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Diabetic. Have recurring constipation. Feel nausea and smelly stools. Suffer extreme swelling and spasm pain. Remedy?

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Gastroenterologist
Practicing since : 1962
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I'm diabetic and have recurring constipation, dead animal smell , sometime ribbon shaped stools and find myself subconsciously overeating to push out stool. I have recurring episodes of being so constipated that I get sick with nausesa and pain leaving me to use suppository which temp. releaves nausea making me to feel all blocked up. My question is should I be concern there is a serious bowel problem or could it all be from overeating. Smelly stools started this past Nov...blocked bowel episodes started 3-4 years ago of which there is extreme swelling and spasm pain.
Posted Fri, 9 Aug 2013 in Digestion and Bowels
 
 
Answered by Dr. Charles S Narasi 2 hours later
Hello, XXXXX,
Thank you for contacting XXXXXXX with your question. You mention
that you have been diagnosed with IBS . I am sure the diagnosis
was made after excluding other conditions. You mention that the
problem has been worse for the past 3-4 years.
If your diabetes is well controlled with diet and medications the
complications are minimized. Diabetes can affect the nervous system,
kidney , eye , stomach and intestines . It may also be associated with
abnormal pancreas with deficiency in digestive enzymes. In that case
more often we see diarrhea with frothy , foamy stools that floats on
the surface of the toilet bowl water.
You do need to be on a high fiber diet and drink plenty of fluids.
You can take stool softener daily and also I suggest that you can try
a PEG solution (Polyethylene Glycol) according to instructions.
Most importantly , since you are over fifty years young , a colonoscopy
is a must , if you have not had one in at least five years.
I wish you the very best.
Above answer was peer-reviewed by
 
Follow-up: Diabetic. Have recurring constipation. Feel nausea and smelly stools. Suffer extreme swelling and spasm pain. Remedy? 32 hours later
My blood sugars are persistently high with last a1c being 9.5 . I am currently on metformin and glimpiride . Would this worsen intestinal problems?
 
 
Answered by Dr. Charles S Narasi 7 hours later
Hello, XXXXX,

Yes , It is absolutely necessary for you to keep your blood
sugar under control all the time , to prevent complications.
If the current combination is not working , please talk to
your doctor for alternative medications that are available.
Also , make sure to talk to a dietician regarding your
diet.
I wish you the very best.
Above answer was peer-reviewed by
 
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