Questions in the Gastroenterology and Liver Diseases Forum have been answered by Dr. Kevin Pho who is board certified in Internal Medicine and by doctors from Henry Ford Health System.

Question Title: Chronic moderate diarreha vs. Chronic Severe diarreha

Forum: The Gastroenterology and Liver Diseases Forum
Topic: Diarrhea


Case study: The U.S.Army has rated me as unfit and have also rated me as chronic moderate diarreha. I need names of books to rebutal and research my defense.

Nissan Fundilopcaition and vagal nerve damage.
Apr 96 surgery date, 3 three post op. watery diarreha developes.
All available test done at Ft.Sam Houston, TX, parasites, dumping studies, malabsorbtion test include desylose, factious diarreha studies, polypeptides, mri fine cut thru liver and pancreass,all test within normal ranges,
72 hour stool collection
with 100 gram fat content, revealed 1827 grams fecal mater.normal fats.
Everything indcates normal.
No weight lose.
Symptoms are:
Bloating (painfull)
Explosive and frothy
yellow in color, 2 to 16 times daily with 10 -12 avaerage.
rancid flatulance (gas)hydrogen, methane, and sulfurous are most common smells.
Red colored drinks come out red.
Uncontrolled urge to defacate. with soiling of cloths
Bleeding hemmoroids.

What determines the difference in moderate and severe?
Mereks manual of dianoses and theropies. only list the differences in infectous diarrehas.

For none infectous is there a difference in moderate and severe?
What books list it etc?
___
Dear John Creager,
Your fecal weight of 188 g for 3 days is approximately 3x normal. Additionally, ypur frequency of defecation is greater than that observed by 99% of normal inidividuals without gastrointestinal problems (In a study of healthy individuals 95% had between 2 stool/ week and 3 stool/ day). I am uncertain whether there is aclassification of diarrhea severity for patients with your type of diarrhea. There is a classification of illness for patients with ulcerative colitis in which frequency of defecation is one of the variables. Although not relevant to your question, patients with 4-6 stool/ day were felt to have moderate diarrhea and those with more than 6 stool per day had severe diarrhea.

This information is provided for educational purposes only. always consult your personal physician for specific medical issues.

HFHSM.D.-rf
*keywords: diarrhea
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