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What Causes Severe Fatigue And Diarrhea?

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Posted on Thu, 7 Sep 2017
Question: I am feeling extreme exhaustion for over 3 months diaheria most of the time or very loose stools yellow smelly urine loss of appetite loss of weight very moody not myself not happy loss of interest in my usual hobbies no energy.need to find out what is wrong with me depression? tick bite? anxiety which I have and take lorazepam daily 2 times a day, high blood pressure with I take lisinoprol for also take pantropazol. blood test came back basically normal other than low sodium which they do not know why????????
doctor
Answered by Dr. Ramesh Kumar (33 minutes later)
Brief Answer:
Most likely can be IBS.

Detailed Answer:
Hello Dear patient,
Thanks for choosing HealthcareMagic for your query.
Have gone through your details and i appreciate your concerns.

Query part 1 answer-
Most likely you are suffering from irritable bowel syndrome.Irritable bowel syndrome (IBS) is a very common disorder which affects the colon (large intestine). It causes diarrhea, gas, bloating, abdominal pain and cramping. Irritable bowel syndrome is usually long term(in your case symptoms are there from 3 months).In IBS there is some problem in the functional ability of the gut that leads to the symptoms of irritable bowel syndrome. The structure of the intestines is normal, only functional abnormality occurs in this condition.So frankly speaking (IBS) represents a functional disorder of gastrointestinal tract without the presence of an anatomic defect.
Food suggestions-
Eat a moderate amount of soluble fiber. It adds bulk to your stools. Good sources are whole wheat breads, oats, barley, brown rice, whole-grain pasta, the flesh of fruit (not the skin), and dried fruits.
Don't eat foods at opposite temperatures, such as ice-cold water and steaming hot soup, in the same meal.
Stay away from broccoli, onions, and cabbage. They cause gas, which can make you feel worse.
Eat smaller portions.
Drink water an hour before or after meals, not while you eat.
Suggestion.
Dicyclomine is an anticholinergic drug.An anticholinergic agent is a substance that blocks the neurotransmitter acetylcholine in the central and the peripheral nervous system. Anticholinergics inhibit parasympathetic nerve impulses by selectively blocking the binding of the neurotransmitter acetylcholine to its receptor in nerve cells.

Mebeverine is an antispasmodic medicine and is very useful in IBS and is well tolerated by patient with minimal side effects. Mebeverine works on certain muscles in the wall of your intestines, causing them to relax.

Clidinium bromide is an anticholinergic (specifically a muscarinic antagonist) drug. It may help symptoms of frequent stools.

Chlordiazepoxide works by increasing the action of GABA, a chemical messenger which suppresses the abnormal and excessive activity of the nerve cells in the brain.Can be used in combination with above mentioned medicines.

They are all anti spasmodics and they reduces the frequency of stools.

For loose stool control
Antidiarrhoea medicines, such as loperamide (eg Imodium), may help.

Tests suggested-
Stool test to rule out enteritis.


Take home suggestion-
Take loperamide 2mg twice daily (for 1 week)
Take Dicyclomine 10mg thrice daily
A probiotic like VSL#3 Twice daily should be taken along with it.

Follow up after 10 days.



Part 2-Long term loose stools etc causes severe electrolyte imbalance.The body gets depleted of essential minerals like sodium and potassium giving a feeling of lethargy weakness lassitude and fatigue.
Therefore its very important to drink one glass of oral rehydration solution after each loose stool.
Apart from that drink 8 glass of water daily along with orange and coconut juice.
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
Answered by
Dr.
Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2906 Questions

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What Causes Severe Fatigue And Diarrhea?

Brief Answer: Most likely can be IBS. Detailed Answer: Hello Dear patient, Thanks for choosing HealthcareMagic for your query. Have gone through your details and i appreciate your concerns. Query part 1 answer- Most likely you are suffering from irritable bowel syndrome.Irritable bowel syndrome (IBS) is a very common disorder which affects the colon (large intestine). It causes diarrhea, gas, bloating, abdominal pain and cramping. Irritable bowel syndrome is usually long term(in your case symptoms are there from 3 months).In IBS there is some problem in the functional ability of the gut that leads to the symptoms of irritable bowel syndrome. The structure of the intestines is normal, only functional abnormality occurs in this condition.So frankly speaking (IBS) represents a functional disorder of gastrointestinal tract without the presence of an anatomic defect. Food suggestions- Eat a moderate amount of soluble fiber. It adds bulk to your stools. Good sources are whole wheat breads, oats, barley, brown rice, whole-grain pasta, the flesh of fruit (not the skin), and dried fruits. Don't eat foods at opposite temperatures, such as ice-cold water and steaming hot soup, in the same meal. Stay away from broccoli, onions, and cabbage. They cause gas, which can make you feel worse. Eat smaller portions. Drink water an hour before or after meals, not while you eat. Suggestion. Dicyclomine is an anticholinergic drug.An anticholinergic agent is a substance that blocks the neurotransmitter acetylcholine in the central and the peripheral nervous system. Anticholinergics inhibit parasympathetic nerve impulses by selectively blocking the binding of the neurotransmitter acetylcholine to its receptor in nerve cells. Mebeverine is an antispasmodic medicine and is very useful in IBS and is well tolerated by patient with minimal side effects. Mebeverine works on certain muscles in the wall of your intestines, causing them to relax. Clidinium bromide is an anticholinergic (specifically a muscarinic antagonist) drug. It may help symptoms of frequent stools. Chlordiazepoxide works by increasing the action of GABA, a chemical messenger which suppresses the abnormal and excessive activity of the nerve cells in the brain.Can be used in combination with above mentioned medicines. They are all anti spasmodics and they reduces the frequency of stools. For loose stool control Antidiarrhoea medicines, such as loperamide (eg Imodium), may help. Tests suggested- Stool test to rule out enteritis. Take home suggestion- Take loperamide 2mg twice daily (for 1 week) Take Dicyclomine 10mg thrice daily A probiotic like VSL#3 Twice daily should be taken along with it. Follow up after 10 days. Part 2-Long term loose stools etc causes severe electrolyte imbalance.The body gets depleted of essential minerals like sodium and potassium giving a feeling of lethargy weakness lassitude and fatigue. Therefore its very important to drink one glass of oral rehydration solution after each loose stool. Apart from that drink 8 glass of water daily along with orange and coconut juice.