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Loose stools, urinary incontinence. Have oral ulcer. Have hypertension. History of IBS. Treatment?

hi, i m dr. fahmida, mbbs,fcps mom 54 yrs old had to go to toilet several times a day for last 2 weeks.initially it was waterry, but now loose.she had stool and urinary incontinence. on physical exam, she has no abnormality other than oral ulcer. she is obese, hypertensive but non diabetic.all routine inv including cbc,RBS,RFT, electrolyte, urine R/M/E normal. stool R/M/E-color-brown, consistency -soft, blood - no, mucus-trace, ph-acidic, worm-no, pus cell 1-5, rbc,protozoa, helminth,macrophage-nil, vegetable cells-moderate, OBT-negative.she was previously diagnosed as IBS and treated with rifaximine, mebeverine, amitryptine but not improved.would u pls diagnose her disease and give treatment?
Asked On : Mon, 22 Apr 2013
Answers:  1 Views:  29
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Gastroenterologist 's  Response
Hello! She might be suffering from only stool incontinence as you are mentioning because it can also lead to increase stool frequency, also as you havent mentioned about any alaram features. However if all the above mentioned test are normal then what can be tried is antisecretory agent like loperamide or racedrotil. Continuing with Rifaximin or may be a course of probiotic may be helpfull. If not relieved then take opinion of surgeon for stool incontinence. keepin touch
Answered: Tue, 25 Jun 2013
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