[51M] Experiencing frequent bowel movements and abdominal issues

Patient Description

A 51-year-old male presents with a history of frequent bowel movements, occurring more than four times daily, with stool consistency varying from stringy to small balls, and episodes of diarrhea. The patient has experienced a recent change in weight but no blood in the stool. He reports severe abdominal pain, fever, nausea, vomiting, and difficulty passing stool or gas. The patient describes a sensation like a knife in his side, particularly after consuming red meat. Past surgical history includes an appendectomy in 2009 due to sepsis and the presence of a large abdominal hernia. The patient has an adverse reaction to Ibuprofen but is not currently on any medications.

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Arora's Assessment

What might be happening

Based on the information you have provided, possible diagnoses include:

  • Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine. Symptoms include cramping, abdominal pain, bloating, gas, and diarrhea or constipation, or both. IBS is a chronic condition that you'll need to manage long term.

    • Treatment usually focuses on relieving symptoms. Lifestyle changes, including diet and managing stress, play a key role.
  • Inflammatory Bowel Disease (IBD): This term covers conditions with chronic inflammation of your digestive tract. Types of IBD include ulcerative colitis and Crohn's disease. Both usually involve severe diarrhea, pain, fatigue and weight loss.

    • Treatment usually involves drug therapy or surgery.
  • Food Intolerance or Allergy: Certain foods might be triggering your symptoms. You mentioned that red meat seems to worsen your symptoms.

    • Treatment involves avoiding the offending foods.
  • Diverticulosis: Small, bulging pouches (diverticula) can develop in your digestive system's lining. When one or more of these pouches become inflamed or infected, the condition is called diverticulitis and can cause abdominal pain, fever, nausea, and a marked change in your bowel habits.

    • Mild diverticulitis can be treated with rest, changes in your diet and antibiotics. Severe or recurring diverticulitis may require surgery.

What you can do

It would be best to consult a doctor about your symptoms so that they can provide a formal assessment and order relevant tests if necessary. In the meantime, you can try the following to relieve your symptoms:

  1. Maintain a balanced diet: Avoid foods and drinks that stimulate the intestines, such as caffeine, tea, or colas.
  2. Drink plenty of fluids: Water is the best. Alcohol and drinks with caffeine in them can lead to dehydration and worsen your symptoms.
  3. Exercise regularly: Exercise helps relieve depression and stress, stimulates normal contractions of your intestines, and can help you feel better about yourself.

What you should look out for

Reasons to see a doctor more urgently:

  • If you notice blood in your stool
  • If you develop a fever (temperature over >100.4°F)
  • If you cannot pass stool or gas
  • If you have persistent or worsening abdominal pain

Please remember that while I strive to provide accurate and helpful health information, this advice should not replace a consultation with a medical professional.

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11 mo ago

Top picked over-the-counter products for Irritable Bowel Syndrome: American College of Gastroenterology Guidelines

People Also Ask


What are the common symptoms of Irritable Bowel Syndrome (IBS)?

Common symptoms of IBS include cramping, abdominal pain, bloating, gas, and diarrhea or constipation, or both. It is a chronic condition that requires long-term management.


How can food intolerances or allergies affect bowel movements?

Food intolerances or allergies can lead to symptoms such as diarrhea, abdominal pain, bloating, and changes in stool consistency. Identifying and avoiding trigger foods can help manage these symptoms.


What are the potential complications of untreated Inflammatory Bowel Disease (IBD)?

Untreated IBD can lead to complications such as severe malnutrition, bowel obstruction, increased risk of colon cancer, and the formation of fistulas or abscesses. It is important to seek medical treatment to manage the condition.


What lifestyle changes can help manage symptoms of diverticulosis?

Lifestyle changes that can help manage diverticulosis include maintaining a high-fiber diet, staying hydrated, exercising regularly, and avoiding foods that may trigger symptoms. In some cases, medical treatment or surgery may be necessary.


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