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Gastroenterology

Expert answers from Gastroenterology physicians on health concerns and treatment options

Questions & Answers

800 articles

Q

How to flush out IBS?

You can’t flush IBS out; it’s a chronic gut-brain condition, but symptoms can often be eased with a structured low FODMAP approach, gradual soluble fiber, steady hydration, targeted probiotics, stress and sleep support, regular activity, and medications when appropriate. Avoid colon cleanses, detoxes, fasting, and extreme water intake, and seek care urgently for red flags like bleeding, weight loss, fever, or symptoms that wake you from sleep; there are several factors to consider, and key details that could affect your next steps are outlined below.

Q

How to relieve lower abdominal pain in men?

Relief for lower abdominal pain in men often starts with rest and observation, gentle heat, good hydration, light bland foods, and careful use of antacids, gas relief, fiber, or acetaminophen, while longer term prevention uses fiber rich eating, regular walking, and stress management; there are several factors to consider across digestive, urinary, reproductive, muscular, and inflammatory causes, and key details that can guide next steps are below. Seek urgent care for severe or worsening pain, fever, persistent vomiting, blood in stool or urine, pain with urination, sudden testicular pain, injury, unexplained weight loss, or pain lasting more than a few days, and see below for male specific red flags like prostate or hernia symptoms plus when to use a symptom checker or talk to a doctor.

Q

How to relieve lower abdominal pain in Women?

To ease lower abdominal pain, start with heat therapy, gentle movement and stretching, hydration, and cautious use of OTC pain relievers like ibuprofen or acetaminophen if appropriate. There are several factors to consider, including menstrual, digestive, urinary, ovulation, pregnancy, and postmenopausal causes, and red flags like sudden severe pain, fever, vomiting, heavy bleeding, or pain with a positive pregnancy test that require urgent care; see below for complete guidance on tailored relief, prevention tips, when to use a symptom checker, and when to speak to a doctor.

Q

IBD in older adults — is abdominal pain always severe?

No, abdominal pain in older adults with IBD is not always severe; it can be mild, intermittent, or absent, and other signs like diarrhea, blood in the stool, fatigue, or weight loss may be more telling, while severe or worsening pain requires urgent care. There are several factors to consider. See below to understand how age, coexisting conditions, and medications can blunt pain, what warning signs need immediate attention, how IBD differs from IBS, and which tests and next steps to discuss with your clinician.

Q

Is abdominal pain a symptom of IBS?

Yes, abdominal pain is a core and required symptom of IBS, typically recurring and tied to bowel movements or changes in stool frequency or form. There are several factors to consider, including how the pain behaves and key warning signs that suggest a different cause; see below for what IBS pain feels like, when to seek medical care, and practical next steps for diagnosis and relief.

Q

Is constant fatigue with stomach pain a sign of ulcerative colitis?

Constant fatigue with stomach pain can be a sign of ulcerative colitis, but these symptoms are not specific and can also come from IBS, anemia, celiac disease, ulcers, thyroid problems, infections, or medication effects. UC is more likely if you also have diarrhea, blood or mucus in stool, urgency, night symptoms, weight loss, or a family history, and diagnosis needs medical evaluation and often colonoscopy; seek prompt care for severe pain, bleeding, fever, persistent diarrhea, or marked fatigue. There are several factors to consider; see below for key red flags, how UC pain typically behaves, and the most useful next steps.

Q

Is IBS the same as IBD?

No, they are different conditions: IBS is a functional gut disorder that does not cause inflammation or intestinal damage, while IBD (Crohn’s disease and ulcerative colitis) involves chronic inflammation that can injure the bowel and carries higher long-term risks. Symptoms can overlap, but red flags such as blood in the stool, weight loss, fever, nighttime diarrhea, or anemia suggest IBD and warrant prompt medical care. There are several factors to consider; see below to understand more.

Q

Is long-term diarrhea a sign of bowel inflammation?

Yes, long-term diarrhea can be a sign of bowel inflammation, especially if it lasts more than 4 weeks or is accompanied by blood or mucus, weight loss, fever, ongoing abdominal pain, or nighttime symptoms. There are several factors to consider. See below to understand more, including non-inflammatory causes like IBS, medications, hormonal issues, and malabsorption, plus when to seek care, what tests may be used, and treatment options based on the cause.

Q

Late-onset inflammatory bowel disease

Late-onset inflammatory bowel disease refers to Crohn’s disease or ulcerative colitis first diagnosed after about age 60, making up roughly 10 to 20 percent of cases; symptoms may be less obvious, and a careful workup with labs, stool tests, colonoscopy, and imaging helps distinguish it from infection, ischemic colitis, cancer, or IBS. Treatment is effective but individualized in older adults, often starting with the lowest effective doses and close monitoring, and you should seek prompt care for persistent bleeding, weeks-long diarrhea, unexplained weight loss, severe abdominal pain, fever, or signs of dehydration or anemia. There are several factors to consider that can affect your next steps, including differences from younger-onset disease and medication risks, so see below for the complete answer.

Q

Long-term digestive issues affecting daily life

Long-lasting digestive symptoms can disrupt work, social life, sleep, and mood, and any that persist more than a few weeks deserve attention. There are several factors to consider, including IBD as a key inflammatory cause that differs from IBS, as well as other possibilities like celiac disease, food intolerances, chronic infection, medications, and stress; red flags such as blood in stool, unexplained weight loss, fever, severe pain, symptoms that wake you from sleep, or diarrhea lasting weeks should prompt medical care. See below for a clear guide to distinguishing IBD from IBS, warning signs, what tests and treatments to expect, and practical steps for diet, monitoring, and mental health that could shape your next steps.

