Bloating, Bowel Sounds, and Diarrhea: Is It IBS? - Gastroenterology and Hepatology

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Diarrhea, borborygmi, abdominal distension?


Hello, doctor.
I have been experiencing abdominal bloating and intermittent bowel sounds for a week.
I have a bowel movement every morning, but it is somewhat loose and soft, appearing in short segments rather than being well-formed.
It's not very thick either.
Should I consider this diarrhea? Could this be irritable bowel syndrome? I'm a bit worried.

A Yu, 20~29 year old female. Ask Date: 2013/09/02

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: The broad definition of diarrhea is an increase in the water content of stool, accompanied by an increased frequency of bowel movements, with a total output exceeding the normal average amount.
Therefore, your condition cannot be classified as diarrhea at this time.
Additionally, irritable bowel syndrome (IBS) is characterized by periodic changes; intermittent symptoms over a week do not qualify as IBS.
If you have any concerns about your health, you should seek medical attention immediately.
Changhua Hospital cares about your health.
Dr.
Tsai An-Shun.

Reply Date: 2013/09/02

More Info


Based on your symptoms of bloating, intermittent bowel sounds, and changes in your stool consistency, it is indeed possible that you may be experiencing Irritable Bowel Syndrome (IBS). IBS is a common gastrointestinal disorder characterized by a combination of symptoms, including abdominal pain, bloating, gas, and altered bowel habits, which can include diarrhea, constipation, or a mix of both.

Your description of having soft, segmented stools that are not very thick suggests that you may be experiencing a form of diarrhea, particularly if these stools are occurring more frequently than what is typical for you. In IBS, the stool consistency can vary widely, and many patients report changes in their bowel habits, including the presence of softer stools or diarrhea, especially during periods of stress or after certain meals.

Bloating and bowel sounds are also common symptoms associated with IBS. Bloating can occur due to increased gas production in the intestines, which is often a result of food fermentation by gut bacteria. This can lead to discomfort and a feeling of fullness in the abdomen. The sounds you hear, known as borborygmi, are the result of the movement of gas and fluid through the intestines, which can be more pronounced in individuals with IBS due to heightened gut sensitivity.

While IBS is a functional gastrointestinal disorder and does not cause visible damage to the intestines, it can significantly impact your quality of life. The exact cause of IBS is not fully understood, but it is believed to involve a combination of factors, including gut motility issues, visceral hypersensitivity, and psychosocial factors such as stress and anxiety.

To manage your symptoms, consider the following recommendations:
1. Dietary Modifications: Keeping a food diary can help identify any potential triggers that worsen your symptoms. Many individuals with IBS find relief by following a low-FODMAP diet, which involves reducing certain fermentable carbohydrates that can exacerbate bloating and gas.

2. Regular Eating Habits: Establishing a regular eating schedule can help regulate bowel movements and reduce symptoms. Eating smaller, more frequent meals may also be beneficial.

3. Hydration: Ensure you are drinking enough fluids, especially if you are experiencing diarrhea. This can help prevent dehydration and support overall digestive health.

4. Stress Management: Since stress can exacerbate IBS symptoms, incorporating stress-reducing techniques such as mindfulness, yoga, or regular physical activity may be helpful.

5. Probiotics: Some individuals find that taking probiotics can help improve gut health and reduce symptoms of IBS. However, the effectiveness can vary from person to person.

6. Consultation with a Healthcare Provider: If your symptoms persist or worsen, it is important to consult with a healthcare provider. They may recommend further evaluation to rule out other conditions, such as infections, inflammatory bowel disease (IBD), or celiac disease, especially if you experience significant weight loss, blood in your stool, or severe abdominal pain.

In summary, while your symptoms are suggestive of IBS, it is essential to monitor your condition closely and seek medical advice if necessary. Proper diagnosis and management can help alleviate your symptoms and improve your quality of life.

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