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Gastroenterology  (Expert Forum)
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Diarrhea Every Day - worried
This forum is for questions regarding Gastroenterology issues such as Acid Reflux (GERD), Barretts Esophagus, Colitis, Colon/Bowel Disorders, Crohn's Disease, Diverticulitis/Diverticulosis, Digestive Disorders, IBS, Stomach Pain.

Diarrhea Every Day - worried

by Rich__0, Oct 06, 1998 12:00AM

  I'm a 36 year old male in good health.
  About a month ago I suddenly had an attack of diarrhea in the evening.
  It was very watery with some ochre-colored bits in it and it burned my anus.  
  It almost ended up in my pants as it came with no cramping - I thought it
  was gas.  Since then, every BM has been either diarrhea or very loose,
  malformed ( ragged, small ), yellowish stools.  There is no pain, no cramping,
  my appetite is unchanged, no weight loss, no visible blood.  Attacks
  never happen at night; instead they tend to happen within 2 hours
  of eating a meal especially in the morning.
  What I eat has no effect.
  I went to my GP who put me on Flagyl and Hyoscyamine.  He says my
  "belly is very noisy" and he's right: when I don't take the Hyoscyamine
  I can feel my insides churning.  The Flagyl has not helped at all after 5 days
  but Hyoscyamine reduces frequency of attacks.
  GP now wants me to stop the Flagyl and see a Gastroenterologist and I'm scared I have
  something like Colon Cancer.  I don't smoke or drink and there's
  no history of Colon Cancer in the family. I'd like as many
  opinions as I can get...
____________
dear Rich,
Your symptoms can be due to several causes but are not suggestive for colon tumors.  I would consider additional stool cultures looking for infection, stool guaiac study to exlcude colonic bleeding, a flexible sigmoidoscopy with biopsy ( to exclude colonic inflammation as the cause of the diarrhea) and possibly a barium enema to complete the evaluation of the colon.   I would also supplement the amount of fiber in the diet by taking Metamucil.  this over-the-counter agent will provide greater bulk to the stool and may be sufficient to improve the diuarrhea.
This information is presented for educational purposes only.  Always consult your personal physician for specific medical questions.
HFHSM.D.-rf
*keywords: diarrhea, irritable bowel syndrome
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