OpenHealth Q&A

Get answered by medical professionals

Understanding What a Gastroenterologist Can Do for Me

7/13/2025, 2:10:20 AMMale25-34

Hi there! I’m a 21-year-old female currently facing some significant gastrointestinal challenges. To give you a bit of context, I've always had a sensitive stomach; for instance, consuming Nutella would often lead to an extended trip to the bathroom. However, my condition has escalated considerably, and I’m eager to learn about the role of a gastroenterologist in addressing my issues. In March 2023, I traveled to Costa Rica with my college group, where many of us fell ill, but my sickness was particularly severe. Without going into too much detail, the flight back was quite miserable. I struggled to keep food down, ultimately requiring IV fluids and electrolytes, which led to an ER visit where I was diagnosed with acute colitis. During my treatment, I was prescribed two antibiotics: metronidazole and ciprofloxacin, along with probiotics. Although I managed to recover somewhat, I haven’t returned to my baseline health. I can experience lengthy periods without any flare-ups, but then out of nowhere, I’m in significant discomfort. There are many foods that trigger my symptoms, including onions, dairy, chocolate, sugar, and anything greasy. After enduring this for two years, I feel overwhelmed, especially since I’ll soon be joining the workforce. It is crucial for me to regain control over my health, and obtaining a diagnosis is the first step in that journey. I know that suggestions for procedures like a colonoscopy or tests for fecal samples are on the table, but I’m quite squeamish and these options intimidate me. Are these the most effective methods to uncover answers, or are there alternative tests available? I could really use some guidance on this matter!

ArthritisLupusCrohn's Disease

Answers (1)

Cony

7/13/2025, 2:10:38 AM

OpenHealth AI

It’s understandable to feel overwhelmed given your gastrointestinal challenges, especially after your trip and subsequent health struggles. A gastroenterologist can play a vital role in diagnosing and managing your symptoms, which seem to significantly impact your quality of life.

Main Points

  1. Importance of a Gastroenterologist: They specialize in diagnosing and treating digestive tract disorders and can help identify the underlying causes of your symptoms.
  2. Diagnostic Procedures: While tests like colonoscopy may seem intimidating, they are key to providing accurate diagnoses. There may be alternatives depending on your situation.
  3. Identifying Triggers: You’ve noted specific food triggers which can also aid in management and treatment.

Explanation

Gastroenterologists are experts in issues relating to the gastrointestinal (GI) system, including organs like the stomach, intestines, and the overall digestive process. Your symptoms, especially after a serious illness like acute colitis, suggest that a deeper investigation could be really helpful in finding both a diagnosis and effective treatment.

The procedures often recommended, like colonoscopies, allow the doctor to visualize your colon directly, check for inflammation, growths, or other issues. While they might feel daunting, they're a common practice and can provide critical insights. Alternatives, like non-invasive stool tests, can also help but may not always provide the depth of information a colonoscopy can.

Next Steps

  1. Schedule an Appointment: Set up a visit with a gastroenterologist to discuss your symptoms in detail and express your concerns about specific tests. It’s important to be open about your feelings regarding any procedures you're apprehensive about.

  2. Symptom Journal: Start keeping a record of your food intake and symptoms. This can help you and your doctor pinpoint specific triggers and patterns, which is crucial for diagnosis and treatment plans.

  3. Discuss Diagnostic Alternatives: Ask your gastroenterologist about the possibility of alternative diagnostic tests if you're uncomfortable with more invasive procedures. They may suggest options like blood tests or imaging that could provide supportive information.

  4. Consider Dietary Support: In the meantime, a registered dietitian specialized in gastrointestinal health can offer personalized advice on managing your diet to avoid symptom flare-ups.

Remember, it’s okay to feel this way, and taking these steps can empower you to regain control over your health. You're not alone in your journey, and there are professionals who can help you navigate this. If you have any further questions or concerns, feel free to ask!

