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Dr Basu
Dr Basu, Experienced Specialist
Category: Medical
Satisfied Customers: 28194
Experience:  MD
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Dr su s I am suffering from problem with my bowel movement

Customer Question

Hello Dr su s I am suffering from problem with my bowel movement sometime I go to toilet 5 times my stool is soft and mushy occasional PR bleed sometime I struggle to pass stool even I'm not constipated also feel heavy and uncomfortable while sitting for long period been to doctor no satisfactory out come
Submitted: 1 year ago.
Category: Medical
Expert:  Dr Basu replied 1 year ago.
Hi there,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.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.pdfPlease also include prebiotics like Inulin daily to keep your colon acidic which prevent gas producing bacteria.Also take a probiotic ( lactobacilli, bifidobacterium) daily.Lastly, there can be chronic infections like C difficile, Giardia, Amoeba, Aeromonas etc.These infections may be diagnosed by checking 3 stool samples taken on successive days.They will require proper antibiotics for the treatment. 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, ***** *****