hello, I believe there may be issues with your stomach and colon.
I recommend that you visit a large hospital to see a gastroenterologist for examination and treatment to avoid any delay in your condition.
Sincerely, Dr.
Tsai Tsung-Long, Internal Medicine.

Reply Date: 2005/06/21

More Info


Gastrointestinal distress, characterized by symptoms such as bloating, diarrhea, and abdominal discomfort, can be quite distressing and may stem from a variety of underlying causes. Based on your description, it seems you are experiencing a combination of gastrointestinal symptoms that could be attributed to several factors, including dietary habits, stress, and possibly underlying gastrointestinal disorders.

Firstly, the frequent episodes of diarrhea, particularly if they are accompanied by a foul odor and a sense of urgency, may indicate an underlying infection or inflammation in the gastrointestinal tract. Conditions such as gastroenteritis, which can be caused by viral or bacterial infections, could lead to these symptoms. Additionally, food intolerances or sensitivities (such as lactose intolerance or gluten sensitivity) can also manifest as diarrhea and bloating after consuming certain foods.

The bloating and the sensation of gastric discomfort you are experiencing could be due to several factors. One common cause is the overproduction of gas, which can occur when certain foods are not digested properly. Foods high in fiber, such as beans, lentils, and certain vegetables, can lead to increased gas production. Additionally, carbonated beverages can introduce excess air into the digestive system, exacerbating bloating.

Your mention of taking medications such as gasoon, petho, and primperan suggests that you are trying to manage your symptoms pharmacologically. While these medications can provide temporary relief, they may not address the root cause of your gastrointestinal distress. It is essential to identify any potential triggers in your diet or lifestyle that could be contributing to your symptoms. Keeping a food diary may help you pinpoint specific foods that exacerbate your condition.

Moreover, stress is a significant factor that can impact gastrointestinal health. The gut-brain connection is well established, and stress can lead to changes in gut motility and increased sensitivity to pain. Techniques such as mindfulness, yoga, and regular physical activity can help manage stress levels and may improve your gastrointestinal symptoms.

In terms of dietary recommendations, consider adopting a bland diet that is easy on the stomach. Foods such as bananas, rice, applesauce, and toast (often referred to as the BRAT diet) can be beneficial during episodes of diarrhea. Additionally, staying hydrated is crucial, especially if you are experiencing frequent watery stools. Oral rehydration solutions can help replenish lost fluids and electrolytes.

If your symptoms persist despite dietary modifications and over-the-counter medications, it would be prudent to consult a healthcare professional for further evaluation. They may recommend additional diagnostic tests, such as stool studies, blood tests, or imaging studies, to rule out any underlying conditions such as inflammatory bowel disease, irritable bowel syndrome (IBS), or infections.

In summary, gastrointestinal distress can arise from a multitude of factors, including dietary choices, stress, and potential underlying health issues. By identifying triggers, making dietary adjustments, managing stress, and seeking medical advice when necessary, you can work towards alleviating your symptoms and improving your overall gastrointestinal health. Remember, persistent symptoms warrant a thorough evaluation by a healthcare provider to ensure appropriate management and treatment.

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