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Dr Basu
Dr Basu, Experienced Specialist
Category: Medical
Satisfied Customers: 28252
Experience:  MD
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I have recently started having uncontrollable diarrhea that

Customer Question

I have recently started having uncontrollable diarrhea that is tan/yellow in color. Almost every time I eat I experience nausea and occasionally have bouts of vomiting. If I don't eat I have terrible indigestion. I work 5am to 4-6 pm most days and I don't make time to go to a doctor. The last couple of days I also feel fevered and then an hour later I am freezing. Jumped online to see if I could find some information on the symptoms I'm experiencing
Submitted: 1 year ago.
Category: Medical
Expert:  Dr Basu replied 1 year ago.
Hi there,
This is Dr Basu, Experienced Specialist.
I am here to address your concerns and provide great service.
Daily diarrhea for several weeks can be due to the infection.
Bacterial or parasitic infection can cause this commonly.
Amobiasis, giardiasis, C difficile infection, salmonella, shigella are such examples.
You should get stool ova and parasites, stool culture, C difficile toxin assay, giardia antigens for further evaluation.
There can be other possibilities as well.
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.
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
Please see your doctor today for further discussion on above.
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, ***** *****