How to deal with problems in stool elimination?

Hello doctor,

I am suddenly experiencing problems and anomalies in elimination. I went to a hospital emergency room and I was told to consult a gastroenterologist. My visit is described in detail in the attached PDF; “symptoms, provider notes, test results” are mentioned on page two. I have not experienced anything quite like this before.

My current medications include Metoprolol Succ Er 25 mg and Atorvastatin 80 mg tablets, and I have no history of medications for this particular complaint. Laboratory tests conducted include urinalysis (with scope), CBC with auto differential, basic metabolic panel, lipase, and hepatic function panel (adult). Why do I have sudden problems and anomalies in elimination? What are the possibilities? What is it called, and what are the treatments and outcomes?

Thank you.

Hi doctor,

Thank you for your reply.

Please define “bug” and “anaerobic” in my context. What passages in my PDF say that I have a urinary tract infection? What in particular would improve from taking Metronidazole?

Kindly help.

Hi doctor,

Thank you for your reply.

As you said,

1. Also, you have a urinary tract infection, as per your attached reports.

2. I may differ in opinion, but I don't find urinary infections in your reports.

3. Now the elimination word that you used is usually used for intestinal elimination.

4. If you are using it absolutely for urinary elimination, then the scenario is different.

Please explain.

Problems and anomalies in elimination

1. One day it felt very slippery and took only a second.

2. The next time I noticed the stool was gray and seemed to have streaks in it.

3. While urinating there is immediate flatulence and it is completely in sync with the urination.

4. On occasions there is a minor feeling that I need to go but then I do not.

5. On occasion there are faint streaks in my underwear.

6. I have made no changes due to the visit to the ER.

7. Symptoms (1) and (2) seem to have stopped, while (3) and (4) continue, and (5) is infrequent.

I began frequent urination about a year ago. It continues and my urologist is addressing it.

I am referring to urination in lines 3 and 8 only (and the reference to line 3 in line 7).

Is line 3 significant?

As you mentioned, “If repeated UTI then we need further investigations including CT of the bladder”.

I have an ultrasound bladder only, CT chest without contrast, CT urogram, and CT head without contrast.

Kindly help.

Hi doctor,

Thank you for your reply.

> Also you have urinary tract infection as per your attached reports.> I may differ in opinion but I don't find urinary infection in your reports.1. Which of the above is accurate and why is there an inconsistency?2. Why would I get a light grey (?) smear in my underwear about once a week (and never before), seemingly not related to any particular visit to the restroom?

Kindly help.