Abdominal Pain and Diarrhea: Possible Causes and Solutions - Gastroenterology and Hepatology

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I have been experiencing frequent diarrhea lately, and I feel pain when pressing on my upper abdomen?


I experience pain when pressing on my upper abdomen (which has been ongoing).
Ever since last month, after several consecutive days of eating baked dishes, I've had a tendency towards mild diarrhea.
Occasionally, I also have abdominal pain.
Recently, I've developed a habit of drinking soy milk every day; could this be related? The stools are somewhat formed but a bit loose, and over the past few days, my diet has been normal.
I ensure that I go to the bathroom every day, but the stools are small and still loose, with a yellow color.

syuan, 10~19 year old female. Ask Date: 2015/04/19

Dr. Chen Qifeng reply Gastroenterology and Hepatology


Hello: Based on the current symptoms, it appears to be gastrointestinal dysfunction and indigestion caused by dietary factors.
It is recommended to follow a mild diet low in oil and dairy, and to moderately increase the intake of fruits and vegetables.
If there is no improvement, please consult a gastroenterologist.
Wishing you safety and health.
Sincerely, Dr.
Chen Qifeng, Gastroenterology Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2015/04/19

More Info


Abdominal pain and diarrhea can be distressing symptoms that may arise from a variety of underlying causes. Understanding these symptoms requires a comprehensive approach, considering dietary habits, stress levels, and potential medical conditions.
From your description, it seems that you have been experiencing abdominal pain, particularly in the upper abdomen, alongside a tendency towards loose stools after consuming certain foods, such as baked dishes and soy milk. The fact that your stools are described as "somewhat scattered" and yellow in color adds further context to your symptoms.


Possible Causes
1. Dietary Factors: The consumption of rich, heavy foods like baked dishes can lead to digestive upset, especially if they are high in fats or sugars. If your body is not accustomed to these foods, it may react by causing abdominal discomfort and changes in bowel habits. Additionally, soy milk, while nutritious, can cause gastrointestinal issues in some individuals, particularly those who may have a sensitivity to soy or lactose intolerance.

2. Irritable Bowel Syndrome (IBS): Given your symptoms of abdominal pain and diarrhea, IBS could be a potential diagnosis. IBS is a functional gastrointestinal disorder characterized by symptoms like abdominal pain, bloating, and altered bowel habits (diarrhea or constipation). Stress and certain foods can trigger or exacerbate symptoms.

3. Gastroenteritis: If you have had any recent exposure to contaminated food or water, gastroenteritis (inflammation of the stomach and intestines) could be a cause. This condition often presents with abdominal pain, diarrhea, and sometimes vomiting.

4. Food Intolerances or Allergies: It is also possible that you may have developed an intolerance or allergy to a specific food. Common culprits include dairy, gluten, and certain additives in processed foods. Keeping a food diary can help identify any correlations between what you eat and your symptoms.

5. Infections: Bacterial or viral infections can lead to abdominal pain and diarrhea. If your symptoms are accompanied by fever, vomiting, or significant dehydration, it would be prudent to seek medical attention.


Solutions and Recommendations
1. Dietary Modifications: Consider reducing your intake of rich, fatty foods and monitor your reaction to soy milk. Gradually reintroducing foods can help identify any specific triggers. A balanced diet rich in fiber, fruits, and vegetables can promote digestive health.

2. Hydration: Ensure you are drinking plenty of fluids, especially if you are experiencing diarrhea. Dehydration can exacerbate symptoms and lead to further complications.

3. Stress Management: Since stress can significantly impact gastrointestinal health, incorporating stress-reducing techniques such as mindfulness, yoga, or regular exercise may help alleviate symptoms.

4. Consult a Healthcare Provider: If your symptoms persist or worsen, it is essential to consult a healthcare professional. They may recommend further testing, such as stool analysis or imaging studies, to rule out any serious conditions.

5. Probiotics: Consider incorporating probiotics into your diet, either through supplements or fermented foods like yogurt and kefir. Probiotics can help restore the natural balance of gut bacteria and may improve digestive health.

6. Monitor Symptoms: Keep a detailed record of your symptoms, dietary intake, and any other relevant factors. This information can be invaluable for your healthcare provider in diagnosing and treating your condition.

In summary, while your symptoms may be linked to dietary choices, they could also indicate a more complex underlying issue. A thorough evaluation by a healthcare professional is crucial to determine the exact cause and appropriate treatment plan.

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