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Ulcerative Colitis, Reactive Hypoglycemia, Black Outs, Excessive Bowel Movement, Reactive Hypoglycemia, Flagyl, Asacol, Probiotics
Question: I have been diagnosed with ulcerative colitis 3 years ago. I have since than, been expieriencing horrible symptoms. The main being is i developed reactive hypoglycemia and my heart pounds everytime i eat. It sometimes goes for hours and hours. I blackout when i stand up, My sugar goes as low as 49 sometimes immediatley afte eating. i am limited to sitting down, i sometimes feel like im poisioned, but made feeling better by a bowel movement, although i stay sick. i have bowel movements 7 plus times a day. i have an appt. for and endo doc and a gi doc but cannot get in for a few more weeks. im desperate for answers. I also have tried taking Flagyl, asacol, probiotics, and a plain strict meat diet. My heart will not stop pounding. it gives me headaches. I noticed that the blood sugar problem goes away when i fix the gi issues . as it was fixed temporarly when i was hospitalized. the meat diet is because anything sets it off. i even thought of a colon cleanse? My thyroid is ok .. btw
Hi,
Thanks for your query.
You seem to have two different problems.
1. Ulcerative colitis
I expect this is properly established diagnosis based on Colonoscopy and histopathology. as I could read through your symptoms, you have moderate disease activity. You did not mention anything about bleeding. I would also like to know about your most recent hb and ESR . But based on the frequency of seven plus motions per day, you may require rectal mesalamine/steroids or oral steroids depending upon extent of Colonoscopic extent of disease .
2. Reactive hypoglycemia
Reactive hypoglycemia usually is not a part of Ulcerative colitis . It is usually associated with Gastric surgeries for ulcer disease or as a part of neuroendocrine tumors of pancreas. Establishing a diagnosis require elaborate investigations. Once diagnosed, tumors can be resected to relieve symptom. Till then you can take small frequent meals, which may help.
Regards
Thanks for your query.
You seem to have two different problems.
1. Ulcerative colitis
I expect this is properly established diagnosis based on Colonoscopy and histopathology. as I could read through your symptoms, you have moderate disease activity. You did not mention anything about bleeding. I would also like to know about your most recent hb and ESR . But based on the frequency of seven plus motions per day, you may require rectal mesalamine/steroids or oral steroids depending upon extent of Colonoscopic extent of disease .
2. Reactive hypoglycemia
Reactive hypoglycemia usually is not a part of Ulcerative colitis . It is usually associated with Gastric surgeries for ulcer disease or as a part of neuroendocrine tumors of pancreas. Establishing a diagnosis require elaborate investigations. Once diagnosed, tumors can be resected to relieve symptom. Till then you can take small frequent meals, which may help.
Regards
Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.
Above answer was peer-reviewed by :
Dr. Raju A.T
Answered by
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