Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
171 Doctors are Online

What causes prolonged diarrhea and stomach pain?

User rating for this question
Very Good
Answered by

Practicing since : 2006
Answered : 2220 Questions
I have had diarrhea and stomach pain for over 1 month. CT scan was non conclusive. Colonoscopy was normal. I also have IBS, extreme fatigue, no appetite. GI wants to see me again in 1 month. I have an apt with an endocrinologist in 10 days because of my fatigue. Thyroid is within normal range. I'm 56 and spend all my time and money going to appts with no results.
Posted Thu, 28 Aug 2014 in Digestion and Bowels
Answered by Dr. Klerida Shehu 1 hour later
Brief Answer:
Following causes to diarrhea&stomach pain...

Detailed Answer:

I am sorry for the situation you are in.

You are reporting to have diarrhea and stomach pain for over 1 month and have tried various drugs while colonoscopy and other tests came back negative.

There are many factors causing diarrhea:
- IBS is the last to be considered after excluding other organic causes
- menopause can also be a cause due to hormonal changes. In fact, it can aggravate or precipitate IBS
- food malabsorption /intolerance is to be excluded through malabsorption tests
- examination of stool for ova/parasites is also recommended to exclude intestinal parasitic infections especially if you have been traveling recently
- stool culture for candida should also be considered as you have been using many antibiotics (Cipro) that might have altered intestinal flora and might have caused candida overgrowth
- new foods/drinks you have been using recently
- diabetes : should run fasting blood sugar, HbA1C, oral glucose tolerance tests

With regards to being fatigued, it might be related to:
- dehydration (if it is hot at the place you live and you sweat alot and due to diarrhea that might have caused electrolytes imbalance)
- hormonal imbalance (you are at the menopause stage)
- anemia (check whole blood work)
- cholecyst problems (infection, stones, sludge)

Hope it helped!
Above answer was peer-reviewed by
Follow-up: What causes prolonged diarrhea and stomach pain? 1 hour later
I am post menopause. Stool samples were negative for parasites, etc. No previous use of antibiotics. Blood tests were all within normal range. The fatigue has been present for several years but now it's worse. I've had IBS for 10 years but attacks usually last 1/2 day in terms of abdominal pain. My gallbladder was removed 5 years ago. No new changes in my diet. Have lost 8 lbs since this started.

Is an endocrinologist a better choice for care since the colonoscopy is normal?

Thank you.
Answered by Dr. Klerida Shehu 2 days later
Brief Answer:
Yes,consult endocrinologist-next step...

Detailed Answer:
Hi back,

As long as colonoscopy and other lab tests resulted normal, then, should evaluate your feminine hormones levels as you are going through menopause and your thyroid function is fine.

Yes, further evaluation by endocrinologist is highly recommended to exclude metabolic problems.

All the best!
Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+

The user accepted the expert's answer

Ask a Gastroenterologist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor