Suggest treatment for chronic diarrhea

default
Posted on Wed, 22 Mar 2017 in Digestion and Bowels
Question: I have had sporadic problems with diarrhea for years. About two months ago, I had an episode of food poisoning from eating contaminated mixed nuts. Since then, I have had frequent, repeated bouts of explosive diarrhea. I also feel like my immune system is run down. I currently have a second cold since the food poisoning episode. I eat a very healthy diet, with lots of fresh fruits and vegetables; I get a lot of exercise, as a professional horse trainer, and am not overweight. What can I do to get rid of the diarrhea and build up my immune system?
doctor
Answered by Dr. Saddiq Ulabidin 1 hour later
Brief Answer:
You need to have work up for chronic diarrhea, colonoscopy and stool RE

Detailed Answer:
Hi! Welcome to HealthcareMagic! Thanks for sharing your concerns with us. We will try to help you in best way possible. First of all, it is sad to know what you had gone through.

Based on the history you have shared, you need to have work up for causes of chronic diarrhea and to start with stool routine examination, microscopy and cultures with clostridium Difficile serology would be right approach to start with.

Basic blood work up alongwith autoimmune causes specially with blood counts, and ESR as well as CRP should also be done. Thyroid profile, sugar levels and other endocrine causes which may present with such symptoms like carcinoid should also be considered.

Sometimes the fruits and vegetables that you have mentioned, their seeds trigger the bowel movements as usually these can act as gastric irritants. Though it's late presentation for coeliac disease still lactulose and gluten allergies need to be worked up.

If the symptoms persist, colonoscopy may also be considered late during the work up if non invasive methods fail to narrow down the cause. Using probiotics, anti motility agents like drotaverine or loperamide alongwith antibiotics like metronidazole may be needed.

Meanhwile keep replacing the lost water and electrolytes with Oral rehydration salts alongwith soft diets. Wishing you a speedy recovery.

Hope this has answered your query, if you have any more questions, feel free to ask. Regards.
Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. Saddiq Ulabidin

General & Family Physician

Practicing since :2011

Answered : 3030 Questions

premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,  
Drug/Medication
Medical Procedures
Medical Topics ,  

Recent questions on  Lactulose

doctor1 MD

Hi my daughter is 14 months old and she has developed anal fissure for which the doctor prescriped a laxative as well as duphalac for avoiding...

doctor1 MD

I am a 36 years old female with more than ten years history of chronic bloating and chronic constipation . Different tests showed no abnormalities...

doctor1 MD

i have a constipation and gas problem from 4 years . the gas doesnt pass from my stomach the whole day . last year in march i consult many doctors...

doctor1 MD

hello dr my chilld having chronic constipation since 5 months female child 18 month giving all kind of allopathic drugs ,like creamaffin lactulose...

doctor1 MD

My daughter is 3 years 8 months old. She doesn't pass motion regularly for last 7 months . We have been visiting doctors but situation is not...

doctor1 MD

I am a 49 yo female. I have had external hemorrhoids in the distant past. I pass a large (long), snakey, formed stool daily. The terminal part of...

doctor1 MD

The symptoms are for a 62 year old woman who is hypothyroid, takes 25 micrograms of tirosint and also takes 290 micrograms of Linzess for IBS . She...

Get personalised answers from verified doctor in minutes across 80+ specialties

152 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
backtotop2