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I Have Gerd And Diarrhea. I Have Been Scoped Bith

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Posted on Thu, 23 Jun 2022
Question: I have Gerd and diarrhea. I have been scoped bith directions: no ulcers, barretts esoph (phew) nor cancer (yay) no nothing. Even my hiatal hernia has resolved somegime between my 2nd two last scopes. That said I am losing my voice still. At first it was episodic, only lasting a few days at a time. This time, however, I have lost my voice for 5 weeks. I take ppi and h2 blocker twice a day each and sleep almost upright. It helped for a couple days, but I am now waking with burning and pain in my uppper GI area. I have lost 17 pounds since late August, in spite if earing well. My docs do not seem worried, but I am having watery stools and have to keep changes of undergarments in my locker at work. I am exhausted all the time, when I used to have so much energy. I am a critical care nurse, and have literally left the bedside because I had an accident. I take immodium daily now, when 6 weeks ago I was able to slow it to a controlled chaos with immodium only every 2-3 days. I sometimes see undigested food in my stool, and pills. I am at my wits end because I feel like the antacids are causing malabsortion issues, but cannot control the reflux without them I am seeing things from my perspective, and feel I have boxed my understanding in by becoming too vapor locked on one perspective. Are you anle to give me some suggestions?
Other health history includes: sleep apmea qith cpap , chronic iritis (causing 3 months of blindness 13 years ago after a slight trauma to an eye) , early menopause, benign lumpectomy from breast, and htn contolled with irbesartan. I'm on HRT estradiol and iral progesterone with an IUD for progesterone to the lining of uterus to stabilize it (i was building many polyps and bleeding a lot after being post menopausal.)
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Follow up: Dr. Dr.P.Ratnakar Kini (8 minutes later)
Could not get the app to allow list if meds, but they are pepcid, prilosec, immodium, estradiol, progesterone, modafanil, as well as vitamin supplements, and sometimes fiber to bulk up the stool. I also take a greens supplement with my morning protein shake to help replace the good stuff im not absorbing
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Follow up: Dr. Dr.P.Ratnakar Kini (7 minutes later)
Also I have a blocked submandibular salivary gland that in 2001 became plugged and expressed multicolored stuff into my mouth when expressed, not just feels like a hard flat disk most of the time but sometimes becomes large, painful, burning and "crawling" like i have a bag of ants in there. Per CT no stones, no tumor, "nothing wrong.
My sisters have hashimotos, one had medullary? ca i believe it was, fought it twice. My mom and sis both lose voices peridically but not like this
doctor
Answered by Dr. Dr.P.Ratnakar Kini (10 hours later)
Brief Answer:
Need more information

Detailed Answer:
Hi.
Thanks for posting your query.
I am Dr.R.K and I am pleased to assist you.

I would like to have the following information before I can give my opinion.

1. Was 24 hours pH monitoring test done?
2. Was test for H.pylori infection done?
3. Are you gluten intolerant? Tests to rule out Celiac disease done?
4. Was stool calprotectin test done.

Kindly upload all the test results.
Regards,
Dr.R.K.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Dr.P.Ratnakar Kini (14 hours later)
I had negective celiac biopsy in 2001, have had specimens of stool tested several times through the last 20 years, not sure about ph testing. How is that performed?
doctor
Answered by Dr. Dr.P.Ratnakar Kini (19 hours later)
Brief Answer:
Answer given below

Detailed Answer:
Hi,
In the conventional method, a catheter is passed through the nose and fixed and it records the episodes of reflux.
There are other methods like "Bravo" in which a capsule is fixed to the lower part of the esophagus which records the episodes of reflux and sends signals to an external receiver and the data is analyzed.

Stool calprotectin is done to see whether any inflammatory process is going on in the bowel.
Regards,
Dr.R.K.
Note: For further queries related to kidney problems Click here.

Above answer was peer-reviewed by : Dr. Dr. Yogesh D
doctor
Answered by
Dr.
Dr. Dr.P.Ratnakar Kini

Gastroenterologist

Practicing since :1994

Answered : 2215 Questions

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I Have Gerd And Diarrhea. I Have Been Scoped Bith

Could not get the app to allow list if meds, but they are pepcid, prilosec, immodium, estradiol, progesterone, modafanil, as well as vitamin supplements, and sometimes fiber to bulk up the stool. I also take a greens supplement with my morning protein shake to help replace the good stuff im not absorbing