Brief Answer:
Could be related to Nexium use...

Detailed Answer:
Hi,

I have gone through your medical history carefully and understood your concerns.

1. When patients with constipation alternating with diarrhea problems come to my office, I usually advise to run following tests:
- examination of stool for ova/parasites
- culture of stool for pathogenic bacteria/candida
- abdominal ultrasound

2. Colonoscopy is also advised to determine the cause to your problems.

3. For the moment, I advise to:
- increase water intake
- Continue taking pepto until diarrhea is stopped
- start taking probiotics

4. You are reporting to be using Nexium. May I know for how long you've been using it? Sometimes, patients taking Nexium do report constipation/diarrhea problems.

Hope it helped!
Dr.Klerida

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Brief Answer:
Possibly IBS,organic issues to rule out first

Detailed Answer:
Hi back,

Thank you for providing more of your medical data.

At this point, I advise to schedule an appointment with GI specialist and to consider running colonoscopy.

If everything will be ok, then, all your symptoms are indicating IBS. However, I still think that organic problems should be ruled out first.

Dr.Klerida

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