Patient's question:
Doctor, I've always had poor digestion, and foods like radishes and bamboo shoots often cause stomach discomfort. Since becoming 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 whether it's gynecological inflammation or gastroenteritis. I have hemorrhoids both internally and externally. Since becoming pregnant, I've had frequent and smelly gas. Now both my gas and stools are smelly, and when I have diarrhea, my breath smells sour. Since becoming 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 intestinal dysfunction. It is recommended to undergo a colonoscopy for a better assessment. At least, this can help rule out many organic diseases of the intestine. If the colonoscopy carefully excludes organic diseases, then the possibility of Irritable Bowel Syndrome (IBS) is relatively high. You can take Trimebutine Maleate for treatment. Additionally, it is important to pay attention to your diet and avoid consuming spicy and irritating foods.