Q

Ongoing abdominal pain with extreme fatigue

There are several factors to consider: ongoing belly pain with extreme fatigue can result from digestive disorders, infections, hormonal or metabolic issues, anemia, or problems with the liver, gallbladder, or pancreas. See below for specific red flags like weight loss, fever, bleeding, or jaundice that need urgent care, how doctors evaluate these symptoms, and practical steps you can take now; speak to a doctor if symptoms persist, worsen, or feel severe or unusual for you.

Q

Pelvic discomfort with bowel symptoms

Pelvic discomfort with bowel symptoms can stem from common conditions like IBS or from inflammatory bowel disease that causes ongoing intestinal inflammation, with red flags such as persistent diarrhea, blood in the stool, nighttime bowel movements, weight loss, fever, or fatigue signaling the need for medical evaluation. There are several factors to consider, including other pelvic, digestive, and nerve or muscle causes, ways doctors test for them, and when to seek urgent care; see below for the complete details and next steps that could affect your care.

Q

Period-related stomach pain vs bowel pain

There are key differences in timing, location, triggers, and symptoms that help tell period-related uterine cramps from bowel pain: period pain clusters around your cycle with crampy lower pelvic aching that often eases after bleeding starts, while bowel pain can happen any time, shift around the abdomen, change with eating or bowel movements, and often comes with ongoing diarrhea or constipation. Because bowel pain may signal IBS or inflammatory bowel disease and red flags like blood in stool, weight loss, fever, night symptoms, or worsening pain should prompt medical care, there are several factors to consider. See the complete answer below for important details on overlap with conditions like endometriosis, how to track patterns, and what next steps to take.

Q

Persistent stomach cramps and urgency

Persistent crampy stomach pain with sudden urgency is often due to IBS, food intolerances, a lingering gut infection, constipation, or less commonly inflammatory bowel disease, and it happens when the intestines are overactive or irritated; there are several factors to consider, so see below for causes, why urgency occurs, and what doctors typically evaluate. Seek urgent care for red flags like blood in stool, persistent vomiting, fever, weight loss, nighttime pain, severe or worsening pain, dehydration, or a family history of IBD or bowel cancer, and review the practical steps below for diet, stress management, hydration, bathroom habits, symptom-check tools, and how to decide on next steps.

Q

Rectal bleeding with bowel movements

Rectal bleeding with bowel movements is common and often from hemorrhoids, anal fissures, or constipation, but the color and pattern can also point to inflammatory bowel disease, infections, or colorectal polyps and cancer; there are several factors to consider, and key details that could change your next steps are explained below. Seek urgent care for heavy or persistent bleeding, dizziness or weakness, black or maroon stools, severe abdominal pain, fever, or weight loss, and see below for how doctors evaluate, treat, and help prevent this.

Q

Stomach pain that lasts for weeks

Stomach pain lasting more than 2 to 3 weeks is often due to manageable issues like IBS, gastritis, reflux, ulcers, food intolerances, stress, or constipation, and less commonly gallbladder problems or inflammatory bowel disease; seek medical care if it persists, limits daily life, or if red flags like weight loss, ongoing vomiting, blood in stool or black stools, fever, pain that wakes you from sleep, or progressive worsening occur. There are several factors to consider, including what to track, which medicines may irritate the stomach, lifestyle steps that can help, and when to seek testing or urgent care; see the complete guidance below to understand causes, warning signs, and the right next steps for your care.

Q

What are 5 causes of abdominal pain? is IBD one of them

Five common causes of abdominal pain are digestive upset or indigestion, gastrointestinal infections, inflammatory bowel disease, constipation, and conditions affecting the gallbladder, kidneys, or pancreas. Yes, IBD is one of them; there are several factors to consider about red flags, symptom patterns, and when to seek care, so see the complete details below to understand more and choose the right next steps.

Q

What are common warning signs of inflammatory bowel disease?

Common warning signs include persistent diarrhea, especially at night, abdominal pain or cramping, blood or mucus in the stool, bowel urgency or frequent trips, unintended weight loss or poor appetite, and deep fatigue. Less obvious clues can be low-grade fever and joint, skin, or eye inflammation; recurrent bleeding, severe pain, vomiting, dehydration, weight loss, or fever with gut symptoms warrant prompt medical care. There are several factors to consider; see the complete answer below for details on distinguishing IBD from IBS, red flags that change next steps, and how doctors evaluate these symptoms.

Q

What are the 6 worst foods for ulcerative colitis?

The six worst foods for ulcerative colitis are raw high fiber fruits and vegetables, spicy foods, alcohol, high fat and fried foods, dairy if you are lactose intolerant, and artificial sweeteners or sugar alcohols. Triggers vary by person and between flares and remission, and diet changes can ease symptoms but do not replace medical care; see below for key nuances like when to try a low fiber plan, lactose free swaps, ingredients to avoid in sugar free products, and red flag symptoms that mean you should contact a doctor.

Q

What are the symptoms of an IBS flare up?

Symptoms of an IBS flare-up include abdominal pain or cramping that often improves after a bowel movement, changes in bowel habits such as diarrhea, constipation, or both, plus bloating, excess gas, and sometimes clear mucus in the stool; whole body effects like fatigue, nausea, early fullness, and reduced appetite can also occur. There are several factors to consider. Triggers and warning signs that are not typical for IBS, like blood in stool, weight loss, fever, persistent vomiting, severe or nighttime pain, or new symptoms after age 50, mean you should seek medical advice. For a fuller list, subtype differences, and what to do next, see the complete answer below.

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