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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffer From Diarrhea, Mucus In Stool. Scan Report Showing Restriction At Splenic Fixture. Nausea And Weight Loss

I am currently in the long process of figuring out what's wrong with me. On 10/27/12 I was normal. On 10/28/12 I changed. Diarrhea for 2 weeks prompted a dr. visit. Tested for bacteria, parasites. Negative. CR Scan showed restriction at splenic flexure and dilation on the other side. Barium enema normal. Excess mucus with stool and flatulation. Normal sigmoid and colonoscopy. Pain at flexure. Can't pass gas unless on all fours. Running makes it worse. Can't eat big meals. Sometimes nauseous. Lost 17 pounds total. HELP!!
Mon, 17 Jun 2013
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General & Family Physician 's  Response
Hello,
On going through your complaints you may be suffering from
1) Splenic flexure syndrome
2) Irritable bowel Syndrome (IBS)
Both have symptoms, similar to the symptoms you have. The etiology could not be located or could not found at all.
3) Celiac disease - Almost same symptoms - it is an autoimmune disease - specific serological test for antibobody is available.
As all imaging tests are negative, except the CT scan, barium meal, sigmoid and Colonoscopy
The serological test can be done, along with
1) Stool culture and sensitivity - to rule out infection
2) Full blood examination, Liver function tests, Erythrocyte sedimentation rate
3) USG abdomen - to rule out gall stones and Biliary tract disease (it is already excluded by CT abdomen)
4) Endoscopy and sometime Biopsies from the jejunum
5) Lactose intolerance - by Hydrogen breath testing
6) Estimation of calcium and vitamins especially Vitamin "D" for mal-absorption
Treatment is according to the possible diagnosis.
Mainly after consultation with a dietition - A balanced diet TOTALLY Gluten free and substituting the deficiency of iron and vitamines.
Best wishes
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Suffer From Diarrhea, Mucus In Stool. Scan Report Showing Restriction At Splenic Fixture. Nausea And Weight Loss

Hello, On going through your complaints you may be suffering from 1) Splenic flexure syndrome 2) Irritable bowel Syndrome (IBS) Both have symptoms, similar to the symptoms you have. The etiology could not be located or could not found at all. 3) Celiac disease - Almost same symptoms - it is an autoimmune disease - specific serological test for antibobody is available. As all imaging tests are negative, except the CT scan, barium meal, sigmoid and Colonoscopy The serological test can be done, along with 1) Stool culture and sensitivity - to rule out infection 2) Full blood examination, Liver function tests, Erythrocyte sedimentation rate 3) USG abdomen - to rule out gall stones and Biliary tract disease (it is already excluded by CT abdomen) 4) Endoscopy and sometime Biopsies from the jejunum 5) Lactose intolerance - by Hydrogen breath testing 6) Estimation of calcium and vitamins especially Vitamin D for mal-absorption Treatment is according to the possible diagnosis. Mainly after consultation with a dietition - A balanced diet TOTALLY Gluten free and substituting the deficiency of iron and vitamines. Best wishes