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Dr Basu
Dr Basu, Experienced Specialist
Category: Medical
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Experience:  MD
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I have a clear liquid come from my anus when passing gas.

Customer Question

Customer: I have a clear liquid come from my anus when passing gas. Its been going on for about 6 months now. I run at least 6 ***** ***** a day, 5 times a weel week
JA: Thanks. Can you give me any more details about your issue?
Customer: Im very gassy during the day, especially when i skip a meal. I do take protein powder before and after running
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Submitted: 10 months ago.
Category: Medical
Expert:  Dr Basu replied 10 months ago.

Hi there,
This is Dr Basu, experienced Internal Medicine Specialist.
I am here to address your concerns and provide great service.

Excessive gassiness is the problem --gas can stimulate the anal sphincter causing leakage.

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 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:
http://stanfordhealthcare.org/content/dam/SHC/for-patients-component/programs-services/clinical-nutrition-services/docs/pdf-lowfodmapdiet.pdf

Please also include prebiotics like Inulin daily to keep your colon acidic which prevent gas producing bacteria.
Also take a probiotic ( lactobacilli, bifidobacterium) daily to restore intestinal microbial balance.
Culturelle 30 Counts twice daily should be fine.
Simethicone and activated charcoal can be taken before meals to reduce gas and bloating.
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.
Please discuss these possibilities with a gastroenterologist.
Best wishes,
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