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 Dr. Nitika Your Own Question

Dr. Nitika
Dr. Nitika, Doctor
Category: Health
Satisfied Customers: 1721
Experience:  General Physician experience in Medicine, Integrative, CAM
2598649
Type Your Health Question Here...
Dr. Nitika is online now
A new question is answered every 9 seconds

Hi i am an otherwise healthy male 37 yo. no illness history

Resolved Question:

Hi
i am an otherwise healthy male 37 yo. no illness history except the odd upset belly that used to be short episodes of daihrea every few months but now almost once a week. Sudden onset with hot flush, stomach cramps and then diahrea. Episode only lasts a maximum of 3 hours but now is starting to affect my life and im worried.
i had a full blood test 12 months ago which only showed low IgA.

I am trying a gluten free diet but it is not helping much.
Otherwise normal bowel movements with no blood but I do go two to three times a day which has increased gradually from one a day over the last 7 years.

I believe it may be food related but not sure which food. Is there anything else I should worry about. I have no other symptoms but do have psoriasis which has worsened in last 12 months also.
Thanks so much for your help

Paul
Submitted: 1 year ago.
Category: Health
Expert:  Dr. Nitika replied 1 year ago.

Hi,

Do you have associated nausea,vomiting,heartburn?

Mucus in stool?

Bloating and flatulence?

Pain abdomen and it's location?

Stress and anxiety issues?

Are you taking any medicines?

Alcohol and smoking history?

Have you seen your doctor recently?

Customer: replied 1 year ago.
Hi
I do have a bit of nausea when an episode happens but then all good. I do get bloated but dont have pain apart from gas. I seem to get better and bounce back once the episode of bowel movements is over in an hour or so.
I rarely drink or smoke but I do worry a bit.
I have novasone cream for psoriasis.
No family history of cancers.
Seen doctor 12 months ago for routine full blood test for work which showed low IgA but he was not concerned.
I do eat dairy and have 3 cans of coke a day as a bad habit.
Expert:  Dr. Nitika replied 1 year ago.

Hi,
Thanks for providing more information.

As per your description,in my opinion,you shouldn't ignore your symptoms and a clinical examination by a gastroenterologist should be considered.

As recurrent episodes of diarrhea,bloating can be associated with Inflammatory bowel disease,Irritable bowel disease,celiac disease,Colitis,Diverticulosis.

So further blood work including CBC,ESR,TTG,repeat IgA and colonoscopy should be done in your case.

Many people with selective IgA deficiency have no symptoms however it can be associated with frequent episodes of:chronic diarrhea,gastrointestinal inflammation including ulcerative colitis, Crohn's disease, and a sprue-like illness.

Also you should avoid coke as much as possible.

Now you can take metamucil and Gas X.

Start probiotics.

And hydrate yourself with oral rehydration solution.

Avoid spicy foods.

 

 

 

Hope this helps.
Please rate me high if you are satisfied with our conversation.
In case you have further query press reply to expert button.
Bonus and positive feedback are appreciated.
Thanks.

 

Dr. Nitika, Doctor
Category: Health
Satisfied Customers: 1721
Experience: General Physician experience in Medicine, Integrative, CAM
Dr. Nitika and 2 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