Q. I am having explosive diarrhea since three months. Please help.
Hello doctor,
I am having diarrhea since three to four months. What actually is happening is I am getting large amount of water which is clear with small broken pieces of feces. Also, I can see tissue like (lace-like) mucus like things in my feces. I have abdominal discomfort when I do not defecate. My diarrhea is like expulsive and when I apply pressure at the coccyx, the water comes out explosively nevertheless, how many times I do this. After defecating, I have mild pain in my legs. I do not have obvious signs of dehydration but yes cheilosis is present and abdominal discomfort. I cannot have my meals properly. But, I feel hungry with gaps, I cannot finish my meal but then I feel hungry after an hour or so. I hope you help.
Hi,
Welcome to icliniq.com.
From your symptoms, you could have a chronic infection or inflammatory condition of the colon associated with malabsorption. It could be a number of things so we need to approach in a stepwise manner.
If symptoms are associated with certain food intakes like dairy or gluten, it could be intolerance or allergy to these.
- Do you have other symptoms like dark urine, and is the stool pale in color?
- Have you had any weight loss recently or fever?
- Do you have mouth ulcers or eye irritation? These could be associated with inflammatory bowel disease.
Please get the following investigations done and let me know the results. That will help us narrow down the list and identify the cause. You have vitamin B deficiency which also suggests malabsorption.
- Anti-endomysial antibodies.
- p-ANCA antibodies.
- Stool routine and microscopic exam.
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