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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Increasing Belly Size, Alternating Episodes Of Diarrhea And Constipation. What Could The Cause Be?

I am really worried that I might have a colon polyp , but doctors do not recommend the colonoscopy because I am just 27, especially my mum had it. They said IBS , I had a blood test today so I am waiting for results till friday which is in a 4 days, I know the colonoscopy is very unpleasent test but I want to get it done. I honestly dont feel happy like this every other day in average my belly is size of 6 months pregnant woman, cant even wear my clothes, sometimes is very paintfull, even if I did not eat, so I dont think it is from food, half of week I have bad diaorhea, and the rest of the week I can not go to toilet cause of constipation, I am not sure if it can be genetic , what would you suggest, thank you very much
Mon, 24 Jun 2013
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  User's Response
Hi, many thanks for the query!
Yes, your picture exactly fits in IBS (irritable bowel syndrome).
One of the most important causes of IBS is "psychological stress", so at present I can see the stress in your mind in the form of "worry if you have colon polyp" and its quite natural because of the trouble you are facing, so even if it is un-necessary, I would suggest you to get a colonoscopy done, not as a diagnostic tool but as a therapeutic tool to calm down your stress, once it is normal.
Rule out "Lactose intolerance"- most common differential diagnosis, coeliac disease, parasitic infestations.
Do stool microscopy & culture.
Treatment for IBS is aimed at reducing psychological stress, by meditation, yoga etc. avoid milk & milk products, eggs, if its lactose intolerance.
For belly size, its only EXERCISE that can help, dont decrease your diet for that as it will cause dietary deficiencies of various important nutrients.
Wish you a good health. Take care.
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Increasing Belly Size, Alternating Episodes Of Diarrhea And Constipation. What Could The Cause Be?

Hi, many thanks for the query! Yes, your picture exactly fits in IBS (irritable bowel syndrome). One of the most important causes of IBS is psychological stress , so at present I can see the stress in your mind in the form of worry if you have colon polyp and its quite natural because of the trouble you are facing, so even if it is un-necessary, I would suggest you to get a colonoscopy done, not as a diagnostic tool but as a therapeutic tool to calm down your stress, once it is normal. Rule out Lactose intolerance - most common differential diagnosis, coeliac disease, parasitic infestations. Do stool microscopy & culture. Treatment for IBS is aimed at reducing psychological stress, by meditation, yoga etc. avoid milk & milk products, eggs, if its lactose intolerance. For belly size, its only EXERCISE that can help, dont decrease your diet for that as it will cause dietary deficiencies of various important nutrients. Wish you a good health. Take care.