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Dr Basu
Dr Basu, Experienced Specialist
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Experience:  MD
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Everything I eat going right through me like clockwork

Customer Question

Everything I eat going right through me like clockwork within 20min. Stools yellow to red/orange clay colored. L side pain moderate daily. Mucous in stool as well at times. No appetite
Submitted: 1 year ago.
Category: Health
Expert:  Dr. Saha replied 1 year ago.

Hello,
Thank you for your question.
I am Dr Saha, I shall try my best to help you.

There can be a gastrointestinal infection or inflammation.
In most cases it is viral.
It usually passes off in 3-5 days.
Sometimes, bacterial or parasitic infection can be there.
I would suggest to take an examination by doctor if the symptoms continue.
A stool test, blood work would help to plan treatment.
Meanwhile, please try to keep good hydration.
Take plenty of fluid, oral rehydration solution.

Urine output should be observed.

In dehydration, it will decrease.
Bland soft diet, rice, banana, toast can be taken.
These are usually better tolerated.

I hope this information helps.
If there’s anything else I can do, please let me know.
If you are satisfied, please rate my answer as good or excellent.
Regards.

Expert:  Dr Basu replied 1 year ago.

Hi there,

This is Dr Basu, experienced Internal Medicine Specialist.

I am here to address your concerns and provide great service.

I have a different opinion.

Given left lower quadrant pain and blood in stool, this is likely acute diverticulitis.

Can cause bowel perforation if not treated promptly with antibiotics.

Acute diverticulitis is caused by the bacterial infection of the colon pouches.

Sometimes,there can be perforation of the pouch causing peritonitis from spread of infection.

The root cause is bacterial infection.

This can come through food or water.

Sometimes, the bacteria in the colon may become aggressive as well.

Please go to the ER now.

Best wishes,

It was my pleasure to help you today.

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Customer: replied 1 year ago.
I have had this problem for 1yr+ pancritits attack 8/2015 and still having pain since that attack. 2 CT scans, EGD, MRI of my pancreas. LIpase and Amalyse levels checked.. All within range. Still cannot absorb food- everything food and liquid right through me. Starting to look gaunt pls help
Expert:  Dr Basu replied 1 year ago.

Ok thanks for further information.

These symptoms can also be due to the gallbladder problem.

Excess bile acid will cause intestinal irritation.

When the gallbladder is not functioning well, the bile flow to the intestine may increase causing these symptoms.

This will result in bloating, belching and also diarrhea especially after meals.

These symptoms can be treated with a medication called Cholestyramine 4 gram twice daily will meals.

Inflammatory bowel disorders like Crohn's disease, microscopic colitis, eosinophilic gastroenteritis are other possibilities.

This requires colonoscopy to establish the diagnosis.

Malabsorption syndrome is another strong possibility.

Malabsorption syndrome includes the follow possibilities:

1.Excess bacterial overgrowth in the small intestine known as SIBO syndrome.

This is not usually diagnosed by the colonoscopy.

Small intestinal aspirate can be sent for bacterial count.

Carbohydrate breath test (D xylose) is a simple test to diagnose this condition.

But,the treatment is much easier.

A14 day course of Rifaximine improves the symptoms dramatically.

2.Lactose intolerance--- regular milk, dairy products.

3.Gluten sensitivity or celiac disease--- Wheat based products.

You should consider following low fermentable sugar diet ( FODMAP diet) to reduceyour symptoms.

Please go to this link for detailed information:

http://stanfordhealthcare.org/content/dam/SHC/for-patients-component/programs-services/clinical-nutrition-services/docs/pdf-lowfodmapdiet.pdf

Please also include prebiotics like Inulin daily to keep your colon acidic which prevent gas producing bacteria.

Also take a probiotic ( lactobacilli, bifidobacterium) daily to restore intestinal microbial balance.

Culturelle 30 Counts twice daily should befine.

Simethicone and activated charcoal can be taken before meals to reduce gas and bloating.

Best wishes,

It was my pleasure to help you today.

If I have answered all your questions, Please rate my response Excellent (click on the 5th star).

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