question-icon

Suggest treatment for chronic diarrhea

default
Posted on Wed, 24 May 2017
Question: I've been having diarrhea or loose stools for several months, feel fatigued, and feel that it is getting worse. I went for a physical last week and my doctor said I have a high count of red blood cells in my urine (this results was a week before my period). I have my period now so I have to wait until next week to submit another urine sample. I have been taking Nasacort daily for a while and am considering stopping it today in case what I am experiencing has something to do with the medication. Besides going in for another urine sample, what are your suggestions? I am concerned this may be a major problem. Thank you!
doctor
Answered by Dr. Ramesh Kumar (1 hour later)
Brief Answer:
Irritable bowel disease can be cause of chronic loose motions and diarrhoea while uti may be causing hematuria.

Detailed Answer:
Hello Dear,
Thanks for choosing HealthcareMagic for your query.
Have gone through your details and i appreciate your concern.

As per your history and symptoms most likely you are suffering from irritable bowel syndrome.Irritable bowel syndrome is a rather common intestinal tract disease which is characterized by stomach gas, diarrhea or constipation for months. It is a chronic condition whose exact cause, although unknown, is sometimes attributed to the dysfunctional production of the neurotransmitter, dopamine.Initially i would suggest you to go for stool microscopy test.If the test is negative for bacteria or protozoa(gastroenteritis chronic) then it is irritable bowel disease.

Suggestions are
Start taking a probiotic(VSL#3) twice daily,Probiotics contains lactobacillus. These are good bacteria's help in proper digestion of food and will help to revive your depleted gastric flora.Gut flora is the complex community of microorganisms that live in the digestive tracts of humans. The intestinal microflora is a complex ecosystem containing over 400 bacterial species. Anaerobes outnumber facultative anaerobes. The flora is sparse in the stomach and upper intestine, but luxuriant in the lower bowel. Conditions like IBS destroys this microflora of gut and lead to various problems with digestive system including belching, bloating and increased gas and mucous formation unformed stools etc.Probiotic mechanisms of action include enhancement of the epithelial barrier, increased adhesion to intestinal mucosa, and concomitant inhibition of pathogen adhesion production of anti-microorganism substances and modulation of the immune system.In LAY MANS language it contain a lot of bacteria's which forms a part of normal gut flora,Hence it substitutes the flora lost during a pathological condition and improve digestion.In the same way Prebiotics are undigestible food ingredients that beneficially affect the host by selectively stimulating the growth of a limited number of bacteria in the colon, thus improving digestion.Again the work is same to stimulate the growth of the bacteria's in gut flora.Hence overall both of them help restoring the lost gut flora and helps in digestion. They are definitely very good for patients with irritable bowel syndrome in long runs.
Take Fybogel husk-Fybogel sachets and Fybogel Hi-Fibre or Metamucil sachets both contain the active ingredient ispaghula husk.It will improve your bowel habits.It will help forming bulky stools.Initially soak it for 20 minutes in XXXXXXX warm water.

Some general measures which will help you more are
- Increase XXXXXXX warm water intake
- Eat plentiful "fresh oranges" and "pear "
- Do some exercise everyday as per your capacity try to take a 20 minute walk.
- Don't worry too much.
-Take a diet which is low in Fat.
-Add lot of vegetables and fruits to your diet.
-Fruit juices should be taken along with fibers.
-Take small amount of food every 2 hours,Don't take large meals at one time, Eat small meals ,Avoid eating outside for few days ,Try to eat vegetable,Take a lot of yoghurt along with food.
-Take two tea spoon isphagula husk(husk fiber) with 200 to 300mL XXXXXXX warm water once while going to bed every day.Don't take excess husk as too much of anything is good for nothing.
- Avoid COLD milk and and AVOID junk food(NO burger , pizza-even if its veg.)
- Avoid beverages / alcohol/ soft drinks
- Do some exercise (push-ups / squats etc) early in the morning
- Avoid carbonated drinks
- Take 2-3 spoon edible virgin olive oil in the morning.


Secondly the blood in urine is most likely because of urinary tract infection.A high count of red blood cells in the urine can indicate infection, trauma, tumors, or kidney stones. If red blood cells seen under microscopy look distorted, they suggest kidney as the possible source and may arise due to kidney inflammation (glomerulonephritis). An ultrasonogram should be done initially ( to rule out kidney stone or a tumor in the urinary tract (kidneys, ureters, urinary bladder, prostate, and urethra), along with urine microscopic test.

