What causes intestinal cramps and diarrhea?

Mar 26, 2025 Source: Cainiu Health
Dr. Shen Yonghua
Introduction
Gastrointestinal refers to the stomach and intestines, and diarrhea refers to loose, watery stools. Under normal circumstances, abdominal cramps accompanied by diarrhea may be caused by factors such as a chilled abdomen, improper diet, food poisoning, acute gastroenteritis, or irritable bowel syndrome. Symptomatic management usually involves general treatment and medication. If symptoms are severe, it is recommended to seek timely medical evaluation and undergo targeted treatment.

  Gastrointestinal refers to the stomach and intestines, and diarrhea refers to loose, watery stools. Generally, gastrointestinal cramps and diarrhea may be caused by factors such as abdominal cold exposure, improper diet, food poisoning, acute gastroenteritis, or irritable bowel syndrome. Symptomatic management usually involves general treatments and medications. If symptoms are severe, timely medical consultation and examination are recommended for targeted treatment. Detailed explanations are as follows:

  

  1. Abdominal Cold Exposure

  After abdominal cold exposure, gastrointestinal motility becomes disordered, blood vessels constrict, and normal digestive function is impaired. The intestinal smooth muscle may spasm under cold stimulation, causing gastrointestinal cramps, while intestinal dysfunction can also lead to diarrhea. Symptoms may include a feeling of coldness in the abdomen and chills. It is recommended to keep the abdomen warm, apply a hot water bottle to the abdomen, drink plenty of warm water, and avoid further cold exposure.

  2. Improper Diet

  Consuming excessive spicy, greasy, or cold foods or overeating can irritate the gastrointestinal tract, causing gastrointestinal cramps and diarrhea, possibly accompanied by nausea, vomiting, and stomach discomfort. It is recommended to adjust the diet, avoid irritant foods, and switch to bland, easily digestible foods such as congee and noodles to allow the gastrointestinal tract to rest.

  3. Food Poisoning

  Consuming food contaminated by bacteria, viruses, or toxins can cause strong gastrointestinal reactions due to the toxins acting on the gastrointestinal tract, manifesting as severe abdominal pain and diarrhea. Symptoms often include nausea, vomiting, and fever. Consumption of the suspected food should be stopped immediately, and medications such as amoxicillin-clavulanate tablets, domperidone tablets, and oral rehydration salts should be taken as directed by a physician to alleviate symptoms.

  4. Acute Gastroenteritis

  Consumption of unclean or cold food can allow bacteria or viruses to invade the intestines, causing inflammatory reactions and toxin release, leading to gastrointestinal cramps and diarrhea. Symptoms may include nausea, vomiting, fever, and dehydration. It is recommended to follow a physician's guidance in using medications such as smectite powder, amoxicillin capsules, and levofloxacin hydrochloride capsules, while also replenishing fluids and electrolytes to prevent dehydration.

  5. Irritable Bowel Syndrome

  Irritable bowel syndrome is a functional intestinal disorder that may be related to abnormal intestinal motility, visceral hypersensitivity, and psychological factors. It manifests as recurrent abdominal pain and changes in bowel habits. Patients may also experience constipation and abdominal bloating. It is recommended to use medications such as pinaverium bromide tablets, loperamide capsules, and sertraline tablets under a physician's guidance to alleviate symptoms.

  During treatment, it is recommended to maintain a bland diet and avoid spicy or irritating foods to promote recovery.

  References

  [1] Wang Qian. Can You Recognize the Signs of Irritable Bowel Syndrome? [J]. Friends of Science, 2024, (09): 32-33.

  [2] Hong Liecheng, Chen Lihua, Chen Yixiong, et al. An Outbreak Investigation of Acute Gastroenteritis at a School [J]. Acta Academiae Medicinae Zunyi, 2024, 47(12): 1229-1234.