Diarrhea: Causes and When to See a Doctor - Gastroenterology and Hepatology

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Diarrhea


Hello, Doctor: I usually wake up in the evening to have my first meal, so my daily routine is irregular.
Yesterday, I got up around 5 AM feeling hungry and went out to buy something to eat.
Later, I experienced a cramping pain in my abdomen, followed by diarrhea that included a yellow, viscous liquid! Why is this happening? Do I need to see a doctor? Is the yellow, viscous liquid intestinal fluid? I apologize for taking up your time, and thank you for your response!

Xiao Jie, 20~29 year old female. Ask Date: 2008/11/21

Dr. You Ligang reply Gastroenterology and Hepatology


Irregular lifestyle habits can lead to issues such as indigestion, peptic ulcers, and irritable bowel syndrome, all of which can cause diarrhea.
You should first adjust your daily routine and dietary habits.
If symptoms are severe, it is necessary to consult a physician for medication.
As for diarrhea accompanied by yellow, viscous fluid, this is bile and intestinal fluid caused by indigestion.
It is important to increase fluid and electrolyte intake, and drinking sports drinks like Powerade can also be beneficial.

Reply Date: 2008/11/21

More Info


Diarrhea is a common condition that can be caused by a variety of factors, including dietary choices, infections, and underlying health issues. In your case, the sudden onset of abdominal pain followed by diarrhea, especially after an irregular eating schedule, raises several considerations.


Possible Causes of Diarrhea
1. Dietary Factors: Since you mentioned that you typically eat only once a day and that you recently changed your eating pattern, this could lead to digestive upset. Eating a larger meal after a long period of fasting can overwhelm your digestive system, leading to symptoms like abdominal pain and diarrhea.

2. Infections: Diarrhea can also be caused by viral or bacterial infections. If you consumed food that was contaminated or if you have been exposed to someone with a gastrointestinal infection, this could be a potential cause. Symptoms of infection often include fever, nausea, and vomiting, in addition to diarrhea.

3. Food Intolerance or Allergies: Sometimes, specific foods can trigger diarrhea, especially if you have an intolerance or allergy. For example, lactose intolerance can lead to diarrhea after consuming dairy products.

4. Stress and Anxiety: Psychological factors can also play a role in gastrointestinal symptoms. If you have been under stress or experiencing anxiety, this can affect your gut health and lead to diarrhea.

5. Underlying Health Conditions: Conditions such as irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), or other gastrointestinal disorders can cause chronic diarrhea. If this is not an isolated incident and you have a history of gastrointestinal issues, it may be worth investigating further.


When to See a Doctor
It is essential to monitor your symptoms closely. Here are some guidelines on when to seek medical attention:
- Duration: If your diarrhea lasts more than 48 hours without improvement, you should consult a healthcare provider.

- Severity: If you experience severe abdominal pain, high fever, or blood in your stool, seek medical attention immediately.

- Dehydration: Signs of dehydration include excessive thirst, dry mouth, little or no urination, severe weakness, or dizziness. If you notice these symptoms, it is crucial to see a doctor.

- Recurring Symptoms: If you frequently experience diarrhea or other gastrointestinal symptoms, it may indicate an underlying condition that requires evaluation.


Understanding the Yellow, Sticky Liquid
The yellow, sticky liquid you described could be a few things. It might be bile, which is produced by the liver and can appear in stool when there is rapid transit through the intestines. This can happen during diarrhea. It could also be mucus, which is sometimes present in the stool during episodes of diarrhea, especially if there is irritation in the intestines.

Recommendations
1. Hydration: Ensure you stay hydrated, especially if you are experiencing diarrhea. Drink plenty of fluids, such as water, clear broths, or oral rehydration solutions.

2. Dietary Adjustments: Consider adopting a bland diet for a few days, such as the BRAT diet (bananas, rice, applesauce, toast), which can help firm up stools.

3. Monitor Symptoms: Keep track of your symptoms, including any changes in frequency, consistency, and accompanying symptoms.

4. Consult a Doctor: If your symptoms persist or worsen, it is advisable to consult a healthcare professional for a thorough evaluation and appropriate management.

In summary, while occasional diarrhea can be a benign issue, it is essential to pay attention to your body and seek medical advice if you have concerns or if your symptoms do not improve. Your health is paramount, and understanding the underlying causes of your symptoms can help you manage your condition effectively.

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