This is Dr Basu, experienced Internal Medicine Specialist.
I am here to address your concerns and provide great service.
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 following 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 sensitivity or celiac disease---Wheat based products.
4. Chronic pancreatitis --- deficiency of the digestive enzymes produced by the pancreas.
5. Gastroparesis -- delayed gastric and intestinal movement.-- treated with metoclopramide or domperidone daily.
You should consider following low fermentable sugar diet ( FODMAP diet) to reduce your symptoms.
Please go to this link for detailed information:
Severe constipation can be due to the bowel obstruction.
This possibility should be ruled out with a CT scan of the abdomen with contrast.
Besides that, sometimes, intestine may not contract well causing this problem.
Also increased pressure in the anal sphincter can cause constipation.
Linactolide is one such medication which helps with chronic constipation.
It was my pleasure to help you today.
If I have answered all your questions, Please rate my response Excellent (click on the 5th star).
Please bookmark my profile for asking further questions!
This is the link to my profile: