Brief Answer:
Need more info

Detailed Answer:
Hello and Welcome

I appreciate your concern

Kindly answer the following to advise accordingly

Approximately how long , has this diarrhea persisted

Is the diarrhea worse after a meal meaning is it related to the meal timings specifically

Is there any history of recent antibiotics use

Have you tried increasing the fiber in your diet via psyllium husk

Is there any fever, weight loss or blood in stool associated with this diarrhea




Wishing you best of health

Thanks

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Brief Answer:
Explained

Detailed Answer:
Hello again

Chronic diarrhea needs to be investigated extensively to reach the cause. Stool routine exam plus ova and parasites should be done initially as a noninvasive investigation. Leucocytosis if present would warrant the use of empiric antibiotics that cover gram negatives and anaerobes such as enoxacin and metronidazole combination. In my practice, loperamide, rifaximin, psyllium husk and probiotics like enterogermina used for 1 month help greatly in resolving the IBS D symptoms.

If the symptoms persist despite the above then anti transtissue glutaminase antibody to look for possible celiac disease should be done. Upper GI endoscopy with duodenal biopsy and breath test for bacterial overgrowth can also be done. You may apprise your doctor and discuss this strategy with him/her.


Let me know if you have any query

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

For future follow up / correspondence you may ask me directly at the link given below

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107

Dr. M.S. Khalil

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