Related Questions

Persistent Heart-Related Symptoms and Health Anxiety: Seeking Guidance

I am a 20-year-old male, standing 5 feet 8 inches tall and weighing 145 pounds. My only medications are Flonase and vitamin D. I have a history of asthma, which has been relatively stable over recent years. While I've not been formally diagnosed, I exhibit symptoms consistent with generalized anxiety disorder and possible depressive disorder, including episodes of panic. Since mid-February, following an illness that triggered severe health anxiety and agoraphobia, my condition has worsened significantly. It feels imperative to consult a healthcare professional once again to address my concerns, especially since I need to establish care with a new primary care physician (PCP). However, I find myself caught in a dilemma between seeking clarity and exacerbating my anxiety, which is why I have postponed seeking further evaluations until now. I am currently in therapy and have made some strides in my mental health, but I feel my physical symptoms remain largely unchanged. Earlier this year, starting around mid-2023, I began to notice a heightened sensitivity in my chest along with fears of possible irregularities in my heartbeat. I also experienced occasional brief episodes of lightheadedness, which I now suspect were similar to brain zaps, alongside chest discomfort. After consulting a cardiologist, I underwent an EKG and wore a 14-day Holter monitor, both of which yielded normal results. Despite some lingering cardiovascular concerns, I didn’t dwell on them until my symptoms intensified recently. In late March, during a telehealth appointment, I voiced my worries and underwent blood tests. However, to my understanding, these did not specifically evaluate cardiovascular markers like troponin or d-dimer. The results were predominantly normal, with the only notable finding being elevated red blood cell counts, which had also been high two years prior. I received a hematology referral for further investigation, though my nurse practitioner expressed no immediate concern and suggested I could choose to pursue additional tests if desired. Currently, my symptoms, which have become especially troublesome since February, include: - Frequent mild chest discomfort, primarily on the left side (occasionally on the right or in the center), typically described as a sensation of fullness or slight pressure. - Occasional soreness that feels deep but is not overwhelmingly painful—never severe or debilitating. Symptoms may shift with activity or breathing, and can last from an hour to the entire day. - I sometimes wake up with a subtle discomfort, almost like an itch or stuffiness in the area around my left nipple. This discomfort may arise with exertion or randomly. - Transient chest pain, lasting mere seconds to a couple of minutes, with sensations ranging from localized twinges to stabbing pains. I found this most bothersome during a recent illness when I experienced tense discomfort in my upper sternum, which interrupted my sleep for the first time. - A constant feeling of mild lightheadedness, which I hesitate to categorize as true dizziness since I rarely approach fainting; I've experienced pre-syncope on a few occasions post-blood draws and once in school during gym class. Instead, it’s a sensation of weakness and unsteadiness, almost as if my body feels insubstantial—akin to physical brain fog. - Constant fatigue compounded by an elevated heart rate when I stand, often reaching 40-50 BPM but sometimes lower, leading me to question if I might have postural orthostatic tachycardia syndrome (POTS). - Instances of mild shortness of breath, which may correlate with exertion or arise unexpectedly. - The sensation of a tight throat or sinuses, which feels distinct from anxiety-induced "air hunger." I've monitored my blood oxygen levels, finding them mostly normal, occasionally dipping to 94% before returning to 95%. - Irregular thumping sensations in my chest, often felt over my normal heartbeat, with sporadic abdominal spasms and pressure in my head and ears. I don't experience visual disturbances, but I sometimes notice my peripheral vision darkening in low light and contend with mild sensitivity to light. - Occasional soreness in my legs, either bilaterally or unilaterally, which is minor. Initially, I dealt with a lot of ectopic beats, but they have nearly vanished since May. However, I still experience peculiar responses, such as my heart slowing unexpectedly when I feel it should be racing. Due to the heightened anxiety regarding my symptoms, I've become quite sedentary and unfit. Recently, after a minor illness marked by a low-grade fever, I attempted a 10-minute strength training session designed for seniors, which resulted in my heart rate spiking to around 170 bpm, peaking at approximately 190 bpm. In contrast, similar efforts not long ago had my average heart rate at around 140 bpm. For context, until high school, I was an active swimmer, though not highly accomplished, and while I maintained some level of physical activity, this shifted during my high school years and worsened after withdrawing from college due to anxiety-related issues. Most of my daily physical activity leads to at least some of the aforementioned symptoms, generally marked by a persistent sense of lightheadedness and weakness. My exercise routine is minimal, confined to brief walks a few times daily and minimal household activities like cooking and hygiene, which have recently become challenging. Just the other night, I spent half an hour packing for an upcoming move, which was far from enjoyable yet manageable. Ultimately, I’m uncertain about the underlying nature of my mild symptoms. However, considering their persistence and cumulative impact, I increasingly feel a disconnect from my usual self—limited in function, perpetually anxious, and struggling to discern what is purely physical versus what stems from psychological distress. The thought of being alone often triggers fear of an acute cardiovascular episode that could occur before help arrives, and with an impending move in less than three weeks, I’m especially apprehensive about the exertion required. I do not anticipate an online diagnosis but aim to gain a clearer understanding of what my symptoms may indicate. This insight will help me formulate better questions for my forthcoming visit with a new PCP while hopefully granting me some reassurance. Any feedback or advice would be greatly valued. Thank you for taking the time to read my situation.

AsthmaLupusInternal Medicine
Male25-34
22 minutes ago

Sudden Development of Forehead Ridges in an Adult: Seeking Advice

A 50-year-old woman reports experiencing persistent headaches characterized by a constant, dull ache on the right side of her head. These headaches have been present for the past six weeks and have been minimally disruptive, though they remain a consistent bother. Additionally, she has encountered episodes of dizziness that have led to three falls, coupled with a noticeable rise in fatigue levels. Recently, she has also observed the emergence of two vertical lines on her forehead, flanking the midline, which have become apparent to those around her and resemble indentations within the skin. This change in her appearance is concerning, particularly since she had no previous indications of a metopic ridge during her childhood; she has reviewed photos from that time and discussed her medical history with her parents to corroborate this. Her condition appears to be worsening as time progresses, prompting her primary care physician to order a CT scan, which took two weeks to arrange, but the results have yet to be received. In addition, she has an upcoming appointment with a neurologist in November to further investigate her headache symptoms. She is seeking thoughts or insights regarding her situation.

