Persistent Loose Stools: Seeking Solutions for Ongoing Digestive Issues - Gastroenterology and Hepatology

Share to:

The stool has consistently been loose and watery?


Hello, Dr.
Tsai.
I started experiencing diarrhea at the end of July, having 2 to 3 bowel movements a day.
My diet remained the same until August 6, when I had watery stools 6 times in one day.
I visited a clinic, saw a doctor, and took medication for 3 days before I was able to have a bowel movement, but it was still not formed.
During this time, I ate very little—just 3 slices of toast a day and some congee with a bit of pork floss at night.
On August 10, I had diarrhea again, so I went to the emergency department of a large hospital.
Blood and stool tests showed no issues, and I was given DIOSMECTITE to take home.
However, I continued to have 2 to 3 unformed stools daily, maintaining the same diet without any oil, just toast and congee.
On August 14, I went to the outpatient department for another stool and blood test, which also showed no problems.
I was prescribed the same medication as before from the emergency visit.
Up until now, I still have 2 to 3 unformed stools daily.
Given that my blood and stool tests are normal, and I am consistently taking my medication and following a low-fat diet, why am I not seeing any improvement? I've lost 5 kilograms, and I can hardly eat anything.
I'm really suffering; please help me, thank you.

Da Pengyou, 20~29 year old female. Ask Date: 2015/08/20

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: After acute gastroenteritis, the intestinal mucosa will undergo a repair period.
It is recommended to maintain a light diet and avoid high-fat and high-protein foods.
If the condition does not improve after two weeks, it is advisable to consult a gastroenterologist for further investigation.
Changhua Hospital cares about your health.
Dr.
Tsai An-Shun

Reply Date: 2015/08/20

More Info


Persistent loose stools can be a frustrating and distressing issue, especially when it disrupts your daily life and leads to significant weight loss, as you've described. Given your situation, it’s essential to explore several potential causes and treatment options.

Firstly, it’s important to understand that persistent diarrhea can stem from various underlying conditions. These may include infections (viral, bacterial, or parasitic), food intolerances (such as lactose intolerance or gluten sensitivity), inflammatory bowel diseases (like Crohn's disease or ulcerative colitis), or even functional gastrointestinal disorders such as irritable bowel syndrome (IBS). Since your tests have come back normal, it suggests that there may not be an acute infection or significant inflammation present, but it does not rule out other chronic conditions.

Your dietary choices during this period, while cautious, may not be providing enough nutrition or fiber to help normalize your bowel movements. A diet consisting solely of toast and rice porridge may lack the necessary nutrients and fiber that can aid in digestion and recovery. It’s crucial to gradually reintroduce a balanced diet that includes soluble fibers (like bananas, applesauce, and oatmeal) which can help firm up stools, while avoiding high-fat and high-sugar foods that may exacerbate diarrhea.

Additionally, consider the psychological aspect of your condition. Stress and anxiety can significantly impact gut health, leading to symptoms like diarrhea. If you are experiencing stress related to your health or other life circumstances, addressing these emotional factors through relaxation techniques, counseling, or stress management strategies may be beneficial.

Since you have already consulted with healthcare professionals and undergone various tests, it might be worthwhile to seek a gastroenterologist's opinion if you haven't done so already. They can provide a more specialized evaluation, including possibly conducting further tests such as stool studies for specific pathogens, imaging studies, or even endoscopic procedures if deemed necessary.

In the meantime, staying hydrated is crucial, especially since you’ve lost weight. Electrolyte solutions can help replenish lost fluids and salts. If your symptoms persist or worsen, or if you experience additional symptoms such as fever, severe abdominal pain, or blood in your stools, it’s important to seek immediate medical attention.

Lastly, keep a symptom diary noting your food intake, bowel movements, and any associated symptoms. This can provide valuable information to your healthcare provider and help identify any potential triggers or patterns related to your condition.

In summary, while the tests indicate no immediate issues, the persistence of your symptoms warrants further investigation and a holistic approach to treatment, including dietary adjustments and stress management. Please continue to communicate openly with your healthcare providers about your symptoms and concerns, as they are best positioned to guide you through this challenging time.

Similar Q&A

Managing Chronic Diarrhea: Insights on Irritable Bowel Syndrome

I have been experiencing watery stools after every meal for several years. I recently underwent a colonoscopy, and the examination showed no abnormalities in my colon. The doctor diagnosed me with irritable bowel syndrome (IBS). I have been taking medication for a few months, but...


Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: Management of Irritable Bowel Syndrome (1) Dietary adjustments: reduce oil, dairy, and irritating foods (2) Medication adjustments: individualized prescriptions (3) Consider trying probiotics or enzymes. Best regards, Dr. Chi-Feng Chen, Taoyuan Hospital, Department of Heal...

[Read More] Managing Chronic Diarrhea: Insights on Irritable Bowel Syndrome


Understanding Bowel Issues: Causes and Solutions for Irregular Stool

Doctor, I would like to ask about my recent bowel movements. Sometimes my stool is in a complete cylindrical shape, while at other times I experience diarrhea-like, mushy stools coming out simultaneously. I maintain an exercise routine and consume yogurt, but I still cannot resol...


Dr. Hu Guozheng reply Gastroenterology and Hepatology
Dear Ian, Changes in bowel habits are actually quite common. Aside from pathological conditions such as intestinal inflammation or tumors, benign factors can also lead to these changes, such as alterations in diet and lifestyle, stress, changes in gut microbiota, or intolerance...

[Read More] Understanding Bowel Issues: Causes and Solutions for Irregular Stool


Understanding Chronic Loose Stools: Causes and Solutions

Hello, Doctor. I have been experiencing bowel movements after every meal for the past one to two years. I also feel the urge to have a bowel movement when I wake up in the morning and while showering, but I do not experience any abdominal pain. The stools are usually loose and ra...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Sometimes it is due to the intestines moving too quickly. It is recommended to quit smoking, and if you are still consuming coffee, tea, or other stimulating foods, you should also avoid them. Changhua Hospital cares about your health. Dr. Tsai An-shun.

[Read More] Understanding Chronic Loose Stools: Causes and Solutions


Managing Persistent Gastrointestinal Discomfort: What Are Your Options?

Doctor: Hello! I have consulted you a few times before, and I apologize for bothering you again. I have been experiencing gastrointestinal discomfort for six months now. The health insurance-covered medication, Pantoprazole, has been taken for over four months, but I still have t...


Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: (1) In addition to diet, weight management should be emphasized, along with avoiding smoking and alcohol consumption; regular exercise is also recommended. If symptoms do not improve, a repeat gastroscopy may be considered. (2) The term diarrhea should be more precisely de...

[Read More] Managing Persistent Gastrointestinal Discomfort: What Are Your Options?


Related FAQ

Stool

(Gastroenterology and Hepatology)

Constipation

(Gastroenterology and Hepatology)

Defecation

(Gastroenterology and Hepatology)

Diarrhea

(Gastroenterology and Hepatology)

Ibs

(Gastroenterology and Hepatology)

Irritable Bowel Syndrome

(Gastroenterology and Hepatology)

Bowel Movement

(Gastroenterology and Hepatology)

Bowel-Related

(Gastroenterology and Hepatology)

Flatulence

(Gastroenterology and Hepatology)

Obesity

(Gastroenterology and Hepatology)