Loose Stools: Causes and When to Seek Medical Advice

Stool should not be hard or constipated?

Hello Doctor: Since July 11th, after eating too much at the night market, I have been experiencing loose stools that cannot form solid stools.
I visited a small clinic and took medication, and I have also adjusted my diet to include more vegetables and less meat, limiting meat to just a few small pieces, roughly the size of salt and pepper chicken.
I have stopped drinking soft drinks.
This has been ongoing for about ten days, but my stools have only formed a few small pieces, with the majority still being loose.
Occasionally, when I try to eat a bit more, my stools become loose again and cannot form solid pieces.
Is this because my gastrointestinal tract hasn't had enough time to rest and recover? Should I see a doctor again? Is there anything I need to pay attention to?

Lin Xiansheng, 10~19 year old female. Ask Date: 2015/07/24

Dr. Lin Minghui reply Gastroenterology and Hepatology

Hello, during gastroenteritis, a light diet is necessary, and attention should be paid to food hygiene, consumption of cooked foods, hydration, and electrolyte balance.
The illness typically lasts about 1 to 2 weeks, varying from person to person.
If symptoms persist or recur, it is advisable to seek medical attention.
Sincerely, Dr.
Ming-Hui Lin, Attending Physician, Gastroenterology Department, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2015/07/24

More Info

Loose stools, or diarrhea, can be a common issue that arises from various causes, including dietary changes, infections, and underlying health conditions. In your case, it seems that the onset of your symptoms began after consuming a large amount of food from a night market, which could suggest a possible food intolerance or infection.
When experiencing loose stools, it's essential to consider several factors. First, the consistency and frequency of your stools can provide insight into the underlying cause. If your stools have been consistently loose for over a week, as you mentioned, it may indicate that your digestive system is still reacting to the initial trigger, or there could be another underlying issue at play.

Dietary changes can significantly impact bowel movements. You mentioned that you have adjusted your diet to include more vegetables and less meat, which is generally a healthy choice. However, if your body is not accustomed to a sudden increase in fiber from vegetables, it can lead to digestive upset, including loose stools. It's also important to ensure that you are adequately hydrated, as diarrhea can lead to dehydration.

In terms of when to seek medical advice, there are several red flags to watch for. If you experience any of the following symptoms, it is advisable to consult a healthcare professional:
1. Persistent Symptoms: If your loose stools continue for more than a week without improvement, it’s essential to seek medical advice.

2. Severe Abdominal Pain: If you experience significant discomfort or pain in your abdomen, it could indicate a more serious condition.

3. Signs of Dehydration: Symptoms such as excessive thirst, dry mouth, reduced urination, or dizziness can indicate dehydration, which requires prompt medical attention.

4. Blood in Stools: The presence of blood or mucus in your stools can be a sign of infection or other gastrointestinal issues and should be evaluated by a doctor.

5. Fever: A high fever accompanying diarrhea may suggest an infection that needs treatment.

Given that you have already sought medical advice and made dietary adjustments, it may be beneficial to follow up with your healthcare provider if your symptoms persist. They may recommend further testing, such as stool tests, to check for infections or other gastrointestinal disorders.
Additionally, consider keeping a food diary to track what you eat and how it affects your bowel movements. This can help identify any specific foods that may be contributing to your symptoms.
In summary, while loose stools can often resolve on their own, persistent symptoms warrant further investigation. It's crucial to listen to your body and seek medical advice if you have concerns about your digestive health. Remember, maintaining a balanced diet, staying hydrated, and monitoring your symptoms are key steps in managing your condition.

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