Digestive Discomfort: Is It IBS or Something Else? - Gastroenterology and Hepatology

Q: Digestive Discomfort: Is It IBS or Something Else?

Hello Mr. <br>Kevin： It is likely that you are experiencing fluctuations in symptoms related to irritable bowel syndrome. <br>It is advisable to pay attention to your diet, reducing oil and dairy intake, and to keep gastrointestinal medications on hand for appropriate use. <br>If

Abdominal discomfort?

Last Thursday night, after dinner, I experienced diarrhea.
Initially, some of my stool was formed, but there was also some watery stool.
After going to bed, I had no further issues.
The next morning, I had a bowel movement that was somewhat soft and minimal in volume, as if I hadn't fully evacuated, but I couldn't pass any more stool.
The following day, I didn't have a bowel movement.
Since Saturday, I've been averaging 1-2 bowel movements per day, which are not watery, but sometimes I feel like my stool is soft and unformed.
I have the urge to have a bowel movement, but I can't always go.
I have a history of being diagnosed with irritable bowel syndrome (IBS), and I usually have a regular bowel movement every morning, although the shape and consistency vary.
This time, I find it unusual that my abdomen often feels a bit bloated, particularly in the lower left abdomen near the navel, and sometimes I have the urge to go, but it's not urgent, so I can hold it in.
I would like to know if this could be another episode of IBS and if it qualifies as diarrhea.
Should I see a doctor? Thank you!

Kevin, 40~49 year old female. Ask Date: 2008/08/05

Dr. Chen Shidian reply Gastroenterology and Hepatology

Hello Mr.
Kevin: It is likely that you are experiencing fluctuations in symptoms related to irritable bowel syndrome.
It is advisable to pay attention to your diet, reducing oil and dairy intake, and to keep gastrointestinal medications on hand for appropriate use.
If you notice any blood in your stool, a colonoscopy is necessary.
Changhua Hospital cares about your health.
Best regards, Chen Shidian.

Reply Date: 2008/08/05

More Info

Based on your description, it seems you are experiencing a range of digestive symptoms that could be related to Irritable Bowel Syndrome (IBS) or other gastrointestinal issues. IBS is a common disorder that affects the large intestine and is characterized by symptoms such as abdominal pain, bloating, gas, diarrhea, and constipation. Your history of IBS, along with the current symptoms of soft stools, a feeling of incomplete evacuation, and discomfort in the left lower abdomen, suggests that you might be experiencing a flare-up of your IBS.

The fact that you had diarrhea after dinner and then transitioned to softer stools with a sensation of incomplete evacuation indicates a possible disturbance in your bowel function. This could be due to various factors, including dietary choices, stress, or changes in your routine. IBS can often be triggered by certain foods, stress, or hormonal changes, and it can manifest in different ways, including alternating between diarrhea and constipation.

Your symptoms of feeling "a bit heavy" in the left lower abdomen and having a persistent urge to defecate without being able to do so could also be indicative of bowel motility issues, which are common in IBS. The sensation of incomplete evacuation is particularly characteristic of IBS, as patients often report feeling as though they have not fully emptied their bowels.

In terms of dietary considerations, it is essential to maintain a balanced diet rich in fiber, which can help regulate bowel movements. However, some individuals with IBS may find that certain high-fiber foods can exacerbate their symptoms, so it may be beneficial to keep a food diary to identify any potential triggers. Additionally, staying hydrated is crucial, as dehydration can lead to harder stools and constipation.

Regarding your question about whether you should see a doctor, it is advisable to consult with a healthcare professional if your symptoms persist or worsen. A doctor can perform a thorough evaluation, which may include a physical examination, a review of your medical history, and possibly some diagnostic tests to rule out other conditions. Given your previous diagnosis of IBS, it would be helpful for your doctor to assess whether your current symptoms align with this diagnosis or if there might be another underlying issue.

In summary, your symptoms appear to be consistent with IBS, particularly given your history. However, it is essential to monitor your symptoms closely and seek medical advice if they do not improve or if you experience any alarming signs, such as significant weight loss, blood in your stool, or severe abdominal pain. Managing IBS often involves a combination of dietary adjustments, stress management techniques, and sometimes medication, so working with a healthcare provider can help you find the most effective approach for your situation.

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