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Dr. Gupta
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I have had mushy stool, poorly formed, not watery, not diarrhea

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I have had mushy stool, poorly formed, not watery, not diarrhea ... daily for months on end.
I have a fairly balanced diet: plus a daily lettuce/cabbage/carrot-shred salad, daily oatmeal-with-fruit, crackers, cookies, nuts, and chocolate; small portions of meat; very very few prep-dinner or fast-food types.

I am a male caucasian age 79, 74 inches, 205 lb, 40inch waist, non smoker, 5-9 oz wine daily

Meds: amiodarone for A-fib, warfarin, simvastatin, 81 mg aspirin, Androgel [18 months], levothyroxene [3 months], probiotics. All my blood and lipid numbers are good, in-range.

Have tried Metamucil-type fiber supplement

Immodium each morning for the last 18 days or so.



I have tried suspending each of these items separately for about a week at a time:

alcohol and wine
all vitamins and other supplements
all dairy: cheese, milk, ice cream, yogurt, etc
coffee and tea

My chronic problem persists each and every day.

Robert
XXX-XXX-XXXX
San Jose CA

12-19-2010

MD doc :

Hi,

MD doc :

Have you been evaluated by a gastroenterologist for the same?

JACUSTOMER-w6zr5aj8- :

yes, last month

JACUSTOMER-w6zr5aj8- :

Recent lab work showed negative for giardia, celiac and some other items.

MD doc :

Ok

MD doc :

Did he talk about the possibility of IBS - Irritable Bowel Syndrome

JACUSTOMER-w6zr5aj8- :

I don't recall that specifically.

JACUSTOMER-w6zr5aj8- :

He administered a colonoscopy Dec 2009

MD doc :

And that was normal?

MD doc :

How many stools do you have daily?

JACUSTOMER-w6zr5aj8- :

IBS was discussed at that time, I believe

MD doc :

Ok

JACUSTOMER-w6zr5aj8- :

Normal colonoscopy, small polyp removed, modest signs of diverticulosis.

MD doc :

Ok

MD doc :

How many stools do you have daily?

JACUSTOMER-w6zr5aj8- :

one bm par day, slightly less frequent after days of Immodium. My last was after 1.5-2 days.

MD doc :

Ok

MD doc :

Well do you have any specific problems other than the mushiness of stools?

JACUSTOMER-w6zr5aj8- :

...and virtually same mush. Takes 10+ minutes, water, liquid soap, 1/5 roll of toilet paper, with a finger up the anus almost to the sigmoid. Very very depressing, and I have to carry supplies with me everywhere.

JACUSTOMER-w6zr5aj8- :

moderate flatulence, same as all the other years. Most noticeable when I uncoil to lay out at bedtime.

JACUSTOMER-w6zr5aj8- :

No sign of GERD I had years back.

JACUSTOMER-w6zr5aj8- :

It's 5am now and I'm starting to crash here.

MD doc :

Honestly speaking

JACUSTOMER-w6zr5aj8- :

What do you think specifically could cause my lazy colon to fail to remove the liquid element. I don't drink a LOT of water. No signs of cirrhosis, liver profile looks ok despite these awful meds.

MD doc :

I believe that this is consistent with a form of IBS

MD doc :

Given the normal test results and the chronicity of symptoms

JACUSTOMER-w6zr5aj8- :

PSA has crept up over 5.0 touching 8 this year.

MD doc :

Ok

JACUSTOMER-w6zr5aj8- :

Doesn't IBS usually produce cramping and maybe diarrhea. Or is that just Crohn's?

MD doc :

Yes it does

MD doc :

However persistent crohns would be much more severe with bloody diarrhea and other signs too

MD doc :

I would recommend a trial of specific medications used for IBS under the monitoring of a GE specialist

MD doc :

Read more here

JACUSTOMER-w6zr5aj8- :

Have you ever encountered my specific malady and complaint? Successfully?

MD doc :

Lotronex and certain anti-depressants lime impramine may be useful

MD doc :

Oh yes

MD doc :

Significant relief is often achieved

MD doc :

Though complete cure may remain elusive

JACUSTOMER-w6zr5aj8- :

God bless me, more meds!

JACUSTOMER-w6zr5aj8- :

Lotronex and certain anti-depressants lime impramine may be useful. Is that "like' or "lime"?

MD doc :

:)

MD doc :

Like

JACUSTOMER-w6zr5aj8- :

OK. Any more prognosis?

MD doc :

Prognosis ?

MD doc :

Prognosis is good

JACUSTOMER-w6zr5aj8- :

Must be fun there, multitasking. I'll say good night/morning then.

MD doc :

Since this is not a life threatening or even a problem that worsens in most people

MD doc :

And with specific treatment the chances of recovery are quite good

MD doc :

:0

MD doc :

:)

MD doc :

Take care

MD doc :

Do remember to press the GREEN accept button so that I am paid

JACUSTOMER-w6zr5aj8- :

You suggest going back to my GE then? Oops, I am changing insurance and medical group next month, must get referred to a new GE..

MD doc :

Yes

MD doc :

Because only prescription treatment is likely to be of benefit and you would need monitoring too

JACUSTOMER-w6zr5aj8- :

Goodnight, thanks for listening.

MD doc :

Bye

MD doc :

Do press the GREEN ACCEPT button

MD doc :

bye

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