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Dr Basu
Dr Basu, Experienced Specialist
Category: Medical
Satisfied Customers: 28907
Experience:  MD
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I have chronic lower back pain. swollen stomach and diarrhea

Customer Question

I have chronic lower back pain. swollen stomach and diarrhea since October of 2014
Submitted: 2 years ago.
Category: Medical
Customer: replied 2 years ago.
had a partial hysterectomy 2011 gall baddler remove 2007
Expert:  Dr Basu replied 2 years ago.
Hi there,
This is Dr Basu, Experienced Specialist.
I am here to address your concerns and provide great service.
Sorry to hear that.
You can have following possibilities.
Inflammatory bowel disorders like Crohn's disease, microscopic colitis, eosinophilic gastroenteritis are important 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.
A 14 day course of Rifaximine improves the symptoms dramatically/
2. Lactose intolerance--- regular milk, dairy products.
3.gluten senisitivity or celiac disease--- Wheat based products.
4. Chronic pancreatitis --- deficiency of the digestive enzymes produced by the pancreas.
You should consider following low fermentable sugar diet ( FODMAP diet) to reduce your 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
Also regarding lower back pain, this can be a separate issue.
Herniated disc at the lower spine can cause this which will require MRi scan of the spine.
Please cosult with a gastroenterologist and also a back specialist.
Thank you for sharing your concerns with us today. If you have any additional questions or need further clarifications, please do not hesitate to ask. I am here to answer them. I wish you good health. Regards, ***** *****