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I have a question concerning stomach issues. I have gone to…

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I have a question concerning...
I have a question concerning stomach issues. I have gone to have a endoscopy and colonoscopy done at the same time. They found bacteria in my gut and put me on the antibiotic. They didn't say anything about the pouches I had several years before but not sure if that goes away or stays and then I have a hiatal hernia. Anyway I have issues when I eat something at different times, the urge to go to the bathroom hits with no notice and I better not be more than 10 steps from a bathroom. Also when I have these bouts of diarrhea my tummy craps so bad it's crazy and my face will turn very red like I'm having a hot flashes it's crazy, this may go on for two days then the next day I may be kinda constipated. Not sure what to do
Submitted: 5 months ago.Category: Medical
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Answered in 30 minutes by:
11/16/2017
Doctor: Dr. Arun Phophalia, Doctor replied 5 months ago
Dr. Arun Phophalia
Category: Medical
Satisfied Customers: 37,814
Experience: MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
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Doctor: Dr. Arun Phophalia, Doctor replied 5 months ago

What is your age and gender?

Since how long are your symptoms of cramps, red face and diarrhea?

Were you diagnosed recently as bacterial overgrowth syndrome for which antibiotics have started?

When was your diverticulosis diagnosed (pouches)?

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Customer reply replied 5 months ago
I'm 45, female. Was diagnosed with the diverticulosis pouches 4 years ago. Had the endoscopy and colonoscopy about 8 months ago. The face turning red has been going on for about 6 months ago along with the cramps getting worse and the diarrhea hitting with no warning. I have not made it to the bathroom 5 times now and it's getting rather embarrassing. Most the times I have been lucky being around family and once in the middle of the store when it hit and I was not able to make it....help please
Doctor: Dr. Arun Phophalia, Doctor replied 5 months ago

Thanks for the additional information. I am writing the answer for you and will get back to you in 4-5 minutes. If you get a phone call request, you may ignore it as that is an automated site trigger. Thank you.

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Doctor: Dr. Arun Phophalia, Doctor replied 5 months ago

I would consider Carcinoid syndrome for your sudden bout of diarrhea with the other symptoms. This can be benign tumor, so do not get worried. There are specific investigations for them. Levels of urinary 5-hydroxyindoleacetic acid (5-HIAA) are usually greatly increased, so a 24 hour estimation would be required. Foods that contain high levels of 5-HIAA precursor and should be excluded from the diet for at least 24 hours before the test include include avocados, bananas, plums, walnuts, pineapples, tomatoes, and eggplants.

You would also require;

Positron emission tomogrpahy

MRI or CT scan of abdomen

Radionuclide scan of intestines.

These will give you the diagnosis.

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Doctor: Dr. Arun Phophalia, Doctor replied 5 months ago

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