Digestive Issues: When to Seek Medical Advice - Gastroenterology and Hepatology

Q: Digestive Issues: When to Seek Medical Advice

Hello： 1. <br>Based on the symptoms, there is a high possibility of gastroenteritis; additionally, due to the accompanying respiratory symptoms, it is likely a gastrointestinal type of cold. <br>2. <br>Gastroesophageal reflux often accompanies gastritis or peptic ulcers, which ca

Having dark brown stools for three consecutive days can indicate various conditions. It is important to monitor any additional symptoms and consult a healthcare professional for a proper evaluation?

On October 1st, I had three consecutive days of very thin, dark stools.
I also experienced a sore throat that has been intermittent since July.
In the days leading up to October 1st, I had been passing very foul-smelling gas, something I haven't experienced in many years.
After swallowing food, I often feel like something is stuck in my throat.
I have nasal congestion and occasional cough.
On October 2nd, I finally had a large, yellowish, ribbon-like stool.
Should I consider getting a colonoscopy? I have been on medication for gastroesophageal reflux disease (GERD), and an upper endoscopy showed no serious issues, although I rarely experience heartburn.
However, the bloating has not improved.
Since July, I have lost 12 kilograms, and due to the bloating, I had difficulty breathing and went to the Cathay emergency room.
Even now, I still sometimes feel like I can't take a full breath.
My lung function tests were normal.
For the past two days, I have also experienced some pain in the anal area.
I apologize for the details, but I hope you can provide some guidance.
Thank you!

Xiao Ba, 30~39 year old female. Ask Date: 2013/10/03

Dr. Chen Qifeng reply Gastroenterology and Hepatology

Hello: 1.
Based on the symptoms, there is a high possibility of gastroenteritis; additionally, due to the accompanying respiratory symptoms, it is likely a gastrointestinal type of cold.
2.
Gastroesophageal reflux often accompanies gastritis or peptic ulcers, which can also lead to symptoms of bloating.
3.
Significant weight loss requires further examination.
Wishing you good health, Dr.
Chen Chih-Feng, Taoyuan Hospital.

Reply Date: 2013/10/03

More Info

When it comes to digestive issues, especially when accompanied by a variety of symptoms like changes in bowel habits, abdominal discomfort, and persistent throat issues, it is crucial to understand when to seek medical advice. Based on the symptoms you've described, there are several key points to consider.

Firstly, the changes in your bowel movements, such as the presence of dark, coffee-ground-like stools, can indicate gastrointestinal bleeding or other serious conditions. The fact that you mentioned having a significant change in stool color and consistency, along with the foul-smelling gas, suggests that there may be an underlying issue that needs to be addressed. Additionally, the presence of pain in the anal area could indicate hemorrhoids or anal fissures, which can also be exacerbated by changes in bowel habits.

The persistent sore throat and the sensation of something stuck in your throat after swallowing could be related to gastroesophageal reflux disease (GERD), especially since you mentioned that you have been on medication for this condition. GERD can cause inflammation in the throat and lead to symptoms such as chronic cough, throat discomfort, and difficulty swallowing. However, if these symptoms have been ongoing for several months, it may be worth discussing with your healthcare provider to rule out any other potential issues.

Weight loss is another significant factor to consider. Losing 12 kilograms in a short period can be concerning, especially if it is unintentional. Weight loss can be a sign of malabsorption, chronic illness, or other gastrointestinal disorders. It is essential to evaluate your dietary intake and any other symptoms that may accompany this weight loss.

Given that you have experienced persistent bloating and difficulty breathing, it is advisable to seek medical attention. While your lung function tests came back normal, the sensation of not being able to take a deep breath could be related to anxiety, gastrointestinal issues, or even a respiratory condition that may not have been detected in the initial tests.
In terms of diagnostic procedures, a colonoscopy may be warranted, especially considering your changes in bowel habits and the presence of any concerning symptoms. A colonoscopy can help identify any abnormalities in the colon, such as polyps, inflammation, or signs of colorectal cancer. It is generally recommended for individuals over 50 or younger individuals with concerning symptoms, such as significant weight loss or changes in bowel habits.

In summary, given your array of symptoms—changes in bowel habits, persistent sore throat, weight loss, and difficulty breathing—it is advisable to consult with a healthcare professional as soon as possible. They may recommend further evaluation, including imaging studies or endoscopic procedures, to get to the root of your issues. Early intervention is key in managing digestive disorders and preventing potential complications. Always trust your instincts when it comes to your health; if something feels off, it’s better to seek help sooner rather than later.

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