Digestive Issues: From Constipation to Diarrhea and Throat Discomfort

Q: Digestive Issues: From Constipation to Diarrhea and Throat Discomfort

Hello： Anxiety can also lead to gastrointestinal sensitivity and discomfort. <br>If the symptoms persist without improvement, please seek treatment at an outpatient clinic. <br>Wishing you good health.

Diarrhea and a scratchy throat?

Hello Doctor: I have been experiencing constipation for a long time (about six to seven years), often going three to four days without a bowel movement, followed by one or two days of frequent stools.
However, in the past month, I have not only been free from constipation but have also been experiencing diarrhea, sometimes going two to three times within an hour, and occasionally feeling like I haven't completely emptied my bowels.
In the past few days, I've also noticed a sensation of something being stuck in my throat when swallowing, some nausea, and occasional stomach pain.
Despite eating less, my weight hasn't decreased, and I haven't had any fever or other issues.
At one point, I wondered if this was related to the stress from exams I've been taking over the past month, but I'm still concerned.
I would greatly appreciate your insights, thank you!

Gua Bing Hao, 20~29 year old female. Ask Date: 2006/07/23

Dr. Yuan Hongdao reply Gastroenterology and Hepatology

Hello: Anxiety can also lead to gastrointestinal sensitivity and discomfort.
If the symptoms persist without improvement, please seek treatment at an outpatient clinic.
Wishing you good health.

Reply Date: 2006/07/23

More Info

It sounds like you are experiencing a range of gastrointestinal issues that have significantly impacted your daily life. The symptoms you've described, including a long history of constipation followed by recent diarrhea, throat discomfort, and occasional stomach pain, can be concerning and warrant further investigation.

Firstly, let's break down your symptoms. Chronic constipation for six to seven years can lead to various complications, including fecal impaction or changes in bowel habits. The sudden shift to diarrhea could indicate a few potential issues. Stress, particularly from exam-related pressure, can significantly affect gut health. The gut-brain connection is well-documented; stress can lead to changes in gut motility, resulting in symptoms such as diarrhea or constipation. This phenomenon is often referred to as "nervous stomach" or "irritable bowel syndrome" (IBS), which can manifest as alternating constipation and diarrhea.

The throat discomfort and sensation of something being "stuck" could be related to several factors. One possibility is that it could be a symptom of gastroesophageal reflux disease (GERD), where stomach acid flows back into the esophagus, causing irritation and discomfort. This can also lead to nausea and a feeling of fullness or pressure in the stomach. Stress can exacerbate GERD symptoms, leading to increased discomfort.

It's also important to consider dietary factors. Changes in your eating habits, especially if you are eating less due to stress or anxiety, can lead to gastrointestinal disturbances. A diet low in fiber can contribute to constipation, while sudden changes in diet or increased consumption of certain foods (like those high in fat or sugar) can lead to diarrhea.
Given your symptoms, it would be prudent to consult with a healthcare professional who can conduct a thorough evaluation. They may recommend tests such as blood work, stool tests, or imaging studies to rule out any underlying conditions. Additionally, a gastroenterologist can provide specialized care for digestive issues.

In the meantime, here are some general recommendations that may help alleviate your symptoms:
1. Dietary Adjustments: Aim for a balanced diet rich in fiber, including fruits, vegetables, whole grains, and legumes. This can help regulate bowel movements and prevent constipation. Staying hydrated is also crucial, as adequate fluid intake can help soften stool.

2. Stress Management: Since you mentioned that your symptoms may be related to exam stress, consider incorporating stress-reducing techniques into your routine. Practices such as mindfulness, meditation, yoga, or even regular physical activity can help manage stress levels and improve gut health.

3. Regular Eating Schedule: Try to maintain a regular eating schedule, as this can help regulate your digestive system. Eating smaller, more frequent meals may also be beneficial.

4. Monitor Symptoms: Keep a diary of your symptoms, noting any patterns related to your diet, stress levels, and bowel habits. This information can be valuable for your healthcare provider in determining the best course of action.

5. Seek Professional Help: If your symptoms persist or worsen, it is essential to seek medical advice. A healthcare provider can help identify any underlying conditions and recommend appropriate treatments, which may include medications or therapies to manage your symptoms effectively.

In summary, while your symptoms may be linked to stress and dietary factors, it is crucial to consult with a healthcare professional for a comprehensive evaluation. They can help you navigate these challenges and develop a tailored plan to improve your digestive health and overall well-being. Remember, you are not alone in this, and seeking help is a positive step towards feeling better.

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