Digestive Issues: Is It Stomach or Liver Problems? - Traditional Chinese Medicine

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Regarding gastrointestinal issues?


Hello, doctor.
I would like to ask about my recent situation.
I had diarrhea and visited a nearby traditional Chinese medicine clinic.
The doctor said I had an upset stomach, and after taking the prescribed medication, my first bowel movement in the morning became more normal.
However, I continued to have diarrhea, so I went back to see the same doctor.
The doctor noticed that my heart rate was elevated and diagnosed me with hepatitis, suggesting it was caused by something I ate.
Recently, I also drank herbal tea during the first few days of my diarrhea.
Is this normal? I am now unsure whether my issue is related to my gastrointestinal system or my liver.

Xiao Gua, 20~29 year old female. Ask Date: 2012/07/15

Dr. Qiu Shuize reply Traditional Chinese Medicine


Hello Sir: First of all, thank you for your inquiry.
It is not possible to directly link the herbal tea you drank a few days ago with your diarrhea.
Generally, herbal tea is considered cooling, and if your gastrointestinal system is typically deficient and cold, consuming excessive cooling foods may lead to diarrhea.
However, if your gastrointestinal system is not usually deficient and cold, poor hygiene quality of the herbal tea could also potentially cause acute diarrhea.
As for whether there is liver inflammation, liver function tests can be considered to assist in the diagnosis.
Common causes of acute diarrhea in summer include dietary issues, heatstroke, or damp-heat conditions.
A clinical diagnosis by a physician can determine the cause of the diarrhea, allowing for appropriate symptomatic treatment that can improve and resolve your troubling symptoms.
Please consider this information.

Reply Date: 2012/07/15

More Info


When it comes to digestive issues, distinguishing between stomach and liver problems can be quite challenging, especially when symptoms overlap. Based on your description, it seems you have been experiencing diarrhea, which was initially attributed to food poisoning or an upset stomach. However, the subsequent diagnosis of liver inflammation raises some concerns that warrant further exploration.

Firstly, diarrhea can be caused by a variety of factors, including viral or bacterial infections, food intolerances, or even stress. The fact that your symptoms improved after taking medication suggests that the initial cause was likely related to your gastrointestinal tract. However, persistent diarrhea, especially when accompanied by other symptoms like an increased heart rate, could indicate a more systemic issue, such as liver inflammation.

Liver inflammation, or hepatitis, can be caused by several factors, including viral infections (like hepatitis A, B, or C), alcohol consumption, certain medications, and even autoimmune diseases. It's important to note that liver issues can sometimes present with gastrointestinal symptoms, including nausea, vomiting, and diarrhea. Additionally, liver dysfunction can lead to an accumulation of toxins in the body, which may exacerbate gastrointestinal symptoms.

You mentioned drinking herbal tea prior to the onset of your diarrhea. While many herbal teas are beneficial for digestion, some can have laxative effects or interact with medications, potentially leading to gastrointestinal upset. It's essential to consider what specific ingredients were in the herbal tea, as certain herbs can irritate the gastrointestinal tract or affect liver function.

Given your symptoms and the diagnosis of liver inflammation, it is crucial to follow up with a healthcare provider for further evaluation. A comprehensive assessment, including blood tests to check liver function (such as ALT, AST, bilirubin levels), imaging studies, and possibly a liver biopsy, may be necessary to determine the underlying cause of your liver inflammation. Additionally, it would be wise to discuss your dietary habits, including the consumption of herbal teas and any other supplements or medications you may be taking.

In the meantime, here are some general recommendations to help manage your symptoms:
1. Stay Hydrated: Diarrhea can lead to dehydration, so it's essential to drink plenty of fluids. Oral rehydration solutions can be particularly helpful.

2. Monitor Your Diet: Avoid fatty, spicy, or heavy foods that may exacerbate gastrointestinal symptoms. Instead, focus on a bland diet consisting of rice, bananas, applesauce, and toast (the BRAT diet) until your symptoms improve.

3. Limit Alcohol and Certain Medications: Alcohol can further irritate the liver, so it's best to avoid it until you have a clearer understanding of your liver health. Additionally, be cautious with over-the-counter medications, especially non-steroidal anti-inflammatory drugs (NSAIDs), which can also affect liver function.

4. Follow Up with Your Doctor: Given the complexity of your symptoms, it's crucial to have a thorough evaluation by a healthcare professional. They can provide tailored advice and treatment options based on your specific situation.

In conclusion, while your initial symptoms may have pointed towards a gastrointestinal issue, the subsequent diagnosis of liver inflammation complicates the picture. It is essential to seek further medical evaluation to determine the exact cause of your symptoms and to receive appropriate treatment. Your health is paramount, and addressing these concerns promptly will help ensure a better outcome.

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