Why have my bowel movements changed after my vacation?

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

Please say whether you have abdominal pain, strain to pass stools, have a problem with anal fissure, or feel pain after passing stools during constipation. It can be a simple anal fissure. Please let me know if your physician did a digital rectal examination or inserted a finger into the anal canal to diagnose pain and blood.

Kindly revert with the answers.

Thank you.

Hi,

Welcome back to icliniq.com.

You might have a rectal infection (infectious proctitis), which can cause recurrent, rapid bowel movements. This is the cause for you to have bleeding, which can cause the formation of an anal fissure.

Please do the following tests:

1. Stool tests for ova parasites.
2. Calprotectin.
3. Complete blood count.
4. Blood IHA (indirect hemagglutination) titer for E. histolytica (Entamoeba histolytica).

I consider giving you antibiotics after seeing the results. For now, conservative treatment can be done. You can take 2 tablespoons of Isabgol husk daily and apply Diltiazem gel into the anal canal using the nozzle. Get the above tests to determine the cause of the altered bowel movements.

I hope this helps.

Please feel free to reach out in case of further queries.

Thank you.

Hi,

Welcome back to icliniq.com.

Fungal infection of the bowels is extremely uncommon, and it can occur only in immunocompromised patients like the one with HIV (human immunodeficiency virus) or AIDS (acquired immunodeficiency syndrome).

You do not have symptoms such as significant weight loss, fever, or uncontrolled diarrhea to suggest HIV. Please mention the vacation. Did you swim in freshwater, or has any other person, along with you, had similar symptoms?

The parasite Entamoeba histolytica is the only possibility. But it usually responds to Metronidazole (an antimicrobial drug), which is taken for 7 days. Other parasitic infections, such as trematode infections and roundworm infections, are other possibilities.

Thank you.

Hi,

Welcome back to icliniq.com.

A single test sample is not enough for detection. At least three samples should be collected on three different days, or a 24-hour stool collection for ova and parasites can be performed. You need to approach laboratories in your area and show them the list of tests I suggested.

I hope this helps.

Please feel free to reach out in case of further queries.

Thank you.

Hi,

Welcome back to icliniq.com.

According to your age, the chances of having a serious disease of the colon and rectum are very low, and none of your findings suggest a serious illness. Your symptoms started after a vacation and suggest a mild parasitic infection. It is of benign cause and resolves with antibiotics.

I hope this helps.

Thank you.

Hi,

Welcome back to icliniq.com.

Could you please confirm whether you received it?

Thank you.

Hi,

Welcome back to icliniq.com.

This is not abnormal. The anal area has hair follicles and sweat glands. It is natural to have some moisture over there. You need to do the following test:

1. A complete blood count.
2. Blood for IHA (indirect hemagglutination) titer for E. histolytica (Entamoeba histolytica).
3. Stool for ova and parasites.

Do it with three samples on three consecutive days, and stool for calprotectin should be done.

I hope this helps.

Please feel free to reach out in case of further queries.

Thank you.

Hi,

Welcome back to icliniq.com.

You are welcome.

Please feel free to reach out in case of any further queries.

Thank you.

Hi,

Welcome back to icliniq.com.

I recommend getting a complete liver function test done. Please consult me again once you have the reports.

I hope this helps.

Please feel free to reach out in case of any queries.

Thank you.