M.K. asks from Eldorado, WI on August 18, 2009
Chronic (5 Years) Diarrhea, Celiac and Crohn's Ruled Out--any Insight?
LONG story. Shortest version: Approx. 2 weeks after 1st daughter was born I developed diarrhea; shortly thereafter had what turned out to be 2 gall bladder attacks. Had that removed about 3 months after onset of diarrhea. The diarrhea never went away really. Always worse in a.m. and with 1st meal/snack or 2 of the day, usually better by p.m. usually eat dinner just fine, no need to run to bathroom. OTC and prescriptio "anti-diarrhea" meds did NOTHING to help. After months of this, finally saw GI specialist. Celiac disease has been ruled out by blood work; I do NOT typically get "pain"--more like queasy feeling or more often just the urge/sensation that I need the bathroom ASAP, so with that and that I'm otherwise "healthy"/"not sick", Crohn's has been ruled out. Thought possibly Irritable Bowel Syndrome, but I NEVER get constipated (that actually sounds great to me at this point!) She thinks possibly result of food poisoning at family reunion at time of first onset of sypmptoms (several family members had GI upset after that, but none as chronic as this!) GI doc prescribed and I have been taking "Cholestyramine" now for over 4 years (smaller than the regular dose for cholesterol) and it worked great up until the last 6-10 months. Sick at 7 weeks prego with #2 (strep throat, bronchitis, influenza B all at the same time)--took weeks to recover/feel like myself; took longer for GI to recover. Got a stomach flu in Dec (3 months after baby #2), took about a month before the watery/loose BMs resolved. Has been off/on since then, with definitely being "worse" over the last 2-3 weeks to the point of not wanting to eat lunch at work (I do PT, doesn't really work if you have to run to the bathroom!) I have not been able to link this to any food allergies b/c I could have something for dinner and am perfectly fine that night; have left overs of the same meal for lunch the next day or maybe not until 2 days later and it will "go right through me". I recently had a liver panel (blood work) done, results normal. Still get a funky "pain" (more like irritation) where my gallbladder WAS and right shoulder blade pain (scar tissue? possibly blocked ducts?) but nothing like my attacks. Side note--surgeon said my gallbladder actually wasn't that sick when she took it out and my stones were actually pretty tiny, but many were impacted which was causing the pain. ANYWAY--for the last couple weeks tried digestive enzymes with meals with no noticeable difference and possibly worse feeling (supposedly to be expected as system gets reset) and continued need to be near a bathroom until I get home from work. I will be starting a probiotic soon, but plan to wait till Friday p.m in case I "get worse" before I get better. Other info: Have not had a colonoscopy, but did have the procedure where you stay awake and they scope as far as you can tolerate. Only findings were "signs of chronic irritation" (duh!) That was about 4+ years ago. So, with that info, if anyone has any suggestions of something else to research, please let me know! Searching "Chronic diarrhea" leads to wayyyy too many "hits" on a search! Sorry for the lengthy info, but wanted to include what seems pertinent. Thanks in advance! Scheduled to see GI again soon, want to go in with as much "ammo" as possible--this is ridiculous!
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T.B. answers from Minneapolis on August 21, 2009
Definitely sounds like a food intolerance, even though you can eat something and be fine, but then eat it later and have problems. Test for wheat, dairy or gluten issues even with no celiac showing up. Try cutting out certain foods for at least a week before deciding if they affect you. Good luck, I hope you find what's causing it - sounds awful!
A.M. answers from Wausau on August 20, 2009
Have you considered the possibility of Candida (intestinal yeast) infection? It's very common and worth looking into. I've found Barbara Bradley to be helpful in dealing with it.
Good luck!
D.B. answers from Minneapolis on August 19, 2009
Lots of options for what this could be. My co-worker had something similar and she was told to take metamucil. I know it's usually for the opposite problem, but it helps with bowel regularity in general. Start with a small dose so you don't get gas.
