Gastrointestinal Issues: When to Seek Medical Advice

Hepatobiliary and Gastroenterology Department

In the past two to three months, my bowel movements have changed significantly.
Sometimes they are short and thin, sometimes they are small and round, but occasionally they come out as long, solid pieces.
I have been having bowel movements about twice a week.
I mostly eat noodles for all three meals and rarely eat rice.
For an entire month, I mostly consumed noodles, along with some vegetables, but not much.
I also eat eggs.
I visited a gastroenterologist because I sometimes experience belching after eating, even long after meal times.
My abdomen feels soft and not bloated, but when I press on the right side, it feels hard and is painful to touch.
Above my abdomen, about three finger widths down, it feels a bit swollen and tender when pressed.
After seeing the doctor, I was prescribed an anti-bloating medication, pinaverium, pouwepin, and an acid reducer.
I have been eating porridge for breakfast and noodles for lunch and dinner.
However, my bowel movements consist of short, thick pieces, and the rest are small clumps, resembling toothpaste, about two centimeters in size.
There are four or five of these clumps, and they do not stick to the stool.
The stool itself is golden and soft, and when flushed, it becomes cloudy.
It's not one solid piece but rather two pieces, along with some small round ones.
Doctor, what could be wrong with my stomach? Do I need to undergo an endoscopy? I'm really scared! I'm just a student.

Xiao Ke, 20~29 year old female. Ask Date: 2012/04/18

Dr. Chen Shidian reply Gastroenterology and Hepatology

Hello Ms.
Xiao Ke, it seems that your indigestion may be caused by dietary factors.
I recommend first confirming that your stool test results are normal.
Then, adjust your diet to include more fiber-rich foods and brown rice, along with medication adjustments.
If you still experience stomach discomfort, further examination with an endoscopy at Changhua Hospital may be necessary.
Dr.
Chen Shidian cares about your health.

Reply Date: 2012/04/18

More Info

Understanding gastrointestinal issues can be quite challenging, especially when symptoms are varied and persistent. Based on your description, it seems you are experiencing a range of gastrointestinal symptoms, including irregular bowel movements, abdominal discomfort, and possibly some dietary habits that may be contributing to your issues.

Firstly, the changes in your stool consistency and shape can be indicative of several factors, including diet, hydration, and gut health. The fact that you have been consuming a diet primarily consisting of noodles with limited vegetables may lead to insufficient fiber intake, which is essential for healthy bowel movements. A diet low in fiber can result in softer stools or even diarrhea, as well as contribute to irregular bowel habits. It is crucial to incorporate a variety of foods, including fruits, vegetables, and whole grains, to ensure adequate fiber intake, which helps in forming well-shaped stools.

The symptoms of gas and bloating you mentioned, along with the discomfort in your abdomen, could be related to dietary choices or possibly a condition known as Irritable Bowel Syndrome (IBS). IBS is characterized by abdominal pain and changes in bowel habits, including diarrhea and constipation. It is often triggered by certain foods, stress, or hormonal changes. The medications prescribed to you, such as anti-gas agents and antacids, are commonly used to alleviate symptoms associated with IBS and other gastrointestinal disturbances.

Regarding your concern about the need for an endoscopy (gastroscopy), it is typically recommended when there are alarming symptoms such as significant weight loss, persistent vomiting, difficulty swallowing, or gastrointestinal bleeding. Since you have not mentioned any of these severe symptoms, it may not be immediately necessary. However, if your symptoms persist or worsen, it would be prudent to consult with a gastroenterologist for a thorough evaluation, which may include imaging studies or endoscopy to rule out any underlying conditions.

It is also important to monitor your bowel habits. The description of your stools being short, thin, or in small pieces can sometimes indicate a functional issue with the intestines or a sign of constipation. If you notice any blood in your stool, significant changes in your bowel habits, or if your abdominal pain becomes severe, you should seek medical attention promptly.

In summary, while your symptoms may be concerning, they could be managed through dietary adjustments and possibly medication. Increasing your fiber intake, staying hydrated, and reducing stress can significantly improve your gastrointestinal health. If symptoms persist or you have further concerns, do not hesitate to reach out to a healthcare professional for a comprehensive assessment. Remember, taking care of your digestive health is crucial, and being proactive about your symptoms is the best approach.

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