What is the reason for my weight loss?

Question

Hi doctor,

I am spending more time in toilet daily as the stools keep on coming for every 10-15 minutes. Stools are semi-liquid and it feels like diarrhea. I have lost around 22 to 26 lbs of weight in the last two years and four to five kg during the last six months alone. I have got the following tests done and found everything to be normal. Colonoscopy, biopsy for TB and Crohn's disease and also blood tests that including CBC, CRP, Mantoux, ESR, thyroid, HIV, LFT and KFT. I have been treated with the following medicines over the time. Namely Colospa (Mebeverine hydrochloride), Rixmin (Rifaximin), Librax, VSL3, Velgut capsules, Bifilac (Pre-probiotics), Nexpro 40 and also different fiber supplements, both soluble and insoluble. In addition to all these I have taken Oflomac and Metrogyl course several times. I am attaching the reports of my colonoscopy, biopsy and blood tests for your reference. Please guide. Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

We are here to help you. I have gone through your reports (attachments removed to protect patient identity).

You seem to be suffering from Irritable bowel syndrome (IBS).

Please mention whether you have been performed with anti-tissue transglutaminase antibody (tTG) test or not.

Revert back with the asked details to a medical gastroenterologist online.

Answer 2

Hi,

Welcome back to icliniq.com.

I have checked your reports (attachments removed to protect patient identity).

Your reports are apparently normal and your history is suggestive of IBS. I would advise you the following.

Start taking a combination of Pantoprazole and Levosulpiride. Also take Mebeverine, which is a smooth muscle relaxant.

Have soft and bland diet and walk after taking your meals.

For further clarifications consult a medical gastroenterologist online.