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Suggest treatment for severe diarrhea while experiencing anxiety and depression

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Posted on Wed, 28 Sep 2016
Question: Hello doctor !

I am trying to cover everything in absolute details because I am at my wit’s end . So please bear with me and go through everything before you can come to a conclusion as I feel that everything is important here .

BAGROUND….

I am 24 years old male . No family history of crohns , ulcerative colitis or colon cancer . No history of cancer even . Only 2 distant relatives who had tongue and throat cancer , both have been cured and are in their 80s today . However , my father had his gallbladder removed for stone at a young age and my uncle dies of organ failure .

I don’t have a sexual partner and I have no kind of addiction .

From my school days , I have never had a perfect schedule for my BMs nor my sleep(which is usually very very late and even early morning) . Many times it has happened that I went in the morning but nothing happened and then when I am outside , I feel urgency . But it was once a day only and I never bothered . The urgency often came with anxiousness and tension .

I have been on the skinnier side and have very very fast metabolism . So I started going to the gym and taking supplements like BCAA(only once) , whey protein(several times) and creatine (only once). Eggs and chicken and milk 95% of the days . Also all kinds of junk foods .

After graduating , I had to pursue higher education and had morning classes . So I did not have any choice . I made a bad choice of consuming o2 everytime I had bowel urgency in classes (as I could not do my business in the morning). The whole gym supplements and o2(on and of) continued for 3 years or a little bit more . At this point it was 2015 XXXXXXX .

INITIATION OF MY SYMPTOMS ….

In september 2015 , I had biriyani in empty stomach from a roadside stall . I had severe burning mushy stools 3 -4 times in the following days . o2 didn’t help at all as it did before . I called my GP , he gave another antibiotic ( I am forgetting the name) and a probiotic gut ok . I was fine . Much better . However just following that , everytime I had roadside junk food , I felt burning discomfort but not diarrhea . However if I had diarrhea , it was only once and it’d resolve in the next day only. That didn’t stop me from continuing with supplements and my diet and junk foods . I didn’t feel bad after the biriyani incident from mid September to December 31st .

I had a whole lot of garbage in the name of sea food risotto that night and from the following day (1st January 2016 ) , I started having unformed mushy stool 2 or 3 times a day everyday . Several times , it had undigested food particles from the dinner I had last night . It was severe burning urgency . No pain though .

My GP was out of station and I had my exam in XXXXXXX so I went to a gastroenterologist . I had blood test for SGPT and FBS . I had stool routine and stool FOBT . Normal results .

I was given albendazole , normaxin/librax , providac , ambizyme . I went off all kinds of food . I could not digest anything except oats , green tea , banana , rice , fish and dal . I was told that I had IBS . I then went to my GP who said that I had IBS too . However he replaced providac with gut ok . Gut ok gave me some relief .

SYMPTOMS FROM 1st XXXXXXX TO MID APRIL ….

Mushy/loose stool 2-3 time everyday

Sometimes undigested food particles

Tension or anxiousness (due to health and exam pressure) made urgency worse

Waking up with severe burning sensations followed by diarrhea . However , gut ok relieved the sensations .

No pain . But pain in the right colon area from bottom to below ribcage ONLY IF PRESSED . Doctor told me not to press and not to worry . But I made it worse by pressing and I had that pain both before and after my BM . But interestingly , the pain was sometimes there and sometimes not there at all no matter how hard I pressed .

………..

I had an USG and they found out that I have grade 1 fatty liver ( I am not a chronic drinker). 10 days of pan L stopped the burning urgency .

I started reading on the internet . I started taking l glutamine , calcium and vitamin d . I found immediate relief as in my stool was formed again from mid april but still had problems 2-3 days a week .

I had my exam on XXXXXXX 4th and it went well . I felt a relief in the body and mind . My body weight was 82 when symptoms began as I was at the peak of my bodybuilding . But then for 6 months I survived on 3-4 meals per day that had oats rice green tea and fish . My weight dropped to 70 kgs .

I started having normal food (only homemade ) and maybe chips and pastries to see if I could tolerate . The whole month of XXXXXXX , I had NO SYMPTOMS . I WAS ABSOLUTELY FINE . FOR A MONTH . WITHOUT ANY MEDICINE OR ANYTHING . But then I had bread and then mid night , I had severe burning again followed by mushy stool . A lot . The next day , a little formed . The next day , normal . But discomfort . I started exercising . I gained back 8 kgs of weight in no time . I have absolutely normal looking brown stool once or twice a day for 7to 8 days but the 9th day , normal stool followed by loose clay type stool with burning urgency the 2nd time . I noticed it that it was 8th or 9th day everytime .

