Thanks Natasha for the details.
You should proceed as following.
The first step would be to consult a gastroenterologist who is likely to perform the following investigations;
1) Barium esophagogram
2) Upper GI endoscopy.
Your symptoms are likely due to a condition called as Hiatal hernia and gastroesophageal reflux disease (GERD). Following collective measures are helpful in these;
1) antacids; Maalox
2) acid blocker; Prilosec
3) loosing weight, if overweight.
4) avoiding alcohol, citrus fruits and juices, chocolate, and tomato based products
5) avoiding large meals. Eat 5 small meals in a day.
6) wait three hours after the meal before you sleep.
7) elevate head end of the bed by 8 inches.
For acid reflux (GERD), following also would be helpful;
1) Nux Vomica
C. Nutrition and supplements;
1) Multivitamin; vitamins A, C, E, the B vitamins, and trace minerals, such as magnesium, calcium, zinc, and selenium.
2) Probiotic supplement
3) Omega 3 fatty acid
4) Avoid; cookies, crackers, cakes, French fries, onion rings, donuts, processed foods, and margarine.
5) Also avoid; white breads, pastas, and especially sugar, red meats,
6) Eat lean meats, cold water fish, tofu, beans, olive oil.
In hiatal hernia sometimes surgery may also be needed if the above measures are not effective.
The gastroenterologist should also get a CT scan of abdomen and stool exam for the evaluation of your diarrhea. The initial evaluation of diarrhea is on these characteristic;
a) stool volume,
c) consistency, and
d) gross appearance.
This description to use the term "diarrhea" to describe urgency and the frequent passage of small-volume stools suggests a functional disorder such as IBS.
Stool volume can give an idea of disease location and underlying mechanism.
a) Large-volume stools (more than one liter per day) would point to small bowel disease and secretory diarrhea.
b) Small-volume stools (less than 300 ml per day) suggest large intestine diseases and functional gastrointestinal disorders like IBS.
Stool consistency can be varied ranging from formed to watery, and correlates with the rate of intestinal transit.
a) Secretory diarrheas are liquid.
b) Functional diarrheas are soft or semi-solid.
c) Stool floating will be indicative of if being filled with gas from fermentation of mal absorbed carbohydrates.
d) Mucus can point to both inflammatory and noninflammatory diarrheas, such as ulcerative colitis and IBS.
Your symptoms are suggestive of intestinal motility disorder. One of the commonest is called as irritable bowel syndrome (IBS). Following investigations may also be considered (if not done);
1) The complete blood count (CBC); altered in irritable bowel disease (in whom leukocytosis / high WBC count is the more frequent result).
2) Protein electrophoresis pattern may show alterations of both albumin and globulins (especially alpha-1 and gamma globulins) in IBS.
3) Thyroid function tests; an high thyroid may cause loose and frequent bowel motions.
4) A barium meal is a helpful study in the diagnosis of intestinal motility disorders.
5) Computed tomography (CT) and nuclear magnetic resonance examinations are also necessary.
7) Scintigraphic study of the small bowel or colonic transit time is currently most preferred investigations for your symptoms. It shows the intestinal progression of the meal.
Medications like neostigmine, bethanechol, metoclopramide, cisapride, and loperamide may help you.
Following measures collectively may help;
1) Fiber supplementation may improve loose motions. Citrucel and FiberCon may produce less flatulence than psyllium compounds (Metamucil).
2) Caffeine avoidance may limit exacerbation.
3) Lactose and/or fructose should also be limited or avoided.
4) Lomotil and the other medications we discussed above.
The second step would be to consult an endocrinologist to recheck the thyroid and do the blood work for the anti thyroid antibodies. A condition called as autoimmune thyroiditis should be ruled out. All your symptoms can be explained by the abnormal thyroid levels too.
Please feel free for your follow up questions.
I would be happy to assist you further, if you need any more information.
Thanks for using Just Answer.
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