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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Severe Diarrhea, Nausea And Heart Burn. Taking Lomotil And Colofac. What Does This Indicate?

Hi. I have had severe diarrhea for over 8 weeks now barely controlled with lomotil and Colofac.if I don t take these tablets I am constantly on the toilet. I am awaiting an appointment to see a gastro specialist. I sometimes have over 10+ episodes per day my doc took stool samples few weeks ago and it came back ok. Getting alot of nausea lately also. I m unsure if this is related but I ve also had bad heartburn for last year I ve been prescribed zoton fastabs. Do you have any idea what is wrong with me as its restricting my life as I can no longer go running I work also as a bus escort and I cannot chance being on a bus far away from a toilet so I ve been turning down work for past few weeks.
Sat, 30 Nov 2013
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Internal Medicine Specialist,  's  Response
Hi and thanks so much for this query.

I am so sorry to hear about these symptoms that have really made life so difficult so you. These symptoms are suggestive of a chronic diarrhea which has so many different possible causes which include, malabsorption, food intolerance, inflammatory bowel disease (like Chron's disease), pancreatic insufficiency, infection, etc. Only a detailed interrogation and investigation of symptoms would be able to help identify the exact cause of this. I am happy that with you scheduled to meet a Gastroenterologist, this would be looked into and probably you would be provided with the much needed help.

For now, continue with the symptom control tablets and let's hope that your visit offer real solutions to get you out of this.


I hope you find this helpful and provides enough information for you to make and informed decision on how to tackle this. Thank you so much for having used our services and we do hope to see you next time if need be. I wish you good health.

Dr. Ivo Ditah, MD.
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Psychiatrist,  Dr. (Prof) Narottam Lal's  Response
Dear Hi
Looks like all GIT causes of loose motions have been ruled out if so please have a review of your life style specially of stress and anxiety factors at work place home personal life money etc. I have seen such conditions when a person is of nervous personality under continues stress and in those patient whrre excessive anti diarrhoeal drug has been used which disturb normal bacterial flora of intestine leading to non digestive non absorption type of situation In the hospital where I work I advise to revirw above two situations ;keep
Patient
on combination of small dosages of antianxiety plus anti depressant drugs with stress management programme .I also use generic preprations of lactusbacli Bcomplex and indian isamgal ki bhusi {4 tea spoon full x 3 times with curd} No harm im trying .consultation with psychistrist is highly recommended

Dr Lal
Psychiatrist
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Severe Diarrhea, Nausea And Heart Burn. Taking Lomotil And Colofac. What Does This Indicate?

Hi and thanks so much for this query. I am so sorry to hear about these symptoms that have really made life so difficult so you. These symptoms are suggestive of a chronic diarrhea which has so many different possible causes which include, malabsorption, food intolerance, inflammatory bowel disease (like Chron s disease), pancreatic insufficiency, infection, etc. Only a detailed interrogation and investigation of symptoms would be able to help identify the exact cause of this. I am happy that with you scheduled to meet a Gastroenterologist, this would be looked into and probably you would be provided with the much needed help. For now, continue with the symptom control tablets and let s hope that your visit offer real solutions to get you out of this. I hope you find this helpful and provides enough information for you to make and informed decision on how to tackle this. Thank you so much for having used our services and we do hope to see you next time if need be. I wish you good health. Dr. Ivo Ditah, MD.