LupusCrohn's DiseaseThyroid Disorders
Male25-34
32 minutes ago

Unusual Vaginal Discharge with a Distinct Odor

At 18 years old, I am experiencing a concerning issue with my vaginal discharge. I’ve encountered this situation a few times prior, but I’ve never experienced such a significant amount. Every couple of hours, I notice this discharge in my underwear; its texture is reminiscent of skin and carries an egg-like scent. Previously, I've dealt with recurrent yeast infections, and while the consistency reminds me of that, the color seems unusual. I still have some Fluconazole on hand, which my physician prescribed during my last yeast infection, with instructions to use it if symptoms returned. Additionally, about a week ago, I made an impulsive decision to insert a brush handle, and just a few days later, this discharge appeared. My question is, could this indicate yet another yeast infection? I ensured that the brush was thoroughly cleaned before using it.

Crohn's DiseaseInternal MedicineRheumatology
Male25-34
42 minutes ago

Understanding Bowel Issues During Menstruation in Adolescents

For the past twelve years, I've been looking after my 14-year-old niece, who has recently begun experiencing her menstrual cycle. Initially, the first few weeks went by without any significant issues – she was a bit anxious, and I helped her gather supplies such as tampons and pads. However, things took a concerning turn when she started experiencing frequent accidents. This ranged from instances where she would announce that she had a particularly wet fart to times when she would lose control altogether. I’m seeking advice on how to address this situation and, more crucially, is this a normal occurrence during her period?

ArthritisCrohn's DiseaseRheumatology
Male25-34
1 hour ago

Did I Experience a Seizure?

I’m a 23-year-old woman, standing at 5’5” and weighing 120 pounds. I underwent a nephrectomy at just two months old due to a growth that was found while still in my mother’s womb. Before diving in, I want to make it clear that I fully recognize the riskiness of my actions, and I’ve taken it as a hard lesson learned that will not be repeated. This isn’t a complex medical mystery, nor am I seeking a formal diagnosis; I’m simply curious if what I experienced could have been a seizure. To provide some background, I can’t elaborate on the growth issue because my mother doesn’t recall the specifics, and my medical records are inaccessible. My remaining kidney, which I affectionately call Ol’ Faithful, has consistently performed well, though I am susceptible to urinary tract infections (UTIs). During my childhood, these infections were meticulously monitored, with annual checks on my kidney function. Fast forward to last year when I faced my first kidney infection: I woke up on Sunday, noticing familiar UTI symptoms: frequent urges to urinate, urgency, and burning sensations. This unpleasant scenario unfolded just a couple of days before my new health insurance became effective (coverage kicked in at 12:01 AM on Tuesday). Being new to the city without a primary care physician, I decided to hydrate and visit urgent care first thing on Tuesday morning to get started on antibiotics—a plan I thought was sound. However, as the day progressed, my condition deteriorated. I experienced excruciating back pain, assuming I had simply slept awkwardly. I also suffered from intense chills, which I initially dismissed as being caused by a draft. By nightfall, I began vomiting, and when I checked my temperature, it was at an alarming 103 degrees Fahrenheit. I realized I needed to act quickly; instead of waiting a whole day for urgent care, I opted to go to the ER right at 12:01 AM. I spent the intervening hours battling severe flank pain and nausea, using alternating ice packs and heavy blankets to cope, while relying on Tylenol. My temperature fluctuated between 103 and 101 degrees, and by the time midnight arrived, I could barely stand. What I recall vividly: I was feeling extremely cold and shivering, so I wrapped myself in every blanket available. Surprisingly, I thought I was attempting to induce a fever even though I was already measuring 102 degrees. In a moment of confusion, I took more Tylenol. The shivering intensified, prompting me to lie on my side surrounded by pillows. Despite recognizing that I couldn’t control the shaking of my legs and feet, fatigue began to take over. I drifted off to sleep without intending to, only awakening about 15 minutes later, bewildered by how I had fallen asleep during such unrest. The shivering had ceased, but every muscle ached, feeling as if I had just completed a marathon. Checking my thermometer revealed a temperature of 105.4 degrees. At this point, it was 3 AM, and now that I had insurance, I called an Uber to the hospital. It took an additional two days to stabilize my fever, but thankfully, Ol’ Faithful was unharmed, diagnosed only with pyelonephritis and a GFR of 129. Now, regarding my conversation with the hospital staff about my ice pack and warm blanket protocol: when I relayed the events from home, a nurse practitioner remarked, "Oh dear, you likely had a seizure." I brushed off her comment at the time, focusing instead on my request for warm blankets, but it now weighs on my mind: Did I actually have a seizure? Or did I merely faint? I believed febrile seizures only happened in infants. P.S. I acknowledge the mistake of waiting too long to seek medical attention; I assure you, it won't occur again. Two false positive blood cultures during my hospital stay certainly made an impression on me. And those rectal temperature checks? I thought those were only for babies, too!

LupusCrohn's DiseaseCOPD
Male25-34
2 hours ago