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Lately for the past couple of weeks this has been quite frequent.

 
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  • Answered by:Dr. David
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Customer Question

Lately for the past couple of weeks this has been quite frequent. I wake up an go #2 and for the most part have normal looking light brown to medium brown stools that are normal size and diameter, throughout the day my motions seem to get loser and lighter color, Today I am worried because when I got diaharea it had a very odd musty smell was yellowish and very watery with undigested food particals in it, can this simply be IBS or is this something possibly alot more serious. Please help. Thanks

 

Optional Information:
Person's Gender: Male
Person's Age: 42

Submitted: 335 days ago.
Category: Oncology
Value: $20
Status: CLOSED
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Expert:  Dr. David replied335 days ago.

Hello, this is Dr. David. I have read your question and am ready to help.

it could be IBS or something you are eating in your diet or a mild viral infection.

I don't think it is something more serious.

you might want to try to increae the fiber in your diet. that might help

Customer replied334 days and 23 hours ago.

if it was a mild viral infection wouldnt it be gone by now, what makes you think this is something not serious? Im thinking I have a problem with my pancreas or gallbladder, and its scaring the hell out of me

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Expert:  Dr. David replied334 days and 23 hours ago.

problems with the pancreas or gall bladder doesn't tend to cause a bit of yellowy loose stools towards the end of the day. your loose stool today most likely is a one day event.

if your loose yellowy stools continue day after day, then I would be more worried about IBS or colitis and you should then see a GI doctor for a colonoscopy and exam. but if your diarrhea symptoms resolve, then most likely not serious

you can always get blood work to check your pancreas and liver and ultrasound to check the gall bladder, but I would bet that these would be normal for you with the symptoms you are describing.

Customer replied334 days and 23 hours ago.

this has been an ongoing thing for approxiamately 2 weeks my stool will be solid in the morn and by later that evening I have diaharea today was the worst so far especially with the strange musty smell, and before that I would have issues from time to time. If it was a pancreas problem or GB problem would I not be having the regular morning stools

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Expert:  Dr. David replied334 days and 23 hours ago.

if you had a pancreas problem or GB problem, most likely you would be having bad abdominal pain, nausea, loss of appetite, and diarrhea around the clock.

Customer replied334 days and 23 hours ago.

so do you think it is most likely IBS, I also have a lot of stomach growling, I also was put on klonopin approx 3 mos ago and have been cutting back my dose to .05 once a day from the usaual twice per day could this be a withdrawl symptom?

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Expert:  Dr. David replied334 days and 23 hours ago.

it is more likely IBS or a food allergy or something you are eating on a daily basis like if you are eating out every day or something or eating food daily that you are not preparing yourself.

there is a small chance that the diarrhea would be part of your body's withdraw symptoms from klonopin.

Customer replied334 days and 23 hours ago.

This is my last question and I will accept. Today I ate a Banquet pot pie salad with low fat ranch dressing, some french fries with some cheddar cheese and crackers, any idea what might be the likely culprit? It does seem as if i eat fiberous foods I dont digest them well.

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Expert:  Dr. David replied334 days and 23 hours ago.

could have been the pot pie. if it was frozen, it may have been thawed out accidently during transport. or it could have been the cheese.

you need to slowly introduce fiber into your diet. most of us don't get enough fiber in our diet and can benefit from whole grains, more fruit, more vegitables in our diet to help have better bowel movements.

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Customer replied330 days and 5 hours ago.

is a psa level of 1.07 to high

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Expert:  Dr. David replied330 days and 4 hours ago.

No that is a low PSA

But if you have had your prostate surgically removed then it is high

Customer replied330 days and 3 hours ago.

thank you also I had a microscopic urinalysis to, what exactly does that check for?

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Expert:  Dr. David replied330 days and 3 hours ago.

that checks for urine infection, protein and blood and bacteria in the urine.

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Customer replied330 days and 2 hours ago.

if a person had pancreatic cancer would there pancreatic enzymes most likely be elevated

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Expert:  Dr. David replied330 days and 2 hours ago.

if a person had pancreatic cancer, their pancreatic tumor marker of Ca 19-9 would most likely be elevated.

Customer replied330 days ago.

what about lipase and amalyse

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Expert:  Dr. David replied330 days ago.

those often are elevated as well.

but can also be elevated with pancreatitis. Dr. David41083.0788016204

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Customer replied325 days and 22 hours ago.

would an ultrasound pick up an adrenal tumor? If I had one?

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Expert:  Dr. David replied325 days and 15 hours ago.

if the ultrasound was looking at the kidney, the adrenals are just above the kidney and usually an ultrasound directed there would see an enlarged adrenal gland.

and ultrasound looking at the liver may not see both adrenal glands.

so it depends on where the ultrasound was looking at.

you should get a copy of the ultrasound report and see if they mention the adrenal glands on there.

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Customer replied325 days and 4 hours ago.

Could you please interpet my abdominal ultrasound and tell me how bad off I am

History Right upper quadrant discomfort intermittently for 4-5 months. Diarrhea

There is Borderline Hepatomegaly but the liver measuring about 17cm in length

There is homogeneously increased echogenicity throughout the liver.

Hepatic pedal portal blood flow on doppler evaluation

the gallbladder is well distended no wall thickening, cholelithiasis or pericolic cystic fluid.

Spleen Normal size

The common Bile duct measures 5.3 in diam. No signs of intrahepatic bilirubin dialation.

The proximal body and head of the pancreas can be seen and look normal in shape and echogenicity.

No signs of ascites in abdomen.

The kidneys are reniform in shape shape measuring 10.2 cm in length. Good corticomedullary distinction, no hydronephrosis or perenial fluid.

Aorta normal caliber.

Impression: Extensive hepatic statosis with borderline hepatomegaly.

No cholelithiasis, biliary dilation or ascites.

Everyday I have diaharea with undigested food particles etc it seems like it is proggressivly getting worse can this be the cause? or could it be IBS. I also have a whole lot of stomach growling.

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Expert:  Dr. David replied325 days and 4 hours ago.

this abdominal ultrasound is generally normal.

hepatic steatosis basically means a fatty liver.

this abdominal ultrasound will not help with finding your issues with undigested food particles

this needs to be evaluated with an upper endoscopy into the stomach to see if the stomach is functioning properly with acid to break down foods. and a colonoscopy to look into the colon. stomach growling could mean that the stomach is empty and that you are having too quick of a transit time through the stomach and the food is not being properly being broken down in the stomach.

you should get a xray fluoroscopy stomach emptying study to see how quickly the stomach is emptying. if it is emptying too quickly into the small bowel, it is not working properly.

Treatment for rapid gastric emptying is most commonly changes in eating habits and certain medications. For example, eating several small meals a day that are low in carbohydrates is recommended, as is only drinking liquids between meals and not with them. People with more severe cases take medicine to slow their digestive process. Some medications such as narcotic pain relievers and anticholinergic medications can delay emptying of the stomach. One should also be aware that other medications such as metoclopramide (Reglan) and erythromycin can cause rapid emptying of the stomach.

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Customer replied316 days and 22 hours ago.

is it possible that a low dose of klonopin .05 mgs twice daily can cause liver problems?

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Expert:  Dr. David replied316 days and 22 hours ago.

the chances of klonopin causing liver problems is very very very very very small.

klonopin is a long acting benzodiazapine and is metabolized and excreted out the urine.

it really would not cause liver problems.

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