Should I see a doctor: Stomach problems

Whether it’s stomach cramping that wakes you up after an indulgent dinner, nausea hitting like waves after changing medications, or uncomfortable bowel movements that have you repeatedly rushing to the bathroom, digestive problems are some of the most relatable — and miserable — challenges in life.

Stomach pain and nausea come on a spectrum, and bowel habits vary from person to person. So, how can you tell when it’s simply short-term discomfort or something more serious?

What’s ‘normal’

Mild to moderate/annoying stomach discomfort is expected from time to time and can be affected by small changes to diet, exercise, medication or emotional well-being. Stress, prescription changes and migraines could also be culprits, among other causes.

Nausea and vomiting are coordinated in the brainstem, meaning an upset digestive system is only one of many possible triggers. Stress, prescription changes or migraines could be your source. These occurrences are typically short-lived, and you can recover on your own with fluids, rest and avoiding triggers.

Regardless of how well you follow a balanced lifestyle with adequate fiber, water and physical activity, bowel movement regularities vary by person. Anywhere from three a day to three a week — with no pain or worrisome consistency or color — are normal.

What’s ‘not normal’

The biggest indicators something could be wrong are gastrointestinal (GI) problems that persist for weeks, specifically four or more, or sudden changes.

About 30 percent of the world has irritable bowel syndrome (IBS), where mild to moderate benign symptoms become chronic and can come and go in response to triggers. A simple blood and stool sample evaluation by your primary care provider can determine if it’s IBS or something else.

Things to look out for that should send you to your provider more urgently:

• Changes in stool consistency or color (red, deep black or white)
• Severe pain
• Unintentional weight loss
• Difficulty swallowing
• Inability to perform daily tasks because of pain or nausea.

Caring for your condition

There are many over-the-counter options for digestive issues, some of which may also be prescribed for chronic conditions like IBS by your doctor or other health care provider. If you find you can’t make it through a day or week without medication, and you haven’t previously been evaluated, it’s time to see your provider.

Keep note of things that may be setting off your symptoms, such as foods/drinks, stressors or changes in physical activity levels. A balanced lifestyle is key to a balanced gut.

Medical review provided for this piece by Abby Klemme, PA-C, with MultiCare Rockwood Digestive Health Center.