Follow up with reports.
Hope i answered your query well.


Regards.
Above answer was peer-reviewed by : Dr. Kampana
doctor
Answered by
Dr.
Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2757 Questions

premium_optimized

The User accepted the expert's answer

Share on
Suggest treatment for chronic diarrhea

Brief Answer: Irritable bowel disease can be cause of chronic loose motions and diarrhoea while uti may be causing hematuria. Detailed Answer: Hello Dear, Thanks for choosing HealthcareMagic for your query. Have gone through your details and i appreciate your concern. As per your history and symptoms most likely you are suffering from irritable bowel syndrome.Irritable bowel syndrome is a rather common intestinal tract disease which is characterized by stomach gas, diarrhea or constipation for months. It is a chronic condition whose exact cause, although unknown, is sometimes attributed to the dysfunctional production of the neurotransmitter, dopamine.Initially i would suggest you to go for stool microscopy test.If the test is negative for bacteria or protozoa(gastroenteritis chronic) then it is irritable bowel disease. Suggestions are Start taking a probiotic(VSL#3) twice daily,Probiotics contains lactobacillus. These are good bacteria's help in proper digestion of food and will help to revive your depleted gastric flora.Gut flora is the complex community of microorganisms that live in the digestive tracts of humans. The intestinal microflora is a complex ecosystem containing over 400 bacterial species. Anaerobes outnumber facultative anaerobes. The flora is sparse in the stomach and upper intestine, but luxuriant in the lower bowel. Conditions like IBS destroys this microflora of gut and lead to various problems with digestive system including belching, bloating and increased gas and mucous formation unformed stools etc.Probiotic mechanisms of action include enhancement of the epithelial barrier, increased adhesion to intestinal mucosa, and concomitant inhibition of pathogen adhesion production of anti-microorganism substances and modulation of the immune system.In LAY MANS language it contain a lot of bacteria's which forms a part of normal gut flora,Hence it substitutes the flora lost during a pathological condition and improve digestion.In the same way Prebiotics are undigestible food ingredients that beneficially affect the host by selectively stimulating the growth of a limited number of bacteria in the colon, thus improving digestion.Again the work is same to stimulate the growth of the bacteria's in gut flora.Hence overall both of them help restoring the lost gut flora and helps in digestion. They are definitely very good for patients with irritable bowel syndrome in long runs. Take Fybogel husk-Fybogel sachets and Fybogel Hi-Fibre or Metamucil sachets both contain the active ingredient ispaghula husk.It will improve your bowel habits.It will help forming bulky stools.Initially soak it for 20 minutes in XXXXXXX warm water. Some general measures which will help you more are - Increase XXXXXXX warm water intake - Eat plentiful "fresh oranges" and "pear " - Do some exercise everyday as per your capacity try to take a 20 minute walk. - Don't worry too much. -Take a diet which is low in Fat. -Add lot of vegetables and fruits to your diet. -Fruit juices should be taken along with fibers. -Take small amount of food every 2 hours,Don't take large meals at one time, Eat small meals ,Avoid eating outside for few days ,Try to eat vegetable,Take a lot of yoghurt along with food. -Take two tea spoon isphagula husk(husk fiber) with 200 to 300mL XXXXXXX warm water once while going to bed every day.Don't take excess husk as too much of anything is good for nothing. - Avoid COLD milk and and AVOID junk food(NO burger , pizza-even if its veg.) - Avoid beverages / alcohol/ soft drinks - Do some exercise (push-ups / squats etc) early in the morning - Avoid carbonated drinks - Take 2-3 spoon edible virgin olive oil in the morning. Secondly the blood in urine is most likely because of urinary tract infection.A high count of red blood cells in the urine can indicate infection, trauma, tumors, or kidney stones. If red blood cells seen under microscopy look distorted, they suggest kidney as the possible source and may arise due to kidney inflammation (glomerulonephritis). An ultrasonogram should be done initially ( to rule out kidney stone or a tumor in the urinary tract (kidneys, ureters, urinary bladder, prostate, and urethra), along with urine microscopic test. Follow up with reports. Hope i answered your query well. Regards.