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 .

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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 .

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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 .