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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Diarrhea And Abdominal Pain?

Dx w ulcerative colitis since 2000 w few flares of mouth ulcers and joint swelling ( I am aware that this is more indicative od Chrohns) In May started having diarrhea yellow in color immediately after eating ( within 10-15 minute) colonoscopy negative , previously showed microscopic colitis . Ultrasound of gallbladder ,Hida scan and .CT of abdomen with and without po and IV contrast negative . Still having diarrhea , abdominal pain. Ejection fraction of HIDA scan was 99% . What are symptoms of elevated EJ. Fraction and is cholecystectomy indicated . Can find very little info on this either on the internet or med library (I m surgical rn
Thu, 30 Jun 2016
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General Surgeon 's  Response
Hi.
Thanks for your query.
Noted the history of chronic diarrhea and almost all the investigations being normal except microscopic colitis and ejection fraction of HIDA scan at 99%.
I would advise you the following in such a situation.
Since all the investigations are within normal limits this can be due to IBS meaning irritable bowel syndrome.
Consult a Gastroenterologist and get started on the basis of IBS and you may get well.
Keep a track of the foods and beverages and the factors that instigate or enhance your problems and stop them altogether.
No stress and/or anxiety as these too increase your problem.
Change of lifestyle helps a lot.
See the difference after these changes and continue if these work well for you.
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What Causes Diarrhea And Abdominal Pain?

Hi. Thanks for your query. Noted the history of chronic diarrhea and almost all the investigations being normal except microscopic colitis and ejection fraction of HIDA scan at 99%. I would advise you the following in such a situation. Since all the investigations are within normal limits this can be due to IBS meaning irritable bowel syndrome. Consult a Gastroenterologist and get started on the basis of IBS and you may get well. Keep a track of the foods and beverages and the factors that instigate or enhance your problems and stop them altogether. No stress and/or anxiety as these too increase your problem. Change of lifestyle helps a lot. See the difference after these changes and continue if these work well for you.