Q. I am suffering from diarrhea since I gave birth a year back. Is it due to post-traumatic stress?

Answered by
Dr. Ajeet Kumar Lohana
and medically reviewed by Dr. Sneha Kannan
This is a premium question & answer published on Jun 10, 2020 and last reviewed on: Apr 19, 2021

Hi doctor,

I gave birth before a year. I have problems with diarrhea periodically. I did tests for chlamydia, helicobacter pylori, bleeding, and parasites. All the results came back negative. I did a stomach ultrasound and everything is fine. I suffer from post-traumatic stress and the doctor told me that I have diarrhea due to it. I am taking post-traumatic stress therapy and feeling better. But my diarrhea has not stopped. I go to the toilet three to five times a day. In the morning as soon as I wake up, I go to the toilet and a few more times during the day. Currently, I am taking Progyl 400 three tablets daily, Probiotic forte two times daily, Heferol two times daily, Vitamin C two times daily, Seroxat 20 mg, Clonil 100 mg, and Prazepam 10 mg once daily.

#

Hi,

Welcome to icliniq.com.

I understand your concern. The part of the problem can be explained by certain drugs. You are taking Heferol which is iron and it causes gastrointestinal upset, constipation, and diarrhea. But the side effects get settled once the medication is stopped. I do not know whether you are taking Heferol for a year or recently. You give a free drug trial and see if there is any improvement in your symptoms of diarrhea. There are a lot of conditions causing diarrhea. The causes are giardiasis, food allergies, and allergic gastroenteritis. I suggest you attach your previous test reports and provide more details about diarrhea so that I can guide you better. Do these investigations mentioned below and if it is already done, kindly send me. I will help to settle your problem.


The Probable causes:

You can have giardiasis, food allergies, celiac disease, small intestinal bacterial overgrowth, and functional diarrhea.

Investigations to be done:

You need to do a complete blood count, TSH (thyroid-stimulating hormone), FT3 (triiodothyronine), FT4 (free thyroxine), serum ferritin level, and stool detail report. You need to test stool for ova and parasites, fecal calprotectin, C-difficle antigen, stool for giardiasis antigen, stool for fat globules and reducing substance, stool for spot Na and Spot K, and serum creatinine, sodium, and potassium.

Treatment plan:

After seeing the results of the investigations, treatment can be planned.

Regarding follow up:

Have a follow-up after getting the results of the investigations.


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