HomeAnswersGeneral Medicineirritable bowel syndromeMy MIL is a diabetic and gets a sensation of passing stools immediately after eating. Why?

What could cause immediate sensation of passing stools post meals in a diabetic?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Vinodhini J.

Published At June 18, 2020
Reviewed AtAugust 31, 2023

Patient's Query

Hello doctor,

My mother-in-law is a 55 years old diabetic patient. She is suffering from a problem that whenever she eats anything she has feelings to use the washroom. Please help.

Answered by Dr. Prathish Kumar

Hello,

Welcome to icliniq.com.

Your mother-in-law problem could be because of certain diabetic drugs also. I will be able to help you better if you can upload the list of medications she is on. And since how many days is she having this problem? What is the stool consistency, watery, or semisolid, or solid? Does she have any abdominal pain? Has she lost weight? Awaiting your reply, depending on that I will be able to help you better with appropriate treatment.

Probable diagnosis

IBS (irritable bowel syndrome). DM (diabetic mellitus).

Patient's Query

Thank you doctor,

One month back, my mother-in-law was suffering from cough with chest pain, as that time was lockdown period and hence due to unavailability of doctors she went to a cardiologist and he prescribed some tests and suggested to took insulin, antibiotic injection, and medicine (I hereby attached all test reports and prescription of the doctor for your kind reference). After taking one dose of insulin and antibiotic injection she is suffering from indigestion, feeling suffocation, loose motion, nervousness, anxiety, etc. After vomiting and motion, her BP gets very low and heaviness, headache, and tingling sensation in the body with extreme weakness.

Thereafter in an emergency situation she went here and there and gone through various medications and saline. After saline, she felt better for someday (one to two days) and again she is suffering through the same symptoms. Currently, she is hospitalized under the supervision of a general physician and gastroenterologist.

Now the consistency of stool depends upon the meals that she takes. If she takes solid food then stool is like semisolid but the quantity is more. If she has liquid food then stool is of watery consistency.

She is on Metoprolol XL 50, Okymprix 20 mg, and Wonride MV-2.

Answered by Dr. Prathish Kumar

Hi,

Welcome back to icliniq.com.

I read the description about your mother in laws difficulties faced for the past one month. Corona lockdown has created chaos for everyone. And as you have mentioned, I do not see any test reports or doctors prescriptions attached with your reply. Maybe you had forgotten. Kindly recheck and upload these documents.

And with the medicines you have mentioned at the last, I would suggest to stop the tablets for diabetes and better to continue with insulin. As already the gut is suffering from problems, these tablets might aggravate it, especially Metformin present in Wonride-MV2 is a notorious medicine that causes gut side effects mainly diarrhea due to which many patients discontinue the true.

Please mention what insulin she is taking? What antibiotic injection was given to her? And upload the test reports and prescriptions, we shall plan for a better combination of medicines for sugar control and also for the present gut-related issues.

Patient's Query

Thank you doctor,

Sorry for the inconvenience. Actually due to some technical issues from icliniq end, I could not able to attach all test reports and doctors prescriptions. Currently, she is not on insulin, she stopped taking it after the forementioned issues. After consultation with a doctor, she took insulin.

Answered by Dr. Prathish Kumar

Hi,

Welcome back to icliniq.com.

I went through all the records uploaded (attachment removed to protect patient identity). Investigation results do not reveal anything significant or of major concern to be worried about.

But I do not see any chest x-ray or ECG (electrocardiography) or echo report since you mention she went for cough and chest pain. I shall suggest some medicines as a course for two weeks. Ask her to take it regularly and let us see the response after two weeks. And regarding antidiabetic medicines, she is already on four different types of medicines in combinations. Please upload the latest sugar values if you have any.

Until then I am modifying the medicines slightly, the requirement of insulin will depend on her sugar levels. If uncontrolled with these medicines, we shall start with insulin but my only concern is she being an old age lady will she be able to take insulin regularly or is there someone who can take care of that. That answer I need from your side.

If possible take sugar level tests and update me, so that if any changes to medicines prescribed below can be done.

Investigations to be done

FBS (fasting blood sugar), PPBS (post-prandial blood sugar), HbA1C (glycated hemoglobin).

Treatment plan

Tablet Rifaximin 400 mg three times daily after food for two weeks, Enterogermina respules thrice daily after food for two weeks. Capsule Pantoprazole + Domperidone before breakfast for two weeks, Olymprix (Teneligliptin) 20 mg twice daily after food to continue. Stop tablet Wonride MV2. Take Glipizide 5 mg twice daily half an hour before food, Volibo (Vaglibose and Metformin) 0.3 mg three times along with food.

Preventive measures

Avoid spicy food and non-veg strictly for these two weeks.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Prathish Kumar
Dr. Prathish Kumar

General Medicine

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