Digestive Disorders / Gastroenterology Expert Forum
Diarrhea and inablity to eat
About This Forum:

This is a place to ask questions about digestive problems and receive a personal answer from a highly qualified doctor. You will also find support from other members who share your interest in digestive disorders. Digestive Disorders include: Anal and Rectal problems, Barrett’s Esophagus, Bleeding in the Stomach and Digestive Tract, Constipation, Crohn’s Disease, Gastritis, GERD, Heartburn, Proctitis, Short Bowel Syndrome, Ulcers, Whipple’s Disease, Zollinger-Ellison Syndrome (and many more).

Font Size:
A
A
A
Background:
Blank
Blank
Blank
This expert forum is not accepting new questions. Please post your question in one of our medical support communities.
Blank Blank

Diarrhea and inablity to eat

Early last year I was diagnosed with hyperparatyroidism and started losing a lot of weight (I was overweight anyway) but for the last 3 months I can't eat any solids other than jello and small pieces of fruit.  I had to go to emergency room 2 days ago and I was dyhydrated.  I've been to so many specialists and have now lost 75 pounds and am very weak I just don't want to go on like this can you possibly give me some idea of whats going on?  Since all tests have come back normal do ya think I may be mental?  I'm starting to feel like I am.  Thanks for any info you can provide.
Related Discussions
233190_tn?1278553401
Hello - thanks for asking your question.

Please understand my limitations over the internet as I have neither met nor examined you. This information is for patient education only. Please see your personal physician for further evaluation.

Chronic diarrhea is a frustrating problem.  There are many causes for this and I will outline suggested tests you may want to discuss with your personal physician.

Chronic bacterial, mycobacterial, and parasitic infections, functional disorders, malabsorption, and inflammatory bowel disease, irritable bowel syndrome (IBS), inflammatory bowel disease, malabsorption syndromes (such as lactose intolerance and celiac disease), and chronic infections (particularly in patients who are immunocompromised) are all causes that need to be evaluated.

The minimum laboratory evaluation in most patients should include a complete blood count and differential, thyroid function tests, serum electrolytes, total protein and albumin, and stool occult blood. In addition, most patients require some form of endoscopic evaluation (either sigmoidoscopy, colonoscopy, and sometimes upper endoscopy).

If all the above tests are negative, here are some specialized tests you may want to discuss with your personal physician:
- 72-hour fecal fat collection can establish the diagnosis of fat malabsorption
- cultures to exclude chronic infection
- imaging of the small and large bowel
- selective testing for secretagogues, such as gastrin or vasoactive intestinal polypeptide, to evaluate for neuroendocrine tumors causing chronic diarrhea

It would be impossible for me to guess what is going on - there are too many causes.  You may want to discuss the extensive tests above with your personal physician to ensure a comprehensive evaluation.  

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Thanks,
Kevin, M.D.
0 Comments
Blank
Avatar_n_tn
Here is what I experience:  urgent extrememly painful need to have a bowel movement.  During this, I am gagging and puking and my body overheats extrememly (sweat drips off my face)
This will happen probably 3 times in a row.  When it is done, my anus is burning and i am extrememly exhausted.  I will need to pass out immediately.

On the days when that doesn't happen... I have normal diarrhea that does not go away (in the bathroom all day) and i feel nauseous all the time.  Sometimes my stomach burns.  Sometimes i puke up bright yellow fluid.  

Everything makes my feel sick and I never want to eat or drink.  I have had the barium swallow and the barium enema but they have found only a slightly inflammed duodenum.  

What do you guys think?  (some of the doctors have told me this could be stress related so i am going to see a shrink as my job will pay for it)

Please help me!!!
Continue discussion Blank
This Forum's Experts
351246_tn?1379685732
Dr. Kokil MathurBlank
Consultant
,
MedHelp Health Answers
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
RSS Expert Activity
233488_tn?1310696703
Blank
New Cannabis Article from NORTH Mag...
Jul 20 by John C Hagan III, MD, FACS, FAAOBlank
242532_tn?1269553979
Blank
3 Reasons Why You are Still Binge E...
Jul 14 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Emotional Eating: What Your Closet ...
Jul 09 by Roger Gould, M.D.Blank