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Gastroenterology (Expert Forum)
mucous and discharge
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
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.
mucous and discharge
by mabel1, Aug 10, 2003 12:00AM
I am currently experiencing a lot of IBS symptoms (chronic constipation that results in diarhea (diarrhea), gut rumbling, lots of gas, cramping, and anxiety). I had a diagnosis several months ago and was told to watch what I eat. About two years ago I had a flexible sigmoidoscopy and barium enema. The doctor found a few internal hemorrhoids but other than that everything seemed fine. I suffer from IBS-constipation. Over the last six months I have experienced a lot of mucous in my stool and when passing large amounts of gas. More troubling to me, I have a discharge of nearly clear, odorless fluid after a bowel movement or after passing lots of gas. There is enough discharge to leave a water spot the size of a plum. Sometimes the discharge will last for 20 minutes after I have the bm. Is this normal for IBS or internal hemorrhoids?
Doctor's Answer
by Kevin Pho, MD, Aug 11, 2003 12:00AM
, Aug 11, 2003 12:00AM
I cannot be sure what the discharge is. It may be a manifestation of malabsorption - in which case further tests with fecal fat tests or workup for celiac disease may be considered.
Irritable bowel syndrome is associated with increased gas and bloating - which may partially explain your symptoms.
If you had a sigmoidoscopy two years ago and you continue to have symptoms, I would consider a full colonoscopy to better evaluate for diseases such as inflammatory bowel disease.
If the cause is truly determined to be constipation-predominant IBS (and if you are female), you may want to consider a trial of Zelnorm - which is used specifically in these cases.
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.
Irritable bowel syndrome is associated with increased gas and bloating - which may partially explain your symptoms.
If you had a sigmoidoscopy two years ago and you continue to have symptoms, I would consider a full colonoscopy to better evaluate for diseases such as inflammatory bowel disease.
If the cause is truly determined to be constipation-predominant IBS (and if you are female), you may want to consider a trial of Zelnorm - which is used specifically in these cases.
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.
Member Comments
by spikew, Aug 25, 2003 12:00AM
I take dialantin & phenobarbital. I have done so for the last 35 years. Recently, after a blood level check, my levels were almost non exsistant. so the doctor checked my other medication levels and they were also lower than they should have been. my doctor said i had a hungry liver??? ive also noticed that when i have a movement, that occasionally its white and brown with discharge. i wonder if the two are related? any comments would be appreciated.
