HomeAnswersInternal Medicinegastrocolic refluxWhy do I have frequent urge to pass stools right after my meals?

I am passing stools immediately after my meals. Why?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Vinodhini J.

Published At April 24, 2020
Reviewed AtApril 24, 2020

Patient's Query

Hello doctor,

I am a 32-year-old female. Whatever I eat within one hour I am urged to go to the toilet. My stomach hurts every time I go to the toilet. I cannot eat fish, milk products, some gluten products, or chicken. My sister thinks I may have Crohn's disease. I need to find out what is going on. I have been dealing with it since I had e.coil four years ago.

Hello,

Welcome to icliniq.com.

I can understand your concern. According to your statement, you have been suffering from abdominal pain followed by defecation one hour after taking your meals. You cannot eat fish, milk, some gluten products, or chicken which can aggravate your sufferings.

The most likely cause of needing to pass stool right after eating is the gastrocolic reflex. The reflex is a normal involuntary reaction to the food entering stomach. For some people, it is mild causing no symptom. For others, it may be intense and the urge to poop after eating can be severe like you. Certain health conditions such as irritable bowel syndrome or IBS can cause a person's digestive tract to move food through their system at a much faster rate.

Other conditions like food allergies, food intolerances, anxiety, gastritis, celiac disease, inflammatory bowel disease or IBD, Crohn's disease, etc., all can give rise to digestive symptoms like abdominal pain, bloating, increased frequency of defecation, diarrhea, constipation, alternating diarrhea, and constipation, etc.

So you should undergo some investigations like CBC (complete blood count), USG (ultrasound) of W/A, stool culture, sigmoidoscopy, and rectal biopsy, colonoscopy, and jejunal biopsy to find out the underlying cause of your present conditions.

In the meantime, you can avoid some foods like fatty or greasy foods, foods high in fiber, dairy products, etc. Again if you are suffering from anxiety, stress, or any other psychological distress, then you should take steps to remove them. After getting your investigation reports and knowing some additional history like weight loss, hormonal imbalance, previous diseases, medication history, family history I can help to treat you further.

You had an e.coli infection four years back and from then you have been suffering according to your description. I think you took medication for your e.coli and e.coli usually disappears from the body with 7-14 days, but it may aggravate some rare long-lasting complications like IBS, Crohn's disease, ulcerative colitis, etc.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Muhammad Zubayer Alam
Dr. Muhammad Zubayer Alam

Pulmonology (Asthma Doctors)

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