How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask RAJESH CHAUHAN Your Own Question

RAJESH  CHAUHAN
RAJESH CHAUHAN, Doctor
Category: Health
Satisfied Customers: 1460
Experience:  + 26 yr experience; amongst 'Top 100 Scientists', 'Top 100 Health Professionals', & Who's W
Type Your Health Question Here...
RAJESH CHAUHAN is online now
A new question is answered every 9 seconds

My 80-year-old father has had chronic diarrhea for 3 months.

Resolved Question:

My 80-year-old father has had chronic diarrhea for 3 months. He has been hospitalized continuously since May 24. The gastro doctors have run the full gamut of tests, but have found nothing. They say that his bloodwork is all normal as well. Today, they are doing a CT Scan, but do not know what they are looking for at this point in time. Pretty much, as soon as he eats, he gets diarrhea. He also gets diarrhea during the night -- last night it lasted for 5 hours. They've ruled out IBS, Inflammatory Bowel disease, Celiac Sprue, and a few other common causes of chronic diarrhea. Any suggestions for further testing that you may have would be most appreciated! ~Susan
Submitted: 4 years ago.
Category: Health
Expert:  RAJESH CHAUHAN replied 4 years ago.

Hello & Welcome to Just Answer,

Could you please help me understand your problem by giving me the following details:

1) Any other symptoms/ significant medical issues or significant history?

2) Any medicines that he might be taking?

Thanks. Shall be waiting for your reply.

Customer: replied 4 years ago.
Dad takes Diclofenac for his arthritic hip and takes Lasix (water pill) because he suffers from venous stasis. He wears support stockings and takes Lasix to keep the fluids from building up in the legs. When he was first admitted into the hospital, they took him off the Lasix and the stockings. That did not help the diarrhea. It did, however, cause him to develop a lemon-sized ulcer on the left leg. He is back on Lasix -- it does not seem to affect the diarrhea. They also have tried a gluten-free and dairy-free diet -- that also has not helped. He also takes a potassium pill. Other than Diclofenac and Lasix, he only takes Tylenol. Dad does have an enlarged thyroid (benign) that he has had for 50 years. They have concluded that it is not contributing to the diarrhea. He also has an enlarged prostate with a PSA reading of 5.5. However, upon physical examination, the urologist said that the enlarged prostate is really not that large and wouldn't be a factor in the diarrhea issue. They have also done an MRI of the lower spine, which revealed only arthritis. No herniated discs or anything that would be inpinging on any nerves that are connected to the gastrointestinal tract.
Expert:  RAJESH CHAUHAN replied 4 years ago.

Thanks for the additional details. I think that by doing a CT now, the doctors are trying to look/ exclude the following possibilities which could manifest with diarrhea:

(a) Carcinoid tumor

(b) Pancreatic cancer (islet cell tumor)

(c) Gastrinoma, etc

That said, I think that the doctors may also like to exclude certain other conditions, like:

(a) Bacterial overgrowth

(b) Microscopic colitis due to NSAID use

(c) Osmotic diarrhea

(d) Malabsorption syndrome

(e) Parathyroid adenoma

(f) Bile induced diarrhea, etc.

I hope that this information is helpful to you. Please feel free to inquire if you have any remaining concerns or doubts, and it would be a privilege and a pleasure to try and help out as much as I can. Best wishes.

Customer: replied 4 years ago.
Should a carcinoid tumor have been found during the colonoscopy procedure? Also, they've mentioned the "malabsorption" theory but have not elaborated on the possible cause(s).
Expert:  RAJESH CHAUHAN replied 4 years ago.

Thanks for the query. A carcinoid syndrome may not be detected during a colonoscopy and a CT may pick it up. Kindly have a look at this web resource which provides authentic information about this condition:

http://www.mayoclinic.com/health/carcinoid-syndrome/DS00690/DSECTION=tests-and-diagnosis

Regarding malabsorption syndrome, it is like a basket of various different causes, which have to be identified/ evaluated and ruled out one by one. Please have a look at this web resource which provides authentic information about this syndrome, as it might be helpful in your father’s case:

http://www.hopkinschildrens.org/tpl_rlinks_nav1up.aspx?id=5130

I hope that this information is helpful to you. Please feel free to inquire if you have any remaining concerns or doubts, and it would be a privilege and a pleasure to try and help out as much as I can. Best wishes.

RAJESH CHAUHAN, Doctor
Category: Health
Satisfied Customers: 1460
Experience: + 26 yr experience; amongst 'Top 100 Scientists', 'Top 100 Health Professionals', & Who's W
RAJESH CHAUHAN and 4 other Health Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
< Last | Next >
  • http://ww2.justanswer.com/uploads/NU/nursescare4u/2013-3-31_03429_JApic.64x64.jpg Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Doctor

    Satisfied Customers:

    102
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor (MD)

    Satisfied Customers:

    5622
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/drphophalia/2007-08-23_095626_dr._arun_phophalia.jpg Dr. Arun Phophalia's Avatar

    Dr. Arun Phophalia

    Doctor (MD)

    Satisfied Customers:

    17025
    MBBS, MS (General Surgery), Fellowship in Sports Medicine
  • http://ww2.justanswer.com/uploads/VA/VANP/2012-6-6_235535_Skye2.64x64.jpg A. Schuyler, NP's Avatar

    A. Schuyler, NP

    Nurse Practitioner

    Satisfied Customers:

    12170
    Board Certified NP, MS, RN. Private practice & hospitalist
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Doctor (MD)

    Satisfied Customers:

    10029
    Over 20 yrs of Family Practice
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Doctor (MD)

    Satisfied Customers:

    6234
    U.S. Physician/Surgeon in Neurosurgery