Gastrointestinal issues
Hello Doctor: I have recently been experiencing gastroesophageal reflux and bloating.
I have been taking Western medications, Takepron and Gascon, for a month, and my acid reflux seems to have improved a bit.
However, I still feel that the reflux and bloating issues have not improved at all, and I am unsure what to do.
I eat plenty of fruits and vegetables (very little meat), and my main meal consists of a mix of multigrain rice, brown rice, and white rice in a 1:1:2 ratio.
I drink a lot of water, walk after meals, and avoid overeating.
I also perform clockwise abdominal massages daily and avoid gas-producing foods, but my condition has not improved.
I have seen many doctors without any results, and I am really troubled by the bloating, which disrupts my sleep at night due to intestinal discomfort.
Additionally, I sometimes experience pain in the upper left or lower right abdomen (a sudden sharp pain, but not severe), along with bowel sounds, and my flatulence has become foul-smelling.
I feel like I can't expel gas completely, which is very uncomfortable.
I usually go to bed between midnight and 1 AM and wake up around 9 to 10 AM.
Is this considered staying up late? Is it possible that my condition could be cancer? If I take traditional Chinese medicine, will it exacerbate any tumors and cause them to grow larger? Recently, my bowel movements occur every 1 to 2 days, and I usually pass only a long, thin stool, which seems like a small amount (I have had a tendency to be constipated since childhood).
I have also been experiencing dizziness and poor energy levels, even though I sleep 8 to 9 hours a day and still feel sleepy.
Sometimes, I have a slight pain in my left chest (I have had an ultrasound that showed a benign fibroid, but the pain is not from that tumor; it is a generalized pain in the left chest at random points).
Additionally, I sometimes experience pain in the anal area (when straining or during bowel movements, but sometimes it doesn't hurt, which is strange).
There is no blood in my stool.
I wonder if these issues are related to my gastrointestinal discomfort? I apologize for having so many questions, and I appreciate your help.
Thank you!
Daisy, 20~29 year old female. Ask Date: 2010/12/16
Dr. Qiu Shuize reply Traditional Chinese Medicine
Hello: After a month of treatment, my acid reflux seems to have improved a bit, but recently I've been experiencing persistent acid reflux and bloating issues that haven't improved.
It seems that you may have a deficiency in spleen function.
Do you also experience lower back pain and frequent urination? I have been eating more fruits and vegetables (with very little meat): aside from a few that are slightly warming, some fruits and vegetables are cooling in nature, and long-term consumption can lead to a cold stomach, or even bloating.
I love drinking water: I'm not sure what kind of water you drink, but if it's significantly below body temperature, it can be too cooling.
If you often stay up late, you may have yin deficiency, which can lead to dry mouth.
If you have a deficiency in both yin and yang, drinking too much water can increase metabolic load, so it's best to drink water in moderation.
The bloating keeps my stomach churning at night, making it hard to sleep, and sometimes I feel pain in the upper left or lower right of my abdomen (a sudden pain, not very intense), with bowel sounds and foul-smelling gas that seems never-ending...
it's very uncomfortable.
Traditional Chinese medicine may consider using principles of regulating qi and warming the middle.
I usually go to bed between 12 AM and 1 AM and wake up around 9 AM to 10 AM: this is okay, but sleeping between 10 PM and 11 PM would be better.
Could my situation possibly indicate cancer? If I take Chinese medicine, will it nourish any tumors and make them grow larger? Cancer can be assessed through Western medicine by checking tumor markers in blood tests to evaluate risk levels.
Recently, my bowel movements occur every 1 to 2 days, usually producing only a long, thin stool, which seems like a small amount (I've had a tendency to be constipated since childhood): this is related to your food intake.
I also experience dizziness, poor energy, occasional pain in the left chest, and sometimes pain in the anus: the possibility of qi deficiency is higher.
Given this, do you also experience frequent urination and lower back pain? The condition of your menstrual cycle is also a reference point: if your period is prolonged, with heavy flow, and you experience headaches, dizziness, or chest tightness during menstruation, I suggest you consult a trusted traditional Chinese medicine practitioner for treatment.
Reply Date: 2010/12/16
More Info
It sounds like you are experiencing a complex array of gastrointestinal symptoms, including gastroesophageal reflux disease (GERD), bloating, abdominal pain, and changes in bowel habits. These issues can be quite distressing and may significantly impact your quality of life. Let's break down your concerns and explore potential underlying causes, as well as management strategies.
Firstly, your symptoms of bloating and gastroesophageal reflux, despite taking medications like Takepron (a proton pump inhibitor) and Gascon (an anti-gas medication), suggest that there may be multiple factors at play. GERD can often be exacerbated by dietary choices, lifestyle habits, and even stress. You mentioned that you consume a diet rich in vegetables and fruits, which is generally beneficial for digestive health. However, certain foods, even healthy ones, can contribute to gas and bloating in some individuals. For example, cruciferous vegetables (like broccoli and cauliflower), legumes, and high-fiber foods can lead to increased gas production. It may be helpful to keep a food diary to identify any specific triggers.
