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If you're still around Dr. Stan, we narrowed it down to giardia contracted by brushing my teeth on board the ferry from Stockholm to Riga . I rinsed using the ship's tap water. However, since then I had a major gallbladder attack and several stones showed in ultrasound this time. Gallbladder removed in December 2011. Diarrhea is still chronic and my doctor has pretty much decided the whole mess triggered IBS. I am controlling it fairly successfully with Cholestyramine and a low dose of methadone. The combination works pretty well though neither worked alone. I have hereditary high cholesterol anyway so the Cholestyramine does double duty along with krill oil. I avoid spicy and fatty foods, too. The up side is it took over 6 months (and several rounds of treatment) to kill off that nasty little parasite and I have dropped from nearly 180 pounds to 125 on my 5'0" tall frame (yes, menopause clobbered me with weight gain!). I do so appreciate your advice as diagnostics is not a strong suit in Russian medicine! You gave me a direction of attack. I am now back in the US permanently as my husband was seriously injured in an MVA in Moscow in July 2011 and is now wheelchair bound. He is fighting chronic constipation and Miralax has been a godsend there. Thank you so much for the detailed response as it helped tremendously upon return to my regular PCP upon my return to the US. You were spot on. Thanks again, Gayle