I started hving lomotil every 8th or 9th day and it stopped and normal stool the next day . I have kept a journal . more than 86% of the days , I feel normal . I have everything other than atta and milk and maida .

THE ONLY SYMPTOMS I HAVE RECENTLY ARE…

Burning gas and burning discomfort and that discomfort in right colon area (that comes and goes or is non existant at times)

Loose stool (not diarrhea) of a large quantity followed by normal stool every 8thday however lomotil helps that away .

….

For the peace of my mind , recently I had done blood rests … cbc , esr , Liver function test , lipase amylase , CRP . All normal..not even borderline . Only indirect bilirubin a bit high .

I went to a much more reputed gastroenterologist . Who happens to be the professor and head of a reputed gov hospital in my city . He prescribed me velgut , zancocin (for 5 days) , evion 400 , Becozym c forte , superia 20 mg .

I am on the 4th day of the prescription . No burning gas …but I do pass gas a lot . No burning urgency . In the last 27 days , I had loose stool ONLY ONE DAY AND FINE ALL THE OTHER . Other days , normal stool once or twice . No more . Bur there are some discomforts still in my tummy . Especially under my right rib that comes and goes .

CURRENT MAJOR SYMOTOM

DEPRESSION AND ANXIETY EVERY MORNING I GO TO THE BATHROOM. ANXIETY THROUGHOUT THE DAY AND THAT SOMETIMES GIVES ME DISCOMFORT IN MY TUMMY .

…..

On a side note , I have 2 cysts on my body . One since my school days and one for 2 years . I had them both physically examined .

Things I read on the internet freaks me out like anything .

So basically all 3 doctors have told me that I have got absolutely nothing to worry about and I am overthinking and over reading on the internet . I am severely depressed about my life and I am traumatized by the daily diarrhea that I had for the 3-4 months . I am always worried that one wrong step can bring it back and always on the lookout .

What do you think doctor ? Am I recovering ? Will I get my life back after this ? How long will it take for me to fully recover ?

Thank you for going through this whole article . I am 6 ft tall and weigh 79kgs now . Thank you for your patience .
doctor
Answered by Dr. T Chandrakant (27 hours later)
Brief Answer:
You surely will come out of this fully.Follow rules strictly

Detailed Answer:
Hi.
Thanks for your query and an elucidate history, very self-explanatory.
The best part is you have understood your own problems very perfectly.
My opinion:
It was not-so-well set body clock, particularly the bowel habit.
This in turn generated the anxiety and stress and what you say is depression.
Added on by irritation and/ or infection by road side/ junk foods.
The latest treatment.. Zanocin and all prove this.
My advise:
Please reading anything on internet. It only increases your problems by all means.
If you get over the control of your stress/ anxiety, the job is half done.
For the remaining half you have to follow the list of foods and beverages that suits you and never ever try anything else.
Medicinal supplements whenever required.
You are recovering well.
Surely, you will get your life back, provided you follow the rules strictly.
Very soon, you can recover fully.

I hope this answers all your queries, now you know your own treatment well.
All the best.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
Dr.
Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 18259 Questions

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Suggest treatment for severe diarrhea while experiencing anxiety and depression

Brief Answer: You surely will come out of this fully.Follow rules strictly Detailed Answer: Hi. Thanks for your query and an elucidate history, very self-explanatory. The best part is you have understood your own problems very perfectly. My opinion: It was not-so-well set body clock, particularly the bowel habit. This in turn generated the anxiety and stress and what you say is depression. Added on by irritation and/ or infection by road side/ junk foods. The latest treatment.. Zanocin and all prove this. My advise: Please reading anything on internet. It only increases your problems by all means. If you get over the control of your stress/ anxiety, the job is half done. For the remaining half you have to follow the list of foods and beverages that suits you and never ever try anything else. Medicinal supplements whenever required. You are recovering well. Surely, you will get your life back, provided you follow the rules strictly. Very soon, you can recover fully. I hope this answers all your queries, now you know your own treatment well. All the best.