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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes IBS With Alternating Constipation And Diarrhea?

I have IBS with alternating constipation and diarrhea always with severe spasms. Im in the constipation phase for past few years but every 3/4 days I get have painful bm which is liquid and smells like burnt hair. I have severe cramps sweating nausea etc. Im tsking linzess to try to help and have hysycomine under tongue for spasms. I have had problens with LUQ pain and severe bloating for past 9 mos had gallbladder removed 2/2014 but that only helped my crp level and attacks.. still have LUQ pain and bloating & IBS W/ c symptoms also have redundant colon, gerd, hiatal hernia, & bile reflux internal & external hemorrhoids. Have had 2 c sections 1 abd sx & adenomonous polyps. repeated times since age 28. Im 43. What causes burnin smell & should I be concerned? Im tired of being sick.
Wed, 14 Sep 2016
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General Surgeon,  's  Response
Hi.
Thanks for your query.
Noted the history about your IBS with constipation going on at the moment, gets painful BM with liquids and smells like burnt hair with cramps,, sweating and nausea after 3- 4 days of constipation. Taking Linzess, Hyoscyamine sublingual. Also have pain in left upper quadrant, bloating for the last 9 months, and have redundant colon, GERD, bile reflux, hemorrhoids and hiatal hernia in addition to the abdominal surgery, adenomatous polyps and 2 caeserian sections. You are having the problems since the age of 28 and now you are 43...
The causes of IBS, the irritable bowel syndrome are related to basically the anxiety and /or stress or any other psychological condition which you have to get evaluation by a Psychiatrist
There are then additional causes in the form of intolerance to certain foods, beverages, conditioning of the situations and so on.
You have to make a list of the foods and such things that either instigate or enhance your problems. And avoid then strictly to have better life.
Tests of stool, if indicate the infection it is worthwhile taking a course of an antibiotic, metronidazole.
Take probiotics and multivitamins in therapeutic dosages after appropriate tests of blood.
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What Causes IBS With Alternating Constipation And Diarrhea?

Hi. Thanks for your query. Noted the history about your IBS with constipation going on at the moment, gets painful BM with liquids and smells like burnt hair with cramps,, sweating and nausea after 3- 4 days of constipation. Taking Linzess, Hyoscyamine sublingual. Also have pain in left upper quadrant, bloating for the last 9 months, and have redundant colon, GERD, bile reflux, hemorrhoids and hiatal hernia in addition to the abdominal surgery, adenomatous polyps and 2 caeserian sections. You are having the problems since the age of 28 and now you are 43... The causes of IBS, the irritable bowel syndrome are related to basically the anxiety and /or stress or any other psychological condition which you have to get evaluation by a Psychiatrist There are then additional causes in the form of intolerance to certain foods, beverages, conditioning of the situations and so on. You have to make a list of the foods and such things that either instigate or enhance your problems. And avoid then strictly to have better life. Tests of stool, if indicate the infection it is worthwhile taking a course of an antibiotic, metronidazole. Take probiotics and multivitamins in therapeutic dosages after appropriate tests of blood.