Hi doctor,
Whenever I sit or lay down to rest or sleep just after taking food I get loose motion. Often, it is mucus loose motion and high headache. Also, I get vomit. What is my problem? What treatment should I take for this?
Hello,
Welcome to icliniq.com.
- Urge to defecate following the intake of food is a common digestive complaint and it in most cases is due to physiological causes.
- Due to gastrocolic reflex whenever your stomach is stretched it stimulates the colon and leads to passing stools.
- But, however, if the same reflex is urgent, uncontrollable or associated with cramps or vomiting, then we need to rule out the cause.
- It can be any one of the following diseases. Inflammatory bowel syndrome, irritable bowel syndrome - diarrhea type (IBS-D) and food intolerance as in lactose intolerance.
- Do you have abdominal pain? Did you observe any passage of blood in stools?
- Do you have any bloating, flatulence, constipation or diarrhea? If so, then for how long?
- Any specific food that exacerbates your problem like milk products such as curd or wheat or corn?
- Is there any unexplained weight loss? Are you suffering from anemia or gallbladder surgery?
- IBS - D is a functional bowel disorder due to hyperactive bowel and increased defective reflexes.
- Management of IBS is as follows. Consult your specialist doctor, discuss with him or her and take the medicines with consent.
- Diet - Avoid chocolate, alcohol, caffeine, sorbitol and fructose containing food.
- Drink plenty of water and eat fiber containing food.
- Do not get stressed and do exercise. Take probiotics like tablet Lactogut (lactic acid bacillus) twice daily. Try to avoid triggering foods.
- I suggest you try tablet Welchol (Colesevelam) twice daily for seven days to see the response.
Revert back with the answers to the above questions to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician
Thank you doctor,
Yes, I have abdominal cramps though less severe. I also have bloating and flatulence sometimes. But, I have never felt blood in my stool. Yes, milk, dairy products and sweets aggravate my complaint. There is loose motion. I have neither loss weight nor anemic. I did not get any gallbladder surgery. Yes, it is chronic. For more than 15 years or so, I am bearing it.
Hello,
Welcome back to icliniq.com.
- As I have told you before, avoid all the foods that trigger the problem.
- Is there any anxiety or depression? You may take tablet Dicyclomine when you have cramps.
- As you never had any bloody stools and weight loss or anemia inflammatory bowel syndrome can be kept down the list next to irritable bowel syndrome.
- If you are very much concerned, you can go for stool analysis for leukocyte and pus cells and colonoscopy to rule out inflammatory bowel syndrome.
- Continue your treatment; you may try what I have advised. Do try tablet Welchol and let me know if it works on you.
For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician
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