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H.R. answers from Dallas on August 18, 2009
There is a type of anemia that is the result of a lack of vitamin B12. One of the early symptoms in chronic diarrhea. The type of anemia is caused by the stomach not allowing the body to absorb the vitamin or by simple a lack of eating foods with this vitamin. I only know this because I recently saw an episode of Mystery Diagnosis on TLC where the lady had chronic diarrhea for 12 years before anyone knew what was wrong. Other symptoms started after a few years like tingling in hands and feet, loss of balance, and blurred vision. I did some quick research to find the specific name of the anemia but couldn't find it. Not sure if this will help but it's worth telling you about just in case. Good luck ...
C.L. answers from Minneapolis on August 19, 2009
I have IBS. I don't know if what you have is IBS, but IBS doesn't always have to include constipation. It can include a variety of symptoms ranging from diarrhea to constipation, but doesn't have to include both. Gas and abdominal pain are also common complaints. Have you been checked for a parasite? Have you tried the BRAT (ripe Bananas, Rice, Applesause and Toast--dry) diet? Even though you can't link your symptoms to a specific food it might help calm the irritation to eat a bland diet for awhile. It wasn't fun, but I lived on applesauce and white rice for a week or two after my IBS flare-up and diagnosis. I still return to that diet when I have a flare-up and it helps calm things down. Whether or not you have IBS things that are also irritable to your colon are alcohol and caffeine. It might help to cut back on or eliminate those if you consume them. Good luck. Send me a message if you have any other questions about IBS.
D.G. answers from Minneapolis on August 19, 2009
M. - I'm glad to see that you are starting a probiotic. I assume you are getting these from a doctor/chiropractor so that you're getting a good quality, high spectrum bacteria.
The majority of your immune system rests in your gut and having a healthy gut is really important to a healthy life.
I would only take one product at a time so you know what's working and what isn't. Onced you get your intenstinal issues to settle, you probably really need to get some good nutritional products in you. You may or may not be absorbing any nutrition with all the diarrhea.
Enzymes are also very important. Again, I would be sure to get them from a chiropractor/doctor so you're getting a high quality product. But I would start with the probiotic and then add from there.
Best of luck,
D.
T.B. answers from Minneapolis on August 21, 2009
Definitely sounds like a food intolerance, even though you can eat something and be fine, but then eat it later and have problems. Test for wheat, dairy or gluten issues even with no celiac showing up. Try cutting out certain foods for at least a week before deciding if they affect you. Good luck, I hope you find what's causing it - sounds awful!
K.R. answers from Minneapolis on August 19, 2009
It sounds like Irritable Bowel Syndrome to me. I didn't think constipation was a part of that; rather the opposite. My mother has it, and doesn't get diarrhea as long as she avoids certain foods. I think your doctor should take another look at IBS as a possibility.
J.B. answers from Sioux City on August 19, 2009
As I was reading over this it reminded me of my brother who was in a similar situation. He had same symptoms and had some of the same testing done, finally my mom suggested that he take in a stool sample and have it tested for a parasite. That is exactly what it was...you can get it from drinking contaminated water. You have to specifically ask to have the sample tested for it, though...it is not a routine test that is done. But they gave him some pills and within a week he was feeling like his old self again. It can't hurt to try...hope you feel better soon! Good Luck!
A.M. answers from Wausau on August 20, 2009
Have you considered the possibility of Candida (intestinal yeast) infection? It's very common and worth looking into. I've found Barbara Bradley to be helpful in dealing with it.
Good luck!
L.O. answers from Minneapolis on August 19, 2009
Hi M.
I have a friend who went through so much also and was diagnosed with microscopic cholitis-colagenous which is an auto immune disease of the colon (not sure I spelled that correctly). Even with the diagnosis never got relief. Started using Reliv and is symptom free. Amazing stuff.
Good luck and hope you find an answer :)
Blessings,
L.
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