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What Causes Excessive Rectal Mucus Discharge In A Person With Celiac Disease?

Posted on Tue, 16 Jun 2015

Question: I have celiac disease; having excessive rectal mucous-phlegm-like excretion...what does it mean and what shhhhould I take, if any--have been npo for 24 hr

Answered by Dr. Dr. Klerida Shehu (41 minutes later)

Brief Answer:
Possible diverticulosis flare up;following advice....

Detailed Answer:
Hi XXXX,

I am sorry for the situation you are going through.

1. You are saying to have excessive rectal mucous-phlegm-like excretion, which is indicative for active inflammation, most probably due to a diverticulosis flare up.

2. You are also reporting to be taking flagyl, prednisone and levaquin. I need to know when did you have such treatment: was it recently? or are taking these meds for the moment?

3. I advise to run some tests for further evaluations:
- complete blood count
- CRP
- culture of stool to exclude infectious agents

4. As per medications, it is necessary to discuss with your GI specialist to start immediate treatment with:
- anti-inflammatory medications
- prescription antibiotics (a more aggressive therapy)
- probiotics
- gluten-free diet
- increase of fluids intake especially water.

Hope it was of help!
Dr.Klerida

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Klerida Shehu (59 minutes later)

thank you for your reply. started 2 days ago; pain upper right side of colon, nauseous- huge bloating, inflammation, constipation,. I eat very little,gluten- free meals. Upon onset 2 days ago: Levaquin 250mg bid, prednisone 5mg qd,Flagyl 250mg qid,1/2 tsp peptobismol (nausea subsided), pain gone; minimal stringy BM (using Miralax). Use of probiotics in the past caused more inflammation. feel like there is a lot of gas trapped...these symptoms occur @ once a month, when inadvertently had a bite of food containing wheat,soy,fructose,cellulose,most vegetables,all of which cause flare up, as well as huge stressful situations. Usually takes 3to 7 days for inflammation to subside. I will call pcp on Monday. Wonder if I continue with meds

Answered by Dr. Dr. Klerida Shehu (16 hours later)

Brief Answer:
Enjoying such foods are triggering diverticulosis flare ups...

Detailed Answer:
Hi back,

From what you are describing, the symptoms you are experiencing like nausea, and huge bloating with constipation are related to enjoying foods containing wheat, soy, fructose and others that trigger flare ups.

I understand your desire to enjoy these foods, however, as per your current colon problems, it is necessary to follow such restrictions.

I advise to:
- continue current treatment
- increase fluids intake
_use olive oil
_ miralax
_ fibers packs

until you see your doctor.

Hope it helped!
Dr.Klerida

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar