Gastrointestinal Issues: Symptoms, Treatments, and Diet Tips - Gastroenterology and Hepatology

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Gastrointestinal condition


Hello Doctor, I have been experiencing significant gastrointestinal discomfort lately, with a feeling of bloating and fullness in my abdomen.
My bowel movements have been watery and frequent.
The day before yesterday, I visited a doctor due to fever and vomiting, but I saw a family medicine physician who did not specify my condition.
However, they prescribed several medications, which are as follows: Diphenidol 25 mg, D.M.P (Motilium), Gascon 40 mg, Padalin (腹達寧), and Duspatalin 500 mg.
I have been taking these medications for two days, and the fever, dizziness, and vomiting have improved significantly, but the bloating and watery stools persist.
I would like to ask if these medications are effective for my condition and what foods I can eat during this time.

Youling, 20~29 year old female. Ask Date: 2015/12/19

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: The likelihood of acute gastroenteritis is higher, and if accompanied by persistent high fever and abdominal pain in a specific area, it is recommended to consult a gastroenterology specialist.
These medications can generally help alleviate your symptoms, and if the acute gastroenteritis is caused by a virus, they should be beneficial for you.
A light diet is advised (such as plain porridge, white toast, or plain steamed buns, etc.), while reducing the intake of fats and proteins.
Gradually return to a normal diet once improvement is noted.
Changhua Hospital cares about your health.
Dr.
Tsai An-Shun.

Reply Date: 2015/12/19

More Info


Gastrointestinal issues can be quite distressing and may manifest through a variety of symptoms, including abdominal discomfort, bloating, diarrhea, and nausea. Based on your description, it seems you have been experiencing significant gastrointestinal discomfort, including watery stools and abdominal bloating, along with a recent episode of fever and vomiting. It’s good to hear that your symptoms of fever and vomiting have improved with the medications prescribed by your doctor. However, the persistence of abdominal bloating and diarrhea indicates that further management may be necessary.

The medications you mentioned—Diphenidol, Motilium (Domperidone), Gascon, Padalin, and Duspatalin—are commonly used to address various gastrointestinal symptoms. Diphenidol is an antiemetic that helps control nausea and vomiting. Motilium (Domperidone) is also an antiemetic that works by increasing the movements or contractions of the stomach and intestines, which can help with bloating and discomfort. Gascon is typically used to relieve gas and bloating, while Padalin (an antispasmodic) and Duspatalin (mebeverine) are designed to relieve abdominal cramps and spasms. These medications can be effective in managing your symptoms, but their efficacy can vary from person to person.

In terms of dietary recommendations, it’s crucial to adopt a diet that is gentle on your digestive system, especially while you are experiencing symptoms. Here are some dietary tips that may help:
1. Stay Hydrated: Since you are experiencing diarrhea, it’s essential to stay hydrated. Drink plenty of fluids, such as water, clear broths, or oral rehydration solutions. Avoid caffeinated and alcoholic beverages, as they can exacerbate dehydration.

2. Bland Diet: Start with a bland diet that includes foods like bananas, rice, applesauce, and toast (often referred to as the BRAT diet). These foods are easy to digest and can help firm up your stools.

3. Avoid Trigger Foods: Steer clear of spicy, fatty, or fried foods, as well as dairy products, which can aggravate bloating and diarrhea. Also, avoid high-fiber foods temporarily, as they can be difficult to digest during a flare-up.

4. Small, Frequent Meals: Instead of three large meals, try eating smaller, more frequent meals throughout the day. This can help reduce the burden on your digestive system.

5. Probiotics: Consider incorporating probiotics into your diet, either through supplements or fermented foods like yogurt (if tolerated), kefir, or sauerkraut. Probiotics can help restore the balance of good bacteria in your gut, especially after a bout of diarrhea.

6. Monitor Symptoms: Keep a food diary to track what you eat and how it affects your symptoms. This can help identify any specific foods that may trigger discomfort.

7. Consult a Specialist: If your symptoms persist despite dietary changes and medication, it may be beneficial to consult a gastroenterologist. They can perform further evaluations, such as imaging studies or endoscopy, to determine the underlying cause of your gastrointestinal issues.

In summary, while the medications you are taking can help alleviate some of your symptoms, dietary management plays a crucial role in your recovery. By following a bland diet, staying hydrated, and avoiding trigger foods, you can help support your digestive health. If your symptoms do not improve or worsen, seeking further medical advice is essential. Remember, your health is paramount, and addressing these gastrointestinal issues early can prevent more serious complications down the line.

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