Gastrointestinal Issues: Symptoms and Concerns - Surgery

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Gastrointestinal issues


Hello Doctor, a few years ago I noticed that my bowel movements decreased, but the next day I would have a lot.
Recently, however, despite eating a lot, I haven't been having many bowel movements.
I also feel very hungry and have to eat a lot, which makes me feel bloated up to my throat and uncomfortable.
I experience intermittent sharp pain on the left side of my abdomen, and pressing on my stomach causes pain.
After eating, I often hear sounds of indigestion, and my breath has a foul odor.
I feel bloated to the point where I don't want to eat anymore.
Could this bloating be related to a gastric ulcer or colon cancer? Thank you for your response, Doctor.

Mao Guantou, 20~29 year old female. Ask Date: 2015/02/11

Dr. Ke Fangxu reply Surgery


It seems that your eating habits are quite poor.
I recommend that you first establish a regular and balanced eating routine; otherwise, binge eating itself can lead to the issues you described.
At the age of 28, it is generally unlikely to consider the possibility of colon cancer, but gastric ulcers are a possibility.
If your symptoms persist after improving your eating habits, you may want to undergo an endoscopy to investigate further.

Reply Date: 2015/02/11

More Info


Gastrointestinal issues can be quite complex and often present with a variety of symptoms that can be challenging to interpret. Based on your description, it seems you are experiencing several concerning symptoms, including changes in bowel habits, abdominal pain, bloating, and discomfort after eating. Let's break down these symptoms and discuss potential underlying causes, as well as the importance of seeking medical advice.

Firstly, the fact that you are experiencing a reduction in bowel movements, coupled with episodes of significant bloating and discomfort, could suggest a few different gastrointestinal conditions. One possibility is Irritable Bowel Syndrome (IBS), which is characterized by a combination of abdominal pain and altered bowel habits, including constipation and diarrhea. IBS can often be triggered or exacerbated by dietary factors, stress, and lifestyle choices.
The sensation of feeling very hungry despite eating a lot could indicate a few things. It might be related to how your body is digesting food or how your brain is interpreting hunger signals. Conditions such as Gastroparesis, where the stomach empties slowly, can lead to feelings of fullness and bloating, even if you are eating enough.
Your symptoms of left-sided abdominal pain and the sensation of bloating that extends to your throat could also be indicative of gastroesophageal reflux disease (GERD) or even gastritis. GERD can cause discomfort after eating, and the presence of foul-smelling breath may suggest that food is not being digested properly, leading to fermentation and gas production.

While you mentioned concerns about serious conditions like peptic ulcers or colorectal cancer, it is important to note that these conditions typically present with additional symptoms. For instance, peptic ulcers may cause burning stomach pain, especially when the stomach is empty, and can be associated with nausea or vomiting. Colorectal cancer may present with changes in bowel habits, blood in the stool, or unexplained weight loss. However, your symptoms do not definitively point to these serious conditions, especially if you have been screened for them and have no alarming signs.

Given the complexity of your symptoms, it is crucial to consult with a healthcare professional, preferably a gastroenterologist, who can perform a thorough evaluation. This may include a physical examination, a review of your medical history, and possibly diagnostic tests such as blood tests, imaging studies, or endoscopy to rule out any serious conditions.

In the meantime, consider keeping a food diary to track what you eat and how it affects your symptoms. This can help identify any potential food intolerances or triggers. Additionally, managing stress through relaxation techniques, regular exercise, and ensuring adequate hydration can also help alleviate some gastrointestinal symptoms.

In summary, while your symptoms may be concerning, they could be related to functional gastrointestinal disorders rather than serious diseases. However, it is essential to seek medical advice to obtain an accurate diagnosis and appropriate treatment. Your health is paramount, and addressing these symptoms early can lead to better outcomes.

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