Your concern about the possibility of cancer is understandable, especially given the persistent nature of your symptoms. However, the likelihood of cancer is generally low in younger individuals without significant risk factors, especially if you have had negative imaging studies. That said, any new or worsening symptoms should always be discussed with your healthcare provider. The presence of abdominal pain, particularly if it is intermittent and not severe, is often related to functional gastrointestinal disorders, such as irritable bowel syndrome (IBS), rather than malignancy.
Regarding your bowel habits, having a bowel movement every 1-2 days can be considered normal for some individuals, especially if the stool is well-formed. However, if you have a history of constipation and are experiencing changes in stool consistency or frequency, it may be worth discussing with your doctor. Increasing hydration, dietary fiber, and regular physical activity can help promote regular bowel movements.
The symptoms of dizziness, fatigue, and sleep disturbances you mentioned could be related to several factors, including stress, anxiety, or even dietary deficiencies. It’s important to evaluate your overall lifestyle, including sleep hygiene. While sleeping 8-9 hours is generally adequate, the timing of your sleep (going to bed late and waking up late) can affect your circadian rhythm and overall energy levels. Aim for a consistent sleep schedule, going to bed and waking up at the same time each day, to help regulate your body’s internal clock.
As for your concerns about traditional Chinese medicine (TCM) and the potential for tumor growth, it’s crucial to approach any treatment with caution. If you have a known benign tumor, it’s advisable to consult with your healthcare provider before starting any new herbal remedies, as some may interact with your current medications or exacerbate underlying conditions.
In summary, your symptoms are likely multifactorial and may include elements of GERD, functional gastrointestinal disorders, and lifestyle factors. It is essential to maintain open communication with your healthcare provider, who can help tailor a management plan that addresses your specific symptoms and concerns. This may include dietary modifications, stress management techniques, and possibly further diagnostic evaluations if symptoms persist or worsen. Remember, you are not alone in this journey, and with the right support and management, you can find relief from your gastrointestinal issues.
Similar Q&A
Understanding Gastrointestinal Issues: Symptoms and Next Steps
Hello Doctor: I have some gastrointestinal issues to discuss. The symptoms are as follows: 1. I have been experiencing constipation for a long time. 2. Recently, I often have abdominal pain (it feels like cramping associated with diarrhea). 3. I frequently pass gas, and it occurs...
Dr. Su Baojia reply Gastroenterology and Hepatology
Your condition is related to Irritable Bowel Syndrome (IBS), which is associated with lifestyle stress and dietary habits. It is recommended that you consult a gastroenterologist for appropriate treatment.[Read More] Understanding Gastrointestinal Issues: Symptoms and Next Steps
Understanding Gastrointestinal Issues and Bowel Health Concerns
Hello Doctor: I have many symptoms and I'm not sure where to start. First, regarding my gastrointestinal condition, for the past three to four months, I have been experiencing burping regardless of whether I eat or not. In the morning, after taking a couple of sips of wate...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello, 1. It is recommended to undergo an upper gastrointestinal endoscopy based on your gastrointestinal condition, as the symptoms may indicate gastritis or peptic ulcer disease. 2. Currently, parasitic infections are quite rare in the country; your situation may be due to p...[Read More] Understanding Gastrointestinal Issues and Bowel Health Concerns
Understanding Gastrointestinal Issues: A High School Student's Journey
Hello, doctor. I am a senior high school student. Due to concerns about my health, I often visit traditional Chinese medicine practitioners. However, for the past month or two, I have been troubled by gastrointestinal issues: 1. Frequent belching (more pronounced after meals, b...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Preliminary assessment suggests that the symptoms are likely due to gastrointestinal dysfunction and dyspepsia. It is recommended to improve the diet by increasing the intake of fruits and vegetables, and reducing oil, dairy, meat, and irritating foods. If symptoms persist, a con...[Read More] Understanding Gastrointestinal Issues: A High School Student's Journey
Understanding Gastrointestinal Issues: Symptoms and Dietary Solutions
Hello Dr. Chen, I am currently a freshman studying architecture, and I have been troubled by gastrointestinal issues for a long time! Sometimes when I eat, I experience bloating, stomach pain, nausea, and irregular bowel movements; sometimes my stools are loose, while at other ti...
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Gentle foods that are low in oil, low in dairy, and low in irritants. If symptoms do not improve, consult a gastroenterologist.[Read More] Understanding Gastrointestinal Issues: Symptoms and Dietary Solutions
Related FAQ
(Traditional Chinese Medicine)
Gastrointestinal Discomfort(Traditional Chinese Medicine)
Acid Reflux(Traditional Chinese Medicine)
Hemorrhoids(Traditional Chinese Medicine)
Weight Loss(Traditional Chinese Medicine)
Dizziness(Traditional Chinese Medicine)
Palpitations(Traditional Chinese Medicine)
Menopausal Disorders(Traditional Chinese Medicine)
Tongue(Traditional Chinese Medicine)
Frequent Urination(Traditional Chinese Medicine)