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Suggest Treatment For Severe Diarrhea With Onion-like Substances In Stool

Posted on Sat, 9 Jan 2016

Question: have had diarrhea for over a month with large pieces of onion skin like substance ,sometimes that may all be that is there....had test done shows no worms or bacteria, or infection. Getting quit concerned,,

Answered by Dr. Dr. Muhammad Sareer Khalil (27 minutes later)

Brief Answer:
Chronic diarrhea

Detailed Answer:
Hello and Welcome

I appreciate your concern

The test performed on the stool was likely to be a routine examination with ova and parasites in addition. Absence of tenesmus , blood in stool and fever indicates that the diarrhea is not infectious. Altered bowel habit at age 65 should warrant review regarding colonoscopy screening. Stool culture can be done. In the meanwhile adequate isotonic fluids should be taken to avoid dehydration which is the main complication related to diarrhea. Pepto bismol and probiotics can be of help. Try to eat less complicated and simpler diet including yogurt, fresh juices, boiled rice etc. If the diarrhea persists despite these measures then a gastroenterologist should be consulted for further management.

Wishing you best of health

Thanks

Let me know if you have any query

Please consult your doctor before deciding on any further course of action.

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Dr. M.S. Khalil

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Muhammad Sareer Khalil (45 minutes later)

Thank you for the information on main concern is what is the onion skin looking substance they are sometimes very large and long and sometimes the only thing that is noticeable in the bow movement thank you

Answered by Dr. Dr. Muhammad Sareer Khalil (6 hours later)

Brief Answer:
Explained

Detailed Answer:
Hello again.

The onion skin looking substance can be related to mal absorption, mucus and pus with stool. Tape worm segments, Pseudo-membranous enterocolitis with pseudomembranes, inflammatory bowel disease and undigested food are possibilities. Ideally, a stool sample should be repeated with these substances to microscopically examine them and determine their nature. A gastroenterologist consultation would be required if Pseudo-membranous enterocolitis or inflammatory bowel disease is suspected.

Wishing you best of health

Thanks

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar