Patient's question:
Doctor, I have always had poor digestion, and foods like radishes and bamboo shoots make my stomach uncomfortable. Since getting pregnant, I've frequently experienced constipation or nausea and vomiting. Now that the baby is one year old, I still have constipation sometimes, alternating between constipation and loose stools that stick to the toilet like paste. After adjusting for a while, I now have a bowel movement once a day. However, I've also had gynecological issues for the past year, so when my lower abdomen hurts, I often can't tell if it's gynecological inflammation or gastroenteritis. I have hemorrhoids both internally and externally. Since getting pregnant, I've had more gas that smells bad, and both my gas and stools smell foul. When I have diarrhea, my breath smells sour. Since getting pregnant, my lower abdomen has been (faintly aching) frequently. Recently, I've been getting frequent gynecological check-ups. Is it necessary to see a gastroenterologist? Could there be a problem with my digestive system because the rectum is also in the lower abdomen? Do I need a colonoscopy?Doctor's answer:
In your case, there is likely a possibility of gastrointestinal dysfunction. It is recommended to undergo a colonoscopy for a better assessment. At least, this can help rule out many organic diseases of the intestines. If the colonoscopy carefully rules out organic diseases, then the likelihood of irritable bowel syndrome (IBS) would be higher. You can take Trimebutine Maleate for treatment. Additionally, you should pay attention to your diet and avoid consuming spicy and irritating foods.