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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Nausea And Constipation Along With Terrible Mood Swings?

Hello, I am a 20 year old girl with a history of food allergies/intolerances, and was recently treated (currently) for Candida overgrowth. I was put on a relatively low sugar/carb diet and have been taking powdered Nystatin 3X a day. I was also just diagnosed with Hashimoto s thyroiditis. I eat completely grain, dairy, legume, and nightshade free, as well as low FODMAP. After the first few weeks of antifungal treatment (and the initial die-off period) I felt the best I ve felt in months! ....For about a week. This past week I ve steadily been getting worse again-- nausea and pain when eating, consitipation, and terrible mood swings. I m still on the nystatin and really haven t made any big changes in diet this past week, with the exception of eating slightly more coconut than usual. (Food allergies have been ruled out for these foods, as I ve been IgE and IgG tested for all that I m currently eating). I ve also started to notice huge amounts of white flakes in the stool I can pass. I have been to South Africa and Europe recently so my immediate (extreme) thought was a parasite... But perhaps the more likely cause is white flecks due to low bile production? Candida die off? Malabsorption of fats, etc? I suspect that the flecks may also just be flakes of coconut that I haven t digested. I have a doctor s appointment scheduled for 2 months from now, but is any of this concerning enough that I should go in sooner? And when I do.. What tests should I request?
Tue, 26 May 2020
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General & Family Physician 's  Response
Hi

Nausea and constipation could be due to the too many medications you are taking.Drink plenty of fluids and add more fibre in your diet.

White flakes in the stools may be due to malabsorption or undigested coconut in your diet.Avoid coconut for a few days and check your bowel function.

Probiotics can be taken thrice a day to improve your bowel health.You can follow these measures and also finish the antifungal treatment for better results.

Hope I have answered your query. Let me know if I can assist you further.

Regards
Dr.Saranya Ramadoss, General and Family Physician


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What Causes Nausea And Constipation Along With Terrible Mood Swings?

Hi Nausea and constipation could be due to the too many medications you are taking.Drink plenty of fluids and add more fibre in your diet. White flakes in the stools may be due to malabsorption or undigested coconut in your diet.Avoid coconut for a few days and check your bowel function. Probiotics can be taken thrice a day to improve your bowel health.You can follow these measures and also finish the antifungal treatment for better results. Hope I have answered your query. Let me know if I can assist you further. Regards Dr.Saranya Ramadoss, General and Family Physician