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What Causes Occasional Constipation And Diarrhea Along With Severe Fatigue?

Posted on Thu, 3 Mar 2016

Question: Hi Dr,

How are you doing ? I am experiencing the below problems since about a month. I want to get your advice regarding the same.

I have been experiencing constipation sometimes and diarrhoea sometimes. This has been regular. Now I am experiencing diarrhoea. I need to visit the restroom regularly. I feel fatigued all the time. Night times are especially troublesome. I wake up in the middle of the night feeling tired and startled. I find it difficult to go back to sleep once I am awake.

Answered by Dr. Dr.P.Ratnakar Kini (5 hours later)

Brief Answer:
Need more information

Detailed Answer:
Hi,
Thanks for posting your query.
I am Dr.R.K and I am pleased to assist you.

I need some more information before I can give my opinion.

1. Is there any blood or mucus in stool?
2. Any abdominal pain?
3. Fever?
4. Weight loss?
5. Any other medical illness?
6. What are the tests done so far?
7.Are you on any medications?

Regards,
Dr.R.K.

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

Follow up: Dr. Dr.P.Ratnakar Kini (2 days later)

Hi Dr. R K,

Sorry for the late response. I saw blood in stools only once. I used to feel pain while passing stools but now I don't feel it. No fever. I lost weight but it was gradual. I don't have any other medical illness. I experience shivering when it is cold. Some blood tests were done but not sure about the names. I am not on any medication.

I experience pain in the right side of chest immediately after eating. Usually goes away when I pass gas.

Thanks and Regards,
XXXX XXXXXXX

Answered by Dr. Dr.P.Ratnakar Kini (19 hours later)

Brief Answer:
Increase fiber intake /colonoscopy

Detailed Answer:
Hi,
Thanks for the additional information.

Since you have red signs like blood in stools and weight loss along with altered bowel habits, I would advise you to get a colonoscopy done.

Increase the fiber intake. Take more vegetables and fruits. Drink enough fluids.

I presume a complete blood count, stool analysis, thyroid function test are already done and are within normal limits. If not done already, get them done.

Please get back to me with the results.

Regards,
Dr.R.K.

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Dr.P.Ratnakar Kini (16 minutes later)

Hi Doctor,

Thanks for the response. Stool analysis was done and several blood tests were done on me. All of them came out normal. Only thing I am not sure about is whether thyroid test was done or not. I will check and let you know.

Ultrasound abdomen was done very recently and it looked good.

Of late, I am observing that if I eat raw veggies, I see leaves in my stools. Does this mean digestive capacity has reduced ?

Thanks and Regards,
XXXX

Answered by Dr. Dr.P.Ratnakar Kini (41 minutes later)

Brief Answer:
Irritable bowel syndrome

Detailed Answer:
Hi, Welcome back to HCM.
Thanks for getting back to me with more questions.

You probably have irritable bowel syndrome.

But the two symptoms blood in stool and weight loss are against it and that is the reason why I suggested some tests to be done.

Regards,
Dr.R.K

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Above answer was peer-reviewed by : Dr. Arnab Banerjee