
What Causes Chronic Pain And Diarrhea?

I need you to asnwer few questions first, if its possible.
Detailed Answer:
Hello!
Thank you for the query.
I wish I could give you simple solution and diagnosis. But this will be very hard from the point of this service. I need you to answer few questions first, if its possible:
1.Can you please mention what kind of tests have you had to determine the source of pain? Any colonoscopy, gastroscopy, abdominal ultrasound, CT, blood work, stool tests, stool culture tests?
2.Have you had any surgeries in the abdominal area?
3.Is the pain related to foods intake?
4.Is your pain dull or cramping?
5.Is there any mucus or blood in the stool?
6.If there is a blood, is it on the surface of the stool or mixed with it?
7.Have you lost any weight recently?
8.Do you have any joints pains, skin lesions (like eczema?)?
I`m looking forward to hearing from you.
Regards


Infection, inflammatory bowels disease, coeliac disease should be checked.
Detailed Answer:
There is few issues which needs to be checked.
1. Chronic bacterial infection of the digestive tract. It happens when bad bacteria are present in the intestines instead of good bacteria (good bacteria protect us against bad). To do that, stool test and stool culture test is necessary. Rifaximine treatment (very special antibiotic for such infections) should be considered
2. Partial bowels obstruction due to inflammatory bowels disease. In some cases host immune system attacks healthy body cells (we call such diseases autoimmune). When intestinal cells are attacked, it leads to chronic inflammation. Inflammation leaves scars and narrowed intestines. This can give explosive diarrhea along with abdominal pain. Also joint pains can be present with inflammatory bowels disease. Mucus and blood is quite frequent symptoms as well. To rule it out colonoscopy (once again) and abdominal CT with oral contrast (enteroclysis) should be done.
3. Partial bowels obstruction for any other reason including adhesion, intestine invagination. Enteroclysis will tell.
4. Coeliac disease. Also autoimmune disorder. Also gives diarrhea and abdominal pain. The main cause of this issue is gliadine (gluten protein) allergic reaction. Gliadin is mostly present in wheat. Serological blood tests to detect specific antibodies should be considered.
Hope this will help. Feel free to ask further questions.
Regards.

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