Hi.
Thanks for your query.
Noted your history of diarrhea type bowel movements, OK for hours once passed the bm, sometimes very hard to clean, sometimes there is an urgency,
lower back pain, diabetes,
triple vessel disease of heart operated and partial
knee replacement ...
From the history you have provided, this looks to be an intestinal infection, may be due to poorly controlled diabetes allowing the infection to settle and remain in sub-clinical form.
I would advise you the following:
- First of all, send the sample of stool for tests on 3 consecutive days.
Blood: HbA1c to see the control along with blood sugar and get adjusted the dosages, thyroid, liver and kidney functions.
- A course of an antibiotic,
Metronidazole and probiotic may helps you.
Later on if required
colonoscopy,
ultrasound and CT scan of the abdomen can be done.