I had ongoing stomach issues with stomach cramps and diarrhea. What could it be?

Hello,

Welcome to icliniq.com.

Looking at your description of symptoms, it seems that you have irritable bowel syndrome, which is a common condition of the hypersensitive gut that causes pain, altered bowel habits, diarrhea in some, and constipation in others.

But I want some more pertinent information before jumping to establish this diagnosis. Since irritable bowel syndrome is a diagnosis of exclusion, there is no other condition or disease that could explain your symptoms.

Kindly answer my following questions.

• What do you mean by diarrhea?
• Are these loose or unformed stools increased in frequency that is more than three times in a day?
• Are the stools large or small in volume?
• Does a large volume mean more than 250 to 300 ml (a full glass of water)?
• Do you feel a repetitive urge to pass stools, but nothing comes really?
• Have you lost weight in the last six to eight months?
• Do you ever notice blood in stools?
• Do you have a family history of colon, stomach, or abdominal cancers?
• Do you feel any particular food causing this, like milk or wheat or whole wheat or whole grain or nuts or fish?
• Do you ever been told that you have food allergies or milk intolerance?
• Do you feel this cramp-like pain resolve after you pass stools?
• Do you have these cramp or bowel movements troubled you in the middle of the night while asleep?
• Do you smoke or use alcohol?

I would appreciate it if you could provide me the above information. It will help us to establish that it is IBS (irritable bowel syndrome) or anything else.

Do upload blood tests and any other test you have gone through since your symptoms.

Hi,

Welcome back to icliniq.com.

Thanks for providing further information regarding your symptoms.

I can imagine that you are very concerned about this ongoing problem. Well, it highly seems irritable bowel syndrome diarrhea-predominant IBS-D.

The criteria of IBS is,

1. Abdominal cramp or pain which changes with the passing of wind or stools.
2. Duration for six months, at least.

No other cause is explaining symptoms (I would suggest work up for it below).

Change in stool form and quantity.

You see, all these things are present in you.

I suggest you take

1. Tablet Mebever (Mebeverine) 200 mg twice daily 20 minutes before breakfast and dinner.

2. You need to avoid gas-producing diets. In medical terms, we call it high FODMPAs (Fermentable Oligo, Di, Mono-saccharides, and Polyols) diet.

3. Your weight seems to be a problem. Since the fat over the abdomen causes compression of the stomach and bowel, it causes excessive bloating and feeling of gas.

I expect if you would follow a low diet and low caloric diet, FODMPAs, with some regular exercise, preferably via joining a gym, would make your problem solved in the long term.

I have seen your blood report; they seem alright except for low folate value, but that does not seem to be a problem.

Please get some stools tests, not urgent, but we need to confirm that this is nothing other than IBS.

• Stool for calprotectin.
• Stool detail report and ova parasites.
• Stool for spot Na (Sodium) and Spot K (Potassium).
• Blood anti-tTG (anti-transglutaminase) IgA (Immunoglobulin A) and IgG (Immunoglobulin G).
• Serum IgE (Immunoglobulin E) levels.
• Serum Na and K.
• Serum osmolarity.

I hope that you feel improvement.

Hi,

Welcome back to icliniq.com.

Fine, I understand. Unfortunately, the medicines we recommend are not in the form of a prescription, nor that prescription is valid cross country wise. But Mebervine in large parts of the world is over the counter. I hope it is available in your country as well without a prescription. For those tests, we can wait. They are not urgent. You can get when you feel comfortable and feasible.