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I am suffering from loose stools since last 6 months.

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Posted on Sun, 24 Mar 2019
Question: I am suffering from loose stools since last 6 months. Had MRI and ultrasound of abdomen and found fatty liver and pancreas. Endoscopy and Colonoscopy both are normal. TTG IGA normal. CRP normal. TB blood test normal. H Pylori positive on breath test. Took 1 week course as suggested by doctor. No blood in stool Fecal occult blood test negative.

Currently having the following problem

Loose stools some time watery diarrhea
Bloating
Sticky Volumnious and bad smelling stools
Extremely Fatigue
Nausea
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Follow up: Dr. Ramesh Kumar (0 minute later)
I am suffering from loose stools since last 6 months. Had MRI and ultrasound of abdomen and found fatty liver and pancreas. Endoscopy and Colonoscopy both are normal. TTG IGA normal. CRP normal. TB blood test normal. H Pylori positive on breath test. Took 1 week course as suggested by doctor. No blood in stool Fecal occult blood test negative.

Currently having the following problem

Loose stools some time watery diarrhea
Bloating
Sticky Volumnious and bad smelling stools
Extremely Fatigue
Nausea
doctor
Answered by Dr. Ramesh Kumar (1 hour later)
Brief Answer:
You are suffering from irritable bowel syndrome.

Detailed Answer:
Hello Dear patient,
Thanks for choosing "Ask a Doctor" service for your query.
Have gone through your details and i appreciate your concerns.
Most likely you are suffering from irritable bowel syndrome .
Firstly small briefing for Irritable bowel syndrome and why every patient is a unique case when we deal with IBS.
In IBS there is some problem in the functional ability of the gut that leads to the symptoms of irritable bowel syndrome. The structure of the intestines is normal, only functional abnormality occurs in this condition.So frankly speaking (IBS) represents a functional disorder of gastrointestinal tract without the presence of an anatomic defect.So [patient would be symptomatic but on doing tests every thing would be normal.

Recent studies by French scientists have indicated that the most important mechanisms include abnormal gut motility and autonomous nervous system(not controlled by brain) dysfunction. The interactions between these mechanisms make bowel's function susceptible to many exogenous and endogenous factors like gastrointestinal flora, feeding and psychosocial factors.

Further data indicate that according to the above mechanisms, the influence of genetic factors and polymorphisms of human DNA in the development of IBS is equally important.So this could be linked to genes also.

So in lay mans language till date we are not sure whats the exact cause of this problem.So the million dollar question is how to repair a system when you don't know which part of it is faulty(Some says it can be brain other says it can be hormone anxiety age etc etc).

Some patients have symptoms of unformed stools some have bloating nausea and some may have severe constipation. Some patients have occasional symptoms whereas others may have symptoms for a long period of time.So as seen above every patient is different.Intensity of symptoms in every patient is different as so is the response to medicines and life style change.A patient may respond good to one medication while other patient is totally unresponsive to the same.

As all other tests related to gastroenterology are normal you are a patient of IBS.

Our goal-
Every drug is not effective in every patient so we have to try different therapies till we find the drug which suits best our patient.All the below mentioned drugs slows down motility of intestines hence will decrease both frequency of motions as well as will increase your power to control them.


Dicyclomine is an anticholinergic drug.An anticholinergic agent is a substance that blocks the neurotransmitter acetylcholine in the central and the peripheral nervous system. Anticholinergics inhibit parasympathetic nerve impulses by selectively blocking the binding of the neurotransmitter acetylcholine to its receptor in nerve cells.

Mebeverine is an antispasmodic medicine and is very useful in IBS and is well tolerated by patient with minimal side effects. Mebeverine works on certain muscles in the wall of your intestines, causing them to relax.
Clidinium bromide is an anticholinergic (specifically a
It may help symptoms of frequent stools.

Chlordiazepoxide works by increasing the action of GABA, a chemical messenger which suppresses the abnormal and excessive activity of the nerve cells in the brain.Can be used in combination with above mentioned medicines.


Take home message in easy words-
Treatment is symptomatic.
Disease is controllable but not curable as per modern medicine.
Start taking,
Tab CIBIS(Clidinium, Chlordiazepoxide, Dicyclomine) thrice daily 8 hourly.
Take a probiotic like Econorm twice daily( this would improve good bacterias in your gut and would aid in digestion.
Tablet Zofran 4mg twice daily for initial 5 days to control nausea.
Isapghul husk 10 mg three times a dy to add bulk to stools.
Don't panic.
Its non fatal disease.
Remain calm.
Follow up on how you feel after 10 days!
Thank you,
Hope i was helpful,
Follow ups are welcome.

Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
doctor
Answered by Dr. Ramesh Kumar (0 minute later)
Brief Answer:
You are suffering from irritable bowel syndrome.

Detailed Answer:
Hello Dear patient,
Thanks for choosing "Ask a Doctor" service for your query.
Have gone through your details and i appreciate your concerns.
Most likely you are suffering from irritable bowel syndrome .
Firstly small briefing for Irritable bowel syndrome and why every patient is a unique case when we deal with IBS.
In IBS there is some problem in the functional ability of the gut that leads to the symptoms of irritable bowel syndrome. The structure of the intestines is normal, only functional abnormality occurs in this condition.So frankly speaking (IBS) represents a functional disorder of gastrointestinal tract without the presence of an anatomic defect.So [patient would be symptomatic but on doing tests every thing would be normal.

Recent studies by French scientists have indicated that the most important mechanisms include abnormal gut motility and autonomous nervous system(not controlled by brain) dysfunction. The interactions between these mechanisms make bowel's function susceptible to many exogenous and endogenous factors like gastrointestinal flora, feeding and psychosocial factors.

Further data indicate that according to the above mechanisms, the influence of genetic factors and polymorphisms of human DNA in the development of IBS is equally important.So this could be linked to genes also.

So in lay mans language till date we are not sure whats the exact cause of this problem.So the million dollar question is how to repair a system when you don't know which part of it is faulty(Some says it can be brain other says it can be hormone anxiety age etc etc).

Some patients have symptoms of unformed stools some have bloating nausea and some may have severe constipation. Some patients have occasional symptoms whereas others may have symptoms for a long period of time.So as seen above every patient is different.Intensity of symptoms in every patient is different as so is the response to medicines and life style change.A patient may respond good to one medication while other patient is totally unresponsive to the same.

As all other tests related to gastroenterology are normal you are a patient of IBS.

Our goal-
Every drug is not effective in every patient so we have to try different therapies till we find the drug which suits best our patient.All the below mentioned drugs slows down motility of intestines hence will decrease both frequency of motions as well as will increase your power to control them.


Dicyclomine is an anticholinergic drug.An anticholinergic agent is a substance that blocks the neurotransmitter acetylcholine in the central and the peripheral nervous system. Anticholinergics inhibit parasympathetic nerve impulses by selectively blocking the binding of the neurotransmitter acetylcholine to its receptor in nerve cells.

Mebeverine is an antispasmodic medicine and is very useful in IBS and is well tolerated by patient with minimal side effects. Mebeverine works on certain muscles in the wall of your intestines, causing them to relax.
Clidinium bromide is an anticholinergic (specifically a
It may help symptoms of frequent stools.

Chlordiazepoxide works by increasing the action of GABA, a chemical messenger which suppresses the abnormal and excessive activity of the nerve cells in the brain.Can be used in combination with above mentioned medicines.


Take home message in easy words-
Treatment is symptomatic.
Disease is controllable but not curable as per modern medicine.
Start taking,
Tab CIBIS(Clidinium, Chlordiazepoxide, Dicyclomine) thrice daily 8 hourly.
Take a probiotic like Econorm twice daily( this would improve good bacterias in your gut and would aid in digestion.
Tablet Zofran 4mg twice daily for initial 5 days to control nausea.
Isapghul husk 10 mg three times a dy to add bulk to stools.
Don't panic.
Its non fatal disease.
Remain calm.
Follow up on how you feel after 10 days!
Thank you,
Hope i was helpful,
Follow ups are welcome.

Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
Answered by
Dr.
Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2445 Questions

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I am suffering from loose stools since last 6 months.

I am suffering from loose stools since last 6 months. Had MRI and ultrasound of abdomen and found fatty liver and pancreas. Endoscopy and Colonoscopy both are normal. TTG IGA normal. CRP normal. TB blood test normal. H Pylori positive on breath test. Took 1 week course as suggested by doctor. No blood in stool Fecal occult blood test negative. Currently having the following problem Loose stools some time watery diarrhea Bloating Sticky Volumnious and bad smelling stools Extremely Fatigue Nausea