Hello and thank you for the question.
Answers given are for informational purposes only and are not meant to replace an exam by an in-person.
I am Dr. Sohaib, a practicing Internal Medicine Specialist and i will do my best to help you today.
You need to answer a few questions first which will help me assist you in a better way.
Have you seen a Gastroenterologist for this?
no my doctor does not send me
Okay. What kind of tests did you have?
they did an endoscopy 2 years ago and said I have h pylori to which my doctor gave me antibiotics and etc. I gave a stool sample 6 weeks ago and came back ok and have never had a colonscopy
Have you experienced blood in the stools?
I cant see blood but as for fever I am having flushes all the time
Do you think you have lost some weight?
Thank you very much for useful information.
although I am not eating properly for last 4 wks
You are suffering from chronic diarrhea and there are a number of reasons for this including;
Infections such as;
Inflammatory bowel disease
my doctor said it could be bile overproduced from my liver??
Colon cancer (this is least likely in your case).
No, over production of bile is not the case here
Neither does it mean any disease, because if your body is working properly, whatever bile is secreted in the intestine is metabolized and reabsorbed.
It should not cause any kind of symptom or diarrhoea.
Honestly, you need a more detailed evaluation.
Preferably by a gastroenterologist.
And since this is associated with flushing as well, i would suggest screening for carcinoid syndrome as well (a hormonal disorder).
I had a hysterectomy 10 years ago but no on any hrt
Ok, so hormonal issues might be contributing to flushes. I think sufficient duration has passed and its time now to have this evaluated in detail by a Gastroenterologist for a comprehensive clinical examination aided by tests such as;
1. Stool examination (3 sets) to look for ova and cysts pf parasites. Also specialized staining can be ordered for parasites and to look for malabsorption.
2. Blood CBC/ESR, CRP and other inflammatory markers
3. Electrolytes, albumin, calcium levels
5. Somatostatin receptor scintigraphy
The above mentioned tests will be helpful to ascertain the exact underlying cause for her symptoms which will direct a specific and targeted management plan.
Keep yourself well hydrated.
A good nutritious and well balanced diet.
Both will be helpful
what do I need to do now please dr sohaib
I am desperate and my doctor is not very helpful
The best way to proceed further is to get a referral for a Gastroenterologist. You can discuss all the details i have mentioned with your doctor and move ahead for a specialists consultation.
what if my gp does not understand is there any thing I can do at home
There are only few measures that can help you at home. Avoid fats/spices. Exercise. Adequate water intake. But honestly, you need more detailed evaluation. I am sure once you discuss all these details with your GP, he will be convinced.
Otherwise, you can directly take a consultation with gastroenterologist in private.
I would have been worried too if I were at your place, but let me reassure you that this does not sound serious at all. It is a treatable condition and carries a good prognosis with appropriate management.
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thanks very much and allah hafiz
Take Care and Allah Hafiz.
Get well soon :)