Managing Diarrhea for Effective Weight Gain: Tips and Advice - Gastroenterology and Hepatology

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Diarrhea issues


Hello doctor, I want to gain weight.
I am 179 cm tall and weigh 63 kg.
I supplement with chicken breast or boiled eggs at night and intentionally eat more during my three meals, but I often experience diarrhea or loose stools, which slows down my weight gain.
Do you have any recommendations for the diarrhea issue?

Niming, 10~19 year old female. Ask Date: 2015/12/28

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: Diarrhea is defined by an increase in the frequency of bowel movements, an increase in stool volume, and a change in stool consistency (watery stools).
If the increase in stool volume is due to an increase in food intake, leading to stools that are loose or even watery because the colon cannot absorb enough water, it cannot be classified as diarrhea.
Generally, if there is no weight gain, one cannot attribute it solely to an increase in bowel movement frequency.
First, it is essential to determine whether improper diet is causing the intestines to be unable to absorb nutrients adequately.
Secondly, it may also be necessary to investigate whether there are any endocrine issues that could prevent weight gain and cause diarrhea, such as hyperthyroidism.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2015/12/28

More Info


Managing diarrhea while trying to gain weight can be a challenging situation, especially when you are actively trying to increase your caloric intake. Your height of 179 cm and weight of 63 kg indicate that you have a Body Mass Index (BMI) of approximately 19.7, which is on the lower end of the normal weight range. To gain weight effectively, it is essential to address the underlying causes of your diarrhea while ensuring that you are consuming enough calories.


Understanding Diarrhea
Diarrhea can be caused by various factors, including dietary choices, infections, food intolerances, and gastrointestinal disorders. Since you mentioned that you often experience diarrhea or soft stools, it is crucial to evaluate your diet and lifestyle to identify potential triggers. Here are some common causes of diarrhea that you might want to consider:
1. Dietary Choices: High-fat foods, spicy foods, or excessive fiber can sometimes lead to gastrointestinal upset. While chicken breast and boiled eggs are generally healthy, consider how they are prepared and what else you are consuming alongside them.

2. Food Intolerances: Lactose intolerance or gluten sensitivity can cause diarrhea. If you consume dairy products or gluten-containing foods, consider eliminating them temporarily to see if your symptoms improve.

3. Infections: Bacterial or viral infections can lead to diarrhea. If you have recently traveled or consumed food from questionable sources, this could be a factor.

4. Gastrointestinal Disorders: Conditions like Irritable Bowel Syndrome (IBS) or inflammatory bowel diseases (IBD) can cause chronic diarrhea. If your symptoms persist, it may be worth consulting a healthcare professional for further evaluation.


Tips for Managing Diarrhea
1. Stay Hydrated: Diarrhea can lead to dehydration, so it is essential to drink plenty of fluids. Water, clear broths, and electrolyte solutions can help replenish lost fluids and electrolytes.

2. Adjust Your Diet: Consider following a bland diet that includes foods that are easier to digest. The BRAT diet (bananas, rice, applesauce, and toast) is often recommended during episodes of diarrhea. Gradually reintroduce other foods to see what you can tolerate.

3. Increase Caloric Intake Wisely: While trying to gain weight, focus on nutrient-dense foods that are less likely to upset your stomach. Foods like avocados, nut butters, and smoothies can provide calories without being overly harsh on your digestive system.

4. Monitor Fiber Intake: While fiber is essential for digestive health, too much can exacerbate diarrhea. Consider adjusting your fiber intake and opting for soluble fiber sources like oats and bananas, which can help firm up stools.

5. Probiotics: Incorporating probiotics into your diet through yogurt or supplements may help restore the balance of good bacteria in your gut, potentially alleviating diarrhea.

6. Eat Smaller, Frequent Meals: Instead of three large meals, try eating smaller meals more frequently throughout the day. This can help your digestive system manage the intake better and reduce the likelihood of diarrhea.

7. Consult a Healthcare Professional: If diarrhea persists despite dietary changes, it is essential to seek medical advice. A healthcare provider can help identify any underlying conditions and may recommend tests or treatments to address your symptoms.


Conclusion
Managing diarrhea while trying to gain weight requires a careful approach to your diet and lifestyle. By identifying potential triggers, adjusting your food choices, and ensuring proper hydration, you can work towards achieving your weight gain goals. If symptoms persist or worsen, do not hesitate to consult a healthcare professional for personalized advice and treatment options. Remember, a balanced approach to nutrition and health is key to achieving your desired weight in a safe and